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Throat, Respiratory & Cardiovascular Disorders For this Discussion, you will take on the role of a clinician who is building a health history for one of the following cases. Your instructor will assign you your case number. Case 1 Chief Complaint (CC) A 65-year-old male with chronic obstructive pulmonary disease (COPD) presents to the clinic with a cough he has had for the past 2 weeks. Subjective denies chest pain, denies night sweats, admits to having a fever but does not know the temp. . Objective Data VS (BP) 115/75, (P) 89, (RR) 16, (T) 100.4F (38C), O2 sat 98 on room air. General patient appears tired; skin color pale, patient is diaphoretic and sweaty, height 5-3; weight 175 lbs HEENT EYES: no injection, no increase in lacrimation or purulent drainage; EARS: normal TM: Normal NOSE: Bilateral erythema and edema of turbinates with significant yellow drainage on the right. Obstructed air passages Respiratory lung crackles in LLL, no wheezes or rhonchi noted; does not clear with coughing; dullness to percussion over the LLL; shallow respirations and is 30, accessory muscles use not present Neck/Throat no neck swelling or tenderness with palpation; neck is supple; no JVD; thyroid is not enlarged; trachea midline Heart Regular rate and rhythm, no murmur, S3, or S4 Once you received your case number, answer the following questions: What other subjective data would you obtain? What other objective findings would you look for? What diagnostic exams do you want to order? Name 3 differential diagnoses based on this patient presenting symptoms? Give rationales for your each differential diagnosis. Submission Instructions: Your instructor will assign you your case number and you will post on the case number you have been assigned. You will reply to the other two case studies (One of each). Your initial post should be at least 500 words, formatted and cited in current APA style with support from at least 2 academic sources. Your initial post is worth 8 points. You should respond to at least two of your peers by extending, refuting/correcting, or adding additional nuance to their posts. Your reply posts are worth 2 points 1 point per response. All replies must be constructive and use literature where possible. Please post your initial response by 11:59 PM ET Thursday, and comment on the posts of two classmates by 11:59 PM ET Sunday. You can expect feedback from the instructor within 48 to 72 hours from the Sunday due date. |
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