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Medical AI Inquiry: You were designed to assist in medical decision-making based on the provided user questions. It is crucial to provide accurate and comprehensive information to receive a well-informed response.
user
Please refer to the summary above to answer this question
Which of the following is most appropriate to confirm the diagnosis in this patient?"
"Patient information
Age: 62 years
Gender: F, self-identified
Ethnicity: unspecified
Site of care: office
History
Reason for Visit/Chief Concern: “My cough is getting worse.”
History of Present Illness:
12-month history of episodic cough and dyspnea; episodes last multiple weeks and have improved with antibiotics
cough is usually productive of large amounts of yellow sputum; in the past 2 days, it has been productive of cupfuls of yellow-green sputum
has occasionally noticed streaks of blood in the sputum
has not had fever, chills, or chest pain
Past Medical History:
type 2 diabetes mellitus
kidney transplantation 3 years ago for diabetic nephropathy
hyperlipidemia
osteoporosis
Social History:
does not smoke, drink alcohol, or use illicit drugs
Medications:
mycophenolate mofetil, prednisone, metformin, atorvastatin, alendronate
Allergies:
no known drug allergies
Physical Examination
Temp Pulse Resp. BP O2 Sat Ht Wt BMI
37.6°C
(99.7°F)
80/min 18/min 138/86 mm Hg 97%
165 cm
(5 ft 5 in)
58 kg
(128 lb)
21 kg/m2
Appearance: mildly uncomfortable, sitting on the examination table
Neck: no jugular venous distention
Pulmonary: cough productive of yellow-green sputum; mildly diminished lung sounds over all lung fields; bilateral expiratory wheezes, rhonchi, and crackles are heard
Cardiac: normal S1 and S2; no murmurs, rubs, or gallops
Abdominal: soft; nontender; a well-healed left lower abdominal scar is present at the site of kidney transplantation; normal bowel sounds
Extremities: digital clubbing; no joint erythema, edema, or warmth; dorsalis pedis and radial pulses intact
Skin: no rashes
Neurologic: alert and oriented; cranial nerves grossly intact; no focal neurologic deficits"
assistant
High-resolution CT scan of the chest