Q:

A 55 year old woman with a persistent cough and history of smoking develops left sided chest pain exacerbated by deep breathing with fever and localized crackles. What is the single most appropriate diagnosis?

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A 55 year old woman with a persistent cough and history of smoking develops left sided chest pain exacerbated by deep breathing with fever and localized crackles. What is the single most appropriate diagnosis?


  1. Dissecting aneurysm
  2. Pericarditis
  3. Pneumonia
  4. Pneumothorax
  5. Pulmonary embolism

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The key is C. Pneumonia. [chest pain exacerbated with deep breathing, fever and localized crackles are highly suggestive of pneumonia].

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