Thursday, January 24, 2013

P2 Case D

A patient comes to your office complaining of shortness of breath. This is her 6th time presenting to your office complaining of the same thing. You've started to see a trend in her history in that she always gets better when she gets a note to be excused from work. You then ask her about when her symptoms get better and she responds, "It always seems like I get so much better on the weekends. I'm able to do the things I want without feeling so tired and out of breath. I've been starting to dread coming in to work every Monday. Can you please get me out of work again today?"

1. You realize that an occupational hazard may be causing her distress.
Where does she work?


2. You remember the following pathology image. Describe what you see and what the pathogenesis is.

3. Diagnose her specifically.



4.  Which will you find if you tested her blood at work.

a. IgE Antibodies (Type I Hypersensitivity)
b. Eosinophilia

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