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Secretion Clearance C1: Notes

Rebecca is a 23 y/o female with Cystic Fibrosis who was admitted 2/7 ago for an infective exacerbation. You are seeing her twice daily for secretion clearance.

PMHx:

  • Cystic Fibrosis
  • CFRD
  • Osteoporosis recent Dx (no Hx of #s)
  • GORD
  • Stress urinary incontinence

Investigations:

  • Auscultation: decreased AE (R) MZ, evident coarse crackles bibasally
  • CXR: Increased opacity bibasally R>L, mild opacity (R) middle zone
  • Chest CT: nodular densities bibasally R>L
  • Spirometry: FEV1 65%
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