Departments of Pulmonary and Critical Care, St. Luke's University Health Network, Lewis Katz School of Medicine at Temple University Hospital, Bethlehem, PA.
Departments of Pulmonary and Critical Care, St. Luke's University Health Network, Lewis Katz School of Medicine at Temple University Hospital, Bethlehem, PA.
Chest. 2021 Apr;159(4):e261-e266. doi: 10.1016/j.chest.2020.11.063. Epub 2021 Feb 19.
A 38-year-old African American woman with a history of menometrorrhagia on previous estrogen therapy and a previously biopsied benign thyroid nodule with recent interval enlargement presented with symptoms of shortness of breath on exertion, an intermittent nonproductive cough, and right upper quadrant abdominal pain for 1 year. She denied wheezing, hemoptysis, fevers, night sweats, or unintentional weight loss. Socially, the patient was a lifelong nonsmoker and denied alcohol or drug use. Travel history was not significant, and she had no contributory occupational, environmental, or animal exposures. Recent cancer screening that included Papanicolaou smear and mammography were negative for neoplasia. Vital signs were normal, and ambulatory pulse oximetry did not demonstrate evidence of oxygen desaturation. Physical examination demonstrated normal respiratory effort, diffuse vesicular breath sounds, and a soft abdomen without hepatomegaly or right upper quadrant tenderness.
一位 38 岁的非裔美国女性，曾有因雌激素治疗而出现月经过多的病史，以及之前活检为良性的甲状腺结节，最近结节间隔增大。她因劳力性呼吸急促、间歇性无痰咳嗽和右上腹疼痛 1 年来就诊。她否认有气喘、咯血、发热、盗汗或不明原因的体重减轻。患者无吸烟史，不饮酒或吸毒，社会交往正常。旅行史无特殊，无职业、环境或动物接触等相关致病因素。最近的癌症筛查包括巴氏涂片和乳房 X 光检查，均未发现肿瘤。生命体征正常，活动时脉搏血氧饱和度无缺氧证据。体格检查显示呼吸正常，呼吸音为全肺分布的细湿啰音，腹部柔软，无肝肿大或右上腹压痛。
