i-Human Case Study: Maria Rodriguez Community-Acquired Pneumonia | Week 10 Hypoxic CAP Requiring Admission

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CHIEF COMPLAINT
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Shortness1of1breath,1cough,1and1fever1for1four1days.1




HISTORY OF PRESENT ILLNESS
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Maria1Rodriguez1is1a145-year-
old1Hispanic1female1who1presents1to1the1outpatient1clinic1with1worsening1shortness1of1breath,1product
ive1cough,1fever,1and1chest1discomfort.1The1patient1reports1that1symptoms1began1approximately1four1d
ays1ago1with1mild1fatigue1and1sore1throat,1followed1by1progressive1cough1producing1thick1yellow1sputu
m.1Over1the1past1241hours,1she1has1developed1worsening1dyspnea1on1exertion1and1pleuritic1right-
sided1chest1pain1that1increases1with1deep1inspiration1and1coughing.1
She1reports1subjective1fevers1and1chills,1night1sweats,1and1generalized1body1aches.1She1denies1hemopt
ysis1but1notes1decreased1appetite1and1poor1oral1intake.1She1states1that1walking1short1distances1now1ca
uses1significant1shortness1of1breath.1She1denies1recent1travel,1known1sick1contacts,1or1exposure1to1tub
erculosis.1
She1has1not1taken1antibiotics1prior1to1presentation1and1has1been1using1over-the-
counter1acetaminophen1with1minimal1relief.1




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PAST MEDICAL HISTORY
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• Type121diabetes1mellitus1(poorly1controlled)1

• Obesity1

• Hypertension1
• Hyperlipidemia1




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