24 year old accountant

PC: SOB (shortness of breath)

HPC: woke up this morning, gasping for air

took inhalers but no improvement

had URTI (upper respiratory tract infection) for last week

shivers since yesterday

didn't check temperature

chest pain with cough and green phlegm

PMH: asthma (since childhood, poor compliance, previous admissions)

sickle cell anaemia

allergic to dust mite and Brazil nuts

appendicectomy age 12

tonsillectomy last year

typhoid fever 2 years ago in Puerto Rico

awaiting echocardiography

DHx: inhalers (beta-mimetics prn and steroid BD (twice daily))

OCP

Amoxycillin 500 mg tds x 3/7 now (prescribed by general practitioner)

Allergic to sulphonamides

FHx: mother: Breast Ca

father: prostate Ca

(both alive and well at present)

SHx: lives alone

has 2 parrots and a siamese cat

smokes 1 pack/day for 10 years

11 units alcohol / week