Top Tweets for #PulmQ
#PulmQ
55YO. PMH: Chronic #sinusitis.
CC: Recurrent #pneumonia at least yearly.
PE: Erythematous nasal mucosa, otherwise normal.
๐ค What would you do next?
#PulmQ
40YO. PMH: None.
CC: Chest pain, #dysphagia.
PE: In clear discomfort, otherwise normal.
๐ค What would you do next?
#PulmQ
70YO. PMH: #Asthma, HTN.
CC: #Dyspnea, #cough, #weightloss, night sweats.
PE: Palpable #petechiae, corase breath sounds.
๐ค What would you do next?
#PulmQ
75YO. PMH: stem cell #transplant complicated by #GVHD, #pneumocystis pneumonia, recurrent sepsis.
CC: Malaise, dyspnea.
PE: No respiratory distress, diminished breath sounds in bases.
๐ค What would you do next?
#PulmQ
55YO. PMH: #Pancreatic cancer s/p #chemoradiation and #Wipple procedure.
CC: #Dyspnea. No infectious symptoms.
๐ค What's your next step?
#PulmQ
55YO. PMH: #Asthma.
CC: #Cough x15 years. No response to treatment for #asthma, #GERD, or #postnasal drip.
PE: #Rhonchi, #diminished breath sounds in lower right lung fields.
๐ค What would you do next?
#PulmQ
55YO. #Ohio resident. Recent chemical dermal injury โถ๏ธ prescribed #prednisone x5 days.
CC: New diffuse #skinlesions after 2 days of prednisone.
๐ค What would you do?

#PulmQ
30YO. PMH: #Nephrolithiasis s/p ureteral stenting 3 days prior.
CC: #Dyspnea, #hemoptysis.
PE: #Hypoxic to 70% on RA, placed on #PAP therapy.
๐ค What are your next steps?
#PulmQ
30YO. No PMH.
CC: #Respiratorydistress and fever.
Exam: #Hypoxic on room air. Bilateral crackles.
Labs: WBC 12, lactate 1.5, CRP 250.
๐ค What would you like to do next?
#PulmQ
55YO. PMH: OSA, HTN, #stroke.
Meds: ASA, HCTZ.
CC: Malaise + productive #cough (blood streaks) x3 days.
Presents to urgent care, given antibiotics for #bronchitis. No improvement.
๐ค What would you like to do next?
#PulmQ
50YO. PMH: #ESRD.
CC: Dyspnea, lower extremity edema, abdominal distention.
CXR: Right #pleuraleffusion.
TTE: EF 65%, normal diastolic function. No evidence of pulmonary hypertension.
๐ค What's your next step?
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