Antibiotic-Resistant Cough and Back Pain in a 63-Year-Old

Winston W. Tan, MD; Matthew Tan


October 16, 2020

Physical Examination and Workup

Physical examination reveals the following:

  • Blood pressure: 124/58 mm Hg

  • Temperature: 98.3°F (36.8°C)

  • Heart rate: 85 beats/min

Examination of her neck reveals enlarged supraclavicular lymph nodes. Examination of her breasts reveals no distinct nodules, lumps, discharge, skin retraction, or axillary adenopathy. Her abdomen is soft, benign, and nontender. Neurologically, cranial nerves II through XII are grossly intact.

Upon evaluation of the lungs, wheezing and atelectasis are observed. Increased work of breathing is also noted. A chest radiograph is subsequently ordered.


Comments on Medscape are moderated and should be professional in tone and on topic. You must declare any conflicts of interest related to your comments and responses. Please see our Commenting Guide for further information. We reserve the right to remove posts at our sole discretion.