A 47-Year-Old Female with Shortness of Breath

The Medicine Forum

Wright, MD, Kelly¹  Marrero, MD, Dana¹ 

[1]Thomas Jefferson UniversityThomas Jefferson UniversityThomas Jefferson University

关键词: A 47-Year-Old Female with Shortness of Breath;    The Medicine Forum;    Thomas Jefferson University Hospital;    journal;    Philadelphia;    United States;    residents;   

DOI  :  

学科分类：医学（综合）

来源: Thomas Jefferson University

【 摘 要 】

This patient is a 47-year-old female with a history of end-stage liver disease secondary to hepatitis C virus (HCV) complicated by hepatic encephalopathy, obstructive sleep apnea, asthma, and severe peripheral neuropathy who presents to the hospital with complaints of shortness of breath and cough. The patient was recently discharged from an outside hospital 2 days prior to this admission where she was treated for pneumonia and an asthma exacerbation but her symptoms have not improved. She complains of shortness of breath at rest and severely decreased exercise tolerance with dyspnea while walking across the room. Her cough is persistent and non-productive. Review of systems is also positive for fevers at the outside hospital and worsening peripheral neuropathy which has not responded to treatment with gabapentin. Social history is positive for 20 pack-year smoking history (quit 10 years ago), and heavy alcohol use in the past.

【 授权许可】

Unknown