Dyspnea and Back Pain in a 24-yr-old Man

Past Medical History

  • Medical history: None; sees a physician regularly for routine physicals. No history of similar illness or symptoms.

  • Surgical history: None

  • Medications: None

  • Allergies: None

  • Family history: Both parents are alive; father has hypertension; mother is well. Maternal grandfather may have died of lung cancer. No known coronary artery disease in family.

  • Social history: Lives with his parents and works full-time in a grocery store; does occasional light lifting without difficulty. Smokes 7 to 10 cigarettes/day, which is decreased from 1 pack/day. Drinks alcohol once/wk to once/mo. Used marijuana in his teens.