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PCCN Progressive Care Certified Nursing

Category - PCCN

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A young girl presented in medical OPD with 3 days history of intermittent fever with rigors and chills, hemoptysis, pleuritic chest pain and nausea. On examination, she was ill looking, had fever of 101 degrees Fahrenheit, her chest was dull on percussion and there was a pleural rub. What is the most likely diagnosis?
  1. Pulmonary tuberculosis
  2. Pneumonia
  3. COPD
  4. Asthma
Explanation
Answer: B - The most likely diagnosis with the history of fever, chills, pleuralistic chest pain and nausea, is Pneumonia because it is an infectious disease presenting with fever. When lung parenchyma is damaged, hemoptysis also occurs. Moreover, pleural rub also indicates Pneumonia.
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