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Group C – Last name P-Z 

Discussion Topic – Respiratory Issues 

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A 30-year-old female presents to your office with complaints of episodic shortness of breath and chest tightness. The symptoms have been off and on for about 2 years. The symptoms have worsened lately, occurring two or three times a month. Symptoms are worse during the spring months. She does not have any exercise-induced or nocturnal symptoms. There is a positive family history with her father having asthma. She is single and works in a high tech firm. She has a roommate, who moved in two months ago. With the roommate came a dog and a cat. The patient is s social smoker when she is out with friends. Drinks socially and has no history of illicit drug use. On examination mild end expiratory wheezing was noted.

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  1. According to what you have read, what is the diagnosis      and diagnostic test can you do to confirm this diagnosis? List 3      differential diagnoses.
  2. According to the diagnosis, how would you treat this      patient?

Instructions:

  • Answer the questions above. Also, answer the additional      questions below. Then, respond to at least 2 other classmates.

Group C – Last name P-Z: What pathogenetic mechanisms are responsible for the patient’s symptoms of wheezing, shortness of breath and chest tightness?