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    A 47-year-old Malay woman presented to the hospital due to shortness of breath since February. Her shortness of breath started after 3 weeks of coughing with white sputum. She experiences relief when sitting and aggravation with exertion or at night. Her past medical history includes breast cancer diagnosed 2 years ago for which she received chemotherapy and a right mastectomy. She also had her gallbladder removed in 2018 and has a seafood allergy. On examination, she appeared pale and breathless while using a non-rebreather mask and having a chest tube in her right side. She was diagnosed with metastasized breast cancer complicated by a collapsed lung.

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    A 47-year-old Malay woman presented to the hospital due to shortness of breath since February. Her shortness of breath started after 3 weeks of coughing with white sputum. She experiences relief when sitting and aggravation with exertion or at night. Her past medical history includes breast cancer diagnosed 2 years ago for which she received chemotherapy and a right mastectomy. She also had her gallbladder removed in 2018 and has a seafood allergy. On examination, she appeared pale and breathless while using a non-rebreather mask and having a chest tube in her right side. She was diagnosed with metastasized breast cancer complicated by a collapsed lung.

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    7 views1 page

    Ortho

    Uploaded by

    Sakeet Eelee
    A 47-year-old Malay woman presented to the hospital due to shortness of breath since February. Her shortness of breath started after 3 weeks of coughing with white sputum. She experiences relief when sitting and aggravation with exertion or at night. Her past medical history includes breast cancer diagnosed 2 years ago for which she received chemotherapy and a right mastectomy. She also had her gallbladder removed in 2018 and has a seafood allergy. On examination, she appeared pale and breathless while using a non-rebreather mask and having a chest tube in her right side. She was diagnosed with metastasized breast cancer complicated by a collapsed lung.

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    of 1

    Sarina ,

    Malay woman

    Age
    :
    47910

    Complaint :
    Admitted to hosp due to SOB since Feb

    HOPC : SOB started after 3 weeks of coughing w/ white sputum

    check batuk pasta Dr confirm Kan bukan TB infection .

    Aggravate night
    -

    exerting
    Relieve -

    sitting position
    Associated symptoms
    -
    chest discomfort

    PMH : (✗ de hx asthma )
    ① Breast cancer ; diagnosed since 2 years ago [ Dec , 2019 ]

    has undergone 12 cycle of chemotherapy ,


    23 cycle of
    and of the right side
    radiotherapy mastectomy
    .

    ② Gallstones ; Has undergone cholecystectomy in 2018

    ③ Seafood allergy -

    itchy throat

    ④ medication ; banya k tapi yang pt se but Satu


    je
    Tab . Tamoxifen ✗ 20mg ✗ BD

    Social hx : Non -
    smoker / Non alcoholic drinker

    occupation ✗ inga + tanya


    lives w/ husband S children

    of
    Family hx :
    Daddy -
    Hx lung cancer

    General inspection :
    ① Looked pale
    ② Breathless

    ③ On non
    -

    rebreather mask

    ④ on chest tube at the right side

    DX : metastasized breast cancer complicated w/ pneumothorax

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