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Question
Bob hasn't been feeling well for over a week. He says his chest feels heavy, it hurts when he breathes, and he has been very tired. She convinced him to the doctor where he received a prescription for antibiotics, but he still isn't feeling well. Bob works as a park ranger in Mammoth Cave National Park (a state park in IL) but has had to call in sick for the last several days. You ask if they have always lived here, and they say that until about a year ago he had been stationed at Crater Lake National Park and grew up in Oregon.
1. What is your preliminary diagnosis (remember that patient history can be very important)?
2. What would you do to confirm your diagnosis?
3. Should they worry about Bob transmitting his infection to Nancy?
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