RT Book, Section A1 Butler, Rachel R. A2 Wilbur, Jason K. A2 Graber, Mark A. A2 Ray, Brigit E. SR Print(0) ID 1151854892 T1 Pulmonology T2 Graber and Wilbur's Family Medicine Examination & Board Review, 4e YR 2018 FD 2018 PB McGraw-Hill Education PP New York, NY SN 9781259585333book LK accessmedicine.mhmedical.com/content.aspx?aid=1151854892 RD 2024/10/04 AB A 42-year-old male who works in a hog confinement area presents to your office complaining of cough, fever, wheeze, and dyspnea. He and some other workers were cleaning the confinement area with high-pressure hoses (which aerosolized hog waste), and they all developed the same symptoms, which started between 4 and 8 hours after work. On examination, he is febrile with a respiratory rate of 28. He is able to talk in complete sentences. There are slight crackles when you auscultate the lungs. His chest x-ray is normal.