Respiratory System

{"ops":[{"insert":"Diagnosis and reasoning"},{"insert":"\n","attributes":{"header":1}},{"insert":"At first glance, this appears to be a very straightforward case, as this lady has presented with signs and symptoms suggestive of a lower respiratory tract infection.\n\nIn a typical busy primary care practice, it is all too easy to stop at this point, prescribe antibiotics and send the patient back home.\n\nYet, the examination brings up a couple of unexpected findings - clubbing of all fingers, and even more surprisingly, a right-sided apex beat, indicating that dextrocardia is present ! This illustrates the importance of properly examining all patients.\n\nThis also casts the history of multiple similar episodes starting from childhood into a totally different light, and allows us to think of two key differential diagnoses.\n\nFirst of all, this"}]}

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