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Mr. Jones is an otherwise healthy, 80 yo AA male who seeks treatment at your clinic for a cough with an onset of 2 weeks ago. He states the nonproductive cough keeps him awake at night and he feels he is "coughing up a lung" whenever he coughs. His vital signs are Temp 98.7, Ap 80, Resp 26, BP 166/88. His wife states that he has been especially forgetful this past week. His Objective assessment reveals prolonged coughing episodes that do not proceed to bronchospasms, He has dyspnea with minimal exertion and increased tactile fremitus in the right upper lung field. Fine Rales (crackles) can be hear in this area, with the remaining lung field having vesicular lung sounds.
1. What is your diagnosis of Mr. Jones? What are your 2 or 3 Differentials?
2. Why did you arrive at this diagnosis?
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