Chief Complaints: A 33-year-old female presented to the physician after admission to the hospital emergency ward with complaints of shortness of breath on exertion. Medical History : She reports that she was diagnosed with acute bronchitis after experiencing similar symptoms six months ago. She reports a 20-pound weight loss over the past year. She also suffered from intermittent cough and shortness of breath on exertion. Medication History: She was treated with bronchodilators, empiric antibiotics, and a short course of oral steroids, but this management did not improve her symptoms, and they gradually worsened over six months.
Social History: Her tobacco use was 33 pack per years, she had quit smoking six months prior to the onset of symptoms. The patient is married and in a monogamous relationship with three children aged 15 months to 5 years. She works in a cookie bakery. She also…
