A 43 year-old Chinese woman who
immigrated to the United States in
1994 was seen because of several years
of chronic, intermittent coughing
that was productive of voluminous,
thick, green sputum with occasional
blood streaking. The cough was
accompanied by right anterior
pleuritic chest pain. She had no
fevers, chills, or night sweats. Her
medical history included childhood
pneumonia at the age of 18 months,
a prior right pneumothorax that
required chest tube placement, and a
positive PPD. She was a nonsmoker.
Despite her symptoms, she was fully
functional with activities of daily
living but unable to tolerate exercise.
She worked as a part-time seamstress
and had no environmental exposures.
Review of systems was significant
only for a 20lb weight loss in the past 2 years.
Luu, 4th Year Medical Student, Jane
"Images in Medicine-Bronchiectasis,"
The Medicine Forum:
Vol. 6, Article 13.
Available at: http://jdc.jefferson.edu/tmf/vol6/iss1/13