Cough in 47-yr-old woman

• General: Positive for 5- to 7-lb intentional weight loss via use of a FitBit^® activity tracker. No fever, chills, or malaise. Appetite normal.


• Skin: No rashes


• HEENT: Feels congested at night. No vision or hearing changes.


• Pulmonary: Cough and wheezing as per history of present illness.


• Cardiovascular: Sharp, right-sided chest pain occurring with stretching, coughing, and deep breathing and lasting a second or two. No chest pain during exertion.


• Gastrointestinal: Intermittent heartburn in the past but no recent episodes.


• Genitourinary: Noncontributory


• Musculoskeletal: Sternal pain as per history of present illness. No edema or pain in extremities.


• Neurologic: Noncontributory


• Psychiatric: Noncontributory