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DrRussMD, Board Certified MD
Category: Medical
Satisfied Customers: 65671
Experience:  Board certified Internal medicine and Integrative medicine. Many years of experience all areas.
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I am geneally fit and healthy 46 yo female.i work as a nurse

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I am geneally fit and healthy 46 yo female.i work as a nurse in ED dept.although i am a smoker i walk/run at least 10k per week.In last 10 days i have had cough.productive but not always.My main concern is that im finding increased shortness of rest.and pain down my right lower flank/chest wall.i took 5 days of oral antibiotics and oral steroids and an inhaler..but seems to be getting worse.also i fi d im waking in mornings drenched in perpiration.but have no fever.
What test and work up has been done?
Customer: replied 2 years ago.

Nothing im.afraid to answer.i didnt see my GP because i attender her a month ago fot a Respirtory tract infection and i kinda presumed was possibly just relapse.

So what is your exact question at this point?
Customer: replied 2 years ago.

If a normal RTI runs its course why am i experiencing increasing shortness of breath and ??night sweats with pleuritic type right sided chest pain?

There are a number of possibilities.
Pneumonia which was not susceptible to your antibiotics, and this would be a big concern.
Pulmonary embolus.
Partially collapsed lung.
Bronchospasm from a bronchitis [most likely], in need of inhaler treatment.
You need an exam at this point.
OK, so that is an initial answer….
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