ILA 7 - Immigrant Health-Medicine, Study notes of Medicine

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3/12/25, 1:31 PM about:blank ILA 7 - Immigrant Health Phase 3a Community and Public Health ILA7 Immigrant Health Patient Case Mr Jonathon Ayo, is a 28 year old man has recently registered to your practice. He attends a routine appointment with a friend who interprets for him. He has had a cough for some weeks but recently the cough has worsened, and in the last week he has been feeling terrible and has lost his appetite. You leam that he came to the UK from Mali six months ago. He is currently living in a hostel with his family. He has been smoking 10 cigarettes or so a day since his late teens. On examination he is febrile but his chest is clear. You suspect the diagnosis is a viral respiratory tract infection and you recommend rest, drinks and paracetamol. ‘Two weeks later he presents as an emergency extra. The consultation is through a telephone interpreter. He is still unwell and the cough is now productive. On examination he has lost weight, and the left lung base is now dull to percussion, with absent breath sounds. The rest of the chest has scattered crepitations and wheezes. You are concemed he may have pneumonia and given his social circumstances you arrange admission to hospital When you see him in surgery six weeks later he is much better, and off all medication. He is planning to return to Mali with his family including his 5 year old daughter for a family celebration. 12