Posted: February 3rd, 2024
Darla Thomas, a 25 y.o. African-American, previously well-woman, presents to her primary care Nurse Practitioner’s office with complaints of episodic shortness of breath and chest tightness. She has had the symptoms on and off for about 2 years but states that they have worsened lately, occurring two or three times a month.
She notes that the symptoms are worse during the spring months. She has no exercise-induced or nocturnal symptoms. The family history is notable for a father with asthma. She is single and works as a secretary in a high-tech firm.
She lives with a roommate, who moved in approximately 2 months ago. The roommate has a cat. The patient smokes occasionally when out with friends, drinks socially, and has no history of drug use. Examination is notable for mild end-expiratory wheezing.
Pulmonary function tests are ordered to confirm the diagnosis.
In this discussion:
Include citations from the text or the external literature in your discussions.
Place an order in 3 easy steps. Takes less than 5 mins.