Cough in 47-yr-old woman

Past Medical History

  • Medical history: Hypertension, hypothyroidism due to thyroidectomy 12 yr ago for a benign nodule, uterine cancer with hysterectomy 4 yr ago, and bipolar disorder. No known pulmonary or cardiac disease.

  • Surgical history: Thyroidectomy (12 yr ago), hysterectomy (4 yr ago).

  • Medications: Losartan, verapamil, levothyroxine, aripiprazole, bupropion, escitalopram, and topiramate.

  • Allergies: Intolerance to lurasidone (hand tremors) and oxycodone (nausea and vomiting).

  • Family history: No family history of lung cancer.

  • Social history: Life-long nonsmoker. Uses alcohol socially. Has never used illicit drugs. Works in a hospital business office. Divorced; no sexual contact for 8 yr. Lives in Maryland. Has not traveled outside the East Coast for 20 yr; has never traveled outside the US. No sick close contacts.