severe shortness of breath - zafirlukast

[ArchivalUser]

A 71-year-old woman comes to the emergency department because of severe shortness of breath, retrosternal chest pain, a fever, and a dry cough that has worsened over the past three weeks. She says that she is rarely sick and she prides herself on being the "healthiest and most active grandmother in the northeast." She swims everyday and goes out with friends four nights a week since her husband passed away five years ago. She blushes as she admits that she has many male "suitors". She does not smoke cigarettes. However, she drinks a "moderate" amount of alcohol each day. She recalls having an episode of fever, headaches, joint pain, a loss of appetite, and a mild sore throat a few months ago that she did not seek medical attention for because she assumed it was a "virus". Her temperature is 38.8 C (101.8 F) and respirations are 35/min. She has bibasilar rales and significant cervical, axillary, and inguinal lymphadenopathy. A chest x-ray shows bilateral patchy alveolar infiltrates. Histologic evaluation of a sputum sample obtained by bronchoalveolar lavage shows round structures when stained with methenamine silver. An important question to ask at this time is:

A. "Did you or your late husband ever install insulation or brake lining, do construction work, or work in a shipyard?"

B. "Do you engage in unprotected sexual intercourse at the present time or at any other time in the past?"

C. "Have you ever been involved in a homosexual relationship?"


D. "Have you ever had a morning drink to get started (an "eyeopener")?"


E. "Have you ever had a positive PPD or been exposed to anyone with tuberculosis?"

[ArchivalUser]

B. "Do you engage in unprotected sexual intercourse at the present time or at any other time in the past?"

[ArchivalUser]

B. "Do you engage in unprotected sexual intercourse at the present time or at any other time in the past?"

[ArchivalUser]

correct.