A 51 year old female presents to your office with complaint of shortness of breath and productive cough for 2 weeks.

A 51 year old female presents to your office with complaint of shortness of breath and productive cough for 2 weeks. She has had fever intermittently up to 101 and feels she is getting worse. She has colored sputum. She denies nausea or vomiting. She is mainly short of breath when she walks. She normally smokes 1 pack of cigarettes per day, but hasn’t been able to smoke at all the past 3 days because it hurts her chest. She also tells you that she has been more tired than usual for the past 3-4 months. She is so tired after work that she just goes home and sits down and this is different for her. She does not exercise. She has not lost weight. She mentions that she has had constipation the past few months. She has not been seen by a healthcare provider for 10 years because she just hasn’t wanted to. She now feels that she is getting older and she needs to be checked. She tells you that she checked her blood pressure at the drug store and it has been high. She denies chest pain. FMH: Both parents are living and her mother has aA