Scenario 4: A 45-year-old woman presents with a chief complaint of 3-day duration of shortness of breath, cough with thick green sputum production, and fevers. The patient has a history of COPD with a chronic cough but states the cough has gotten much worse and is interfering with her sleep. Sputum is thicker and harder for her to expect. CXR reveals a flattened diaphragm and increased AP diameter. Auscultation demonstrates hyperreal resonance and coarse rales and rhonchi throughout all lung fields.
Scenario 4: A 45-year-old woman presents with a chief complaint of 3-day duration of shortness of breath, cough with thick green sputum production, and fevers. The patient has a history of COPD with a chronic cough but states the cough…