Question

what is the anatomy parts in this case? and also the physical examination in this case...

what is the anatomy parts in this case? and also the physical examination in this case

A 56-year-old man with a history of smoking rush to ER at FUMC with shortness of breathandcough for several days. His symptoms began 3 days ago with runny nose. He reportsachronicmorning cough productive of white sputum, which has increased over the past 2 daysPast Medical History
He has had similar episodes each time of raining season for the past 4 years. Healwaysexperiences fatigue, worsening cough, increased breathlessness and waking up inthemorningwith headache. Family History
(+) Tuberculosis
(+) Hypertension
(-) Cancer
Personal and Social History
He has smoked 1 to 2 packs of cigarettes per day for 40 years and continues tosmoke. Hedenies hemoptysis, chills, or weight loss and has not received any relief fromover-the-countercough preparations. Admission Order:
NPO temporarily. Start IVF, PNSS 1L x KVO. Hook to O2 therapy via nasal cannulaat 2-3LPM.Nebulization of Salbutamol + Ipratropium now, then every 6 hours. Acetylcysteine(Fluimucil)400mg 1 sachet dissolved 1/2 of H2O every 6 hours, can be started tomorrowmorning. Tazobac(Piperacillin sodium) 4.5 g thru soluset dissolved in PNSS 90 cc x 1hr ODANST( ). For Chestx-ray,CBC, FBS, ECG, Urinalysis and ABG. Please do spirometry and monitor for diseaseprogress. Chest x-ray shows hyperinflation and right lobe pneumonia. ABGresults wasPh7.24,PO2-35 mmHg, PCO2 60mmHg, HCO3 30, O2 sat - 85%. Spirometry with FEVI 35%predictedthat does not change significantly after inhaled bronchodilators. ECG was ordered. Physical Examination:
Took vital signs which are: BP: 130/80, T: 37.5 Celsius, PR:89, RR:30. Examinationdisplayedtachypnea, respiratory distress, use of accessory muscles, and intercostal retraction. Barrel
chest is a common observation

Homework Answers

Answer #1

The anatomy parts that may be affected is the upper respiratory system and it may be an infection

Physical examination

  • May be normal or may reveal findings listed under “History”
  • Look for signs of:
    • Otitis media: tympanic-membrane bulging, opacified or with limited mobility
    • Pneumonia: rales, decreased breath sounds; tachypnea is most telling clinical sign in children.
    • Streptococcal pharyngitis: fever, pharyngeal or tonsillar exudate, absence of cough
    • Infectious mononucleosis: fever, sore throat, diffuse adenopathy
Know the answer?
Your Answer:

Post as a guest

Your Name:

What's your source?

Earn Coins

Coins can be redeemed for fabulous gifts.

Not the answer you're looking for?
Ask your own homework help question
Similar Questions
1) A 14-year-old girl undergoing a physical examination prior to being admitted to summer camp was...
1) A 14-year-old girl undergoing a physical examination prior to being admitted to summer camp was found to have a loud diastolic murmur at the second intercostal space to the left side of the sternum. Explain the reason for the loud heart murmur associated with this girl's condition. 2) A man enters the hospital complaining of chest pain. His history includes smoking, a stressful job, a diet heavy in saturated fats, lack of exercise, and high blood pressure. Although he...
CASE STUDY: Poppy is a 9 year old female, weight 40Kg. She presented to ED with...
CASE STUDY: Poppy is a 9 year old female, weight 40Kg. She presented to ED with worsening respiratory symptoms over the past few hours. Her parents state she is unable to talk in full sentences or undertake a peak flow. In ED Poppy has been given 3 x 20 minutely nebulised Salbutamol with 6LPM of O2, IVF commenced, Stat dose of Prednisone administered, Chest X-ray shows hyperinflation of both lung fields. She was admitted to ICU due to her deteriorating...
CASE STUDY: Poppy is a 9 year old female, weight 40Kg. She presented to ED with...
CASE STUDY: Poppy is a 9 year old female, weight 40Kg. She presented to ED with worsening respiratory symptoms over the past few hours. Her parents state she is unable to talk in full sentences or undertake a peak flow. In ED Poppy has been given 3 x 20 minutely nebulised Salbutamol with 6LPM of O2, IVF commenced, Stat dose of Prednisone administered, Chest X-ray shows hyperinflation of both lung fields. She was admitted to ICU due to her deteriorating...
case study Ahmad is a 74 year old male patient who has been admitted to the...
case study Ahmad is a 74 year old male patient who has been admitted to the medical ward with acute fatigue, severe shortness, orthopnea and productive cough with hemoptysis. Ahmad's health conditions started to deteriorate since he had an acute myocardial infarction (MI) five years ago. He also presented with lower limbs edema including ankles and feet. According to Ahmad, the edema has started about 1 year since he had the MI. Ahmad also has a history of hypertension and...
Case study Ahmad is a 74 year old male patient who has been admitted to the...
Case study Ahmad is a 74 year old male patient who has been admitted to the medical ward with acute fatigue, severe shortness, orthopnea and productive cough with hemoptysis. Ahmad's health conditions started to deteriorate since he had an acute myocardial infarction (MI) five years ago. He also presented with lower limbs edema including ankles and feet. According to Ahmad, the edema has started about 1 year since he had the MI. Ahmad also has a history of hypertension and...
SB is a 74 year old man who presents to the ED with his wife complaining...
SB is a 74 year old man who presents to the ED with his wife complaining of shortness of breath and fever. He is confused about what to use when, so you are not sure which medications he actually takes. No known allergies. Past Medical/Surgical History o   Heart failure following myocardial infarction at age 68 years o   COPD (on 2 L home oxygen) o   Hypertension o   Appendectomy JS Past Record Review  (brought by wife) -      Echocardiogram with EF of 25% -      Spirometry with FEV1 35% predicted that...
A 70 year-old patient, Nick O'Steen, arrived at the hospital emergency room in worse shape than...
A 70 year-old patient, Nick O'Steen, arrived at the hospital emergency room in worse shape than usual. His history included multiple hospital admissions over the past several years for illness associated with his 2 pack a day smoking habit which he started as an 18 year old in the United States Army. No one knew the dangers of smoking in 1956 when many young men picked up the habit and Nick often wished he had never started. On this admission...
Clinical Scenario: REASON FOR CONSULTATION: Desaturation to 64% on room air 1 hours ago with associated...
Clinical Scenario: REASON FOR CONSULTATION: Desaturation to 64% on room air 1 hours ago with associated shortness of breath. HISTORY OF PRESENT ILLNESS: Mrs. X is 73-year-old Caucasian female who was admitted to the general surgery service 3 days ago for a leaking j-tube which was surgically replaced 2 days ago and is now working properly. This morning at 07:30, the RN reported that the patient was sleeping and doing fine, then the CNA made rounds at 0900 and Mrs....
ADVERTISEMENT
Need Online Homework Help?

Get Answers For Free
Most questions answered within 1 hours.

Ask a Question
ADVERTISEMENT