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Young Welder and Painter: Seen in the ED


The young patient's symptoms are nonspecific but there are questions that should be asked to help narrow the differential diagnosis - which ones?

Young welder and painter: Seen in the ED / image credit doctor ©Guschkenova/stock.adobe.com

History of present illness: A man in his mid-20’s presents to the hospital emergency department for 2 days of feeling lightheaded and short of breath. He also has a slight cough plus intermittent chills and a mild headache. He denies any fever or known COVID/flu exposure at either of his two jobs, one as a welder and the other as a painter. He is single and lives alone.

Vital signs & physical examination: Vital signs are normal. Physical examination is normal

Initial diagnostic testing

CBC: normal

Chem-7: normal

Imaging: CXR normal

Which of the following questions is important to ask?

Find more puzzling presentations in Patient Care's collection of Dr Pregerson's "Seen in the ED" cases.

To listen to Dr Pregerson's EM Logic medical podcast, please click here or visit Apple or Spotify.

Find Dr Pregerson's pocket medical references at ERpocketbooks.com.

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