A 12-year-old girl who presents to the walk-in clinic complaining of shortness of breath and dry cough that has been present for 3 weeks. It is worse at nighttime and with activity. When she plays soccer with her friends, she often feels tight in the chest after a few minutes of play. On further questioning, the patient admits to occasional episodes of shortness of breath and coughing over the last 2-3 years, but never this severe. These episodes usually occur in the fall and are triggered by high humidity and cigarette smoke. At times, the cough sounds like wheezing. Question: […]
Mr. F, age 46 years, has had a persistent unproductive cough for several months that did not respond to cough medications. Recently, he has developed a productive cough accompanied by fatigue, anorexia, and night sweats. Examination indicated abnormal chest sounds and weight loss. A chest radiograph showed a small cavity and infiltrate, the tuberculin test was positive, and the sputum sample contained a small amount of blood and numerous acid-fast bacilli. Question: Based on the clinical and laboratory presentation of this case, what is your final diagnosis? Why?