A 52-year-old female presented to the emergency department (ED) resuscitation unit with a 5-day history of progressive shortness of breath and productive cough of green sputum
. She described some brief episodes of hot and cold spells but had no documented fever or rigors.
"Those who have severe trouble breathing, or start coughing green sputum
, might have a lung infection and should go to the emergency department," he added.
SYMPTOMS Shortness of breath, a high temperature, a cough and yellow or green sputum
The doctor said if one has a sustained fever for five days, expectorates thick, green sputum
and the lymph nodes near the neck are swollen, it is a bacterial infection.
A bacterial infection usually causes yellow or green sputum
, an allergic reaction normally produces colourless sputum, and fluid in the lungs may result in frothy, pink sputum.
The patient also had a cough and had recently begun producing thick, green sputum
, but said she'd had no chest pain, fever, or lower extremity swelling.
Knowing she was asthmatic I opted to make her cough - she produced green sputum
, indicating a chest infection - and looking at the drugs chart, there are several gaps where doses given have not been updated by previous nurses on duty.
A 74-year-old white woman with a history of congestive heart failure (CHF) and an ejection fraction of 40%, coronary artery disease, and chronic obstructive pulmonary disease is admitted with a 1-week history of increasing shortness of breath and a cough productive of green sputum
. She is now short of breath at rest.
Signs: 37.4[degrees]C, bilateral basal crackles F 57 COPD (b) Yes (5/7) coryza, sore throat, thick green sputum
. Signs: poor air entry and bilateral crackles M 65 Mild No (3/7) cough, upper hypertension respiratory symptoms.
Main symptoms are shortness of breath and a cough which results in yellow or green sputum
. There may also be a fever and some pain in the chest.
This is true even in patients with green sputum
, which, contrary to myth, is not evidence of bacterial infection.
The presence of yellow or green sputum
may also suggest this diagnosis.