Ugh venting
Ugh had a challenging house call patient wondering if I dropped the ball. Pretty sure I didn’t.
Mid 60s F hx if lung cancer post partial lobectomy currently chemo recently dx with ALS bed bound g tube placed.
House call for cough concerns for PNA.
Exam benign, afebrile, normal RR cough clear production inconsistent, pulse ox 94-96 which is baseline. Cardiac benign
Advised no concerns for PNA, to do incentive spirometer prescribed her atropine drops sublingual prn for excessive saliva.
Over the weekend choked on food went to ER dx sepsis possible PNA. Noted inflammation right lung vs infection. Although patient also had many leuks in UA as well.
Just the thought I missed the PNA. Pretty confident I didn’t just due to the likely aspiration with right lung finding. But still can’t help but wonder.
Venting over.