Emergency Medicine

19 year old man presenting with shortness-of-breath

Amrit Misra on May 23, 2013

19 year old male presents to the Emergency Department with a one hour history of severe, acute onset shortness-of-breath.  Patient is uncertain of any inciting factors and notes he has never had these symptoms before.  He denies any fevers, chills, hemoptysis, cough, chest pain, or abdominal pain.

PMHx: Asthma, diagnosed at age 5.

PSHx, FMHx: Noncontributory

Medications: Albuterol prn

Allergies: None

Social: Non-smoker, does not drink or use alcohol

  • Temp  36 C
  • HR  124
  • BP  85/50
  • RR  32
  • O2  85% on Room Air

Physical Exam:

General: Uncomfortable appearing man, laying on examination table.

Heart: Tachycardic, with regular rhythm, s1 and s2 audible.  No murmurs, rubs, or gallops.

Lungs: No breath sounds audible in the lower upper lung

Abdominal: Soft, nontender, non-distended.  No rebound tenderness or guarding.

19 year old male presents to the Emergency Department with a one hour history of severe, acute onset shortness-of-breath.  Patient is uncertain of any inciting factors and notes he has never had these symptoms before.  He denies any fevers, chills, hemoptysis, cough, chest pain, or abdominal pain.

PMHx: Asthma, diagnosed at age 5.

PSHx, FMHx: Noncontributory

Medications: Albuterol prn

Allergies: None

Social: Non-smoker, does not drink or use alcohol

  • Temp  36 C
  • HR  124
  • BP  85/50
  • RR  32
  • O2  85% on Room Air

Physical Exam:

General: Uncomfortable appearing man, laying on examination table.

Heart: Tachycardic, with regular rhythm, s1 and s2 audible.  No murmurs, rubs, or gallops.

Lungs: No breath sounds audible in the lower upper lung

Abdominal: Soft, nontender, non-distended.  No rebound tenderness or guarding.

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