August 20th, 2020 
nstructions:
1. Write a case study about the given case scenario using the SOAP format.
2. In your case discussion, answers to the foregoing questions must be established in the primary diagnosis and the pathophysiology related to the diagnosis of this case as follows:
What are the three categories of provocative agents that can trigger the medical condition/diagnosis of this patient? What are some possible triggers in this patient?
Describe the early events responsible for the pathogenesis of the medical diagnosis of this case. How does this result in chronic airway inflammation and airway hyper -responsiveness.
What pathogenetic mechanisms are responsible for this patient’s symptoms of wheezing, shortness of breath, and chest tightness.
3. Review and follow the case study writing outline and rubric in building your case and as basis of grading.
4. Paperwork must be submitted via assignment link provided.
Case Scenario:
A 25-year-old previously well woman presents to your office with complaints of episodic shortness of breath and chest tightness. She has had the symptoms on and off for about 2 years but states that they have worsened lately, occurring two or three times a month.
She notes that the symptoms are worse during the spring months. She has no exercise-induced or nocturnal symptoms.
The family history is notable for a father with asthma. She is single and works as an administrative assistant in a high-tech firm. She lives with a roommate, who moved in approximately 2 months ago. The roommate has a cat. The patient smokes occasionally when out with friends and drinks socially but has no history of illicit drug use.
Pertinent PE findings:
VS 115/80 HR 84 RR 22 T 98.6 O2 sat 95% room air
Pertinent physical examination is notable for mild end-expiratory wheezing. The rest of the PE findings are unremarkable.
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