Question
A 61-year-old female with a history of metastatic ductal carcinoma of the breast is brought to the emergency room by her family. Over the past week, she has developed difficulty breathing and has coughed up green-yellow mucoid sputum. Physical examination reveals crackles and decreased breathing sounds on the right side of her chest. Of the following, what is the most likely diagnosis?
| A. |
Congestive heart failure
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| B. |
Chronic bronchitis
|
| C. |
Acute bronchopneumonia
|
| D. |
Pulmonary metastases
|
Show Answer
|
Correct Answer � C
Explanation
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|
Answer :C Acute bronchopneumonia
Given her presentation of dypsnea, associated with fever and productive cough, the most likely diagnosis is acute bronchopneumonia
She has no risk factors for congestive heart failure, and the associated crackles should be bilateral
Chronic bronchitis produces a productive cough, but the diagnosis requires symptoms to occur over time, and this is an acute event.
Although pulmonary metastases may be an underlying cause of the
bronchopneumonia, they would not, by themselves, produce the symptoms identified
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