Jackie Sprat is 58 y/o female who is Vietnamese speaking only and presents to the ED with a 4-day history of productive cough, orthopnea, low-grade fever, and generalized malaise.  WBC 19.6K, Hgb 7.6, HCT 23, PLT 222k.

possible Diagnosis: Community acquired pneumonia, congestive heart failure exacerbation, fluid overload

  1. Discuss diagnostic tests that should be performed for the workup keeping in mind cost-effective care.
  2. Provide three differential diagnosis.
  3. Describe the management of the patient.

provide at least 3-5 references. This will be put on a power point slide.

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