Throat Respiratory & Cardiovascular Disorders Discussion

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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 1Case 2Case 3
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.A 25-year-old Hispanic female, computer programmer presents to your clinic complaining of a 12-day history of a runny nose A 75-year-old female reports experiencing pain in her chest while walking up steps today.
Subjectivedenies chest pain, denies night sweats, admits to having a fever but does not know the temp. States that her symptoms began about 12 days ago. She suffers from allergies; she gets a runny nose during the spring-time, pollen season. However, in the winter, her allergies are not a problem.Could not sleep previous night. Feels like an ache or a burning sensation at the center of sternum. Denies any arm pain, pain was at a scale of 8 in the AM now it is at a 2. Suffers from History of hypertension, denies heart disease, denies leg swelling up, denies pain feeling worse when taking deep breath.
Objective Data
VS(BP) 115/75, (P) 89, (RR) 16, (T) 100.4°F (38°C), O2 sat 98% on room air. (BP) 115/75, (P) 89, (RR) 16, (T) 100.4°F (38°C), O2 sat 98% on room airBP 129/70, (HR) 72 and regular, (RR) 16 unlabored, temperature 98.8°F, oral pulse oximetry is 99%
Generalpatient appears tired; skin color pale, patient is diaphoretic and sweaty, height 5′3″; weight 175 lbsNo signs of acute distress. Patient appears mildly fatigued. She is breathing through her mouth. Breathing easily. Voice has a nasal quality to it.obese female, alert, in no acute distress.
HEENTEYES: 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
Ear canals: normal;
EYES: normal;
NOSE: Bilateral erythema and edema of turbinates with significant yellow drainage on the right. Nares: Obstructed air passages
Atraumatic, normocephalic, PERRLA, EOMI, sclera with mild icterus, nares patent, nasopharynx clear, poor dentition – multiple carries.
Respiratorylung 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 presentCTA AP&LCTA AP&L
Neck/Throatno neck swelling or tenderness with palpation; neck is supple; no JVD; thyroid is not enlarged;
trachea midline
Posterior pharynx: mildly injected, scant postnasal drainage (PND), no exudate, tonsils 1+, no
cobblestoning
carotids are 2+ without bruits; thyroid is not palpable; no lymphadenopathy
HeartRegular rate and rhythm, no murmur, S3, or S4Regular rate and rhythm, no murmur, S3, or S4S1 and S2 normal without murmur, gallop, or rub

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Explanation & Answer

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1

Case One: Throat, Respiratory and Cardiovascular disorders

Student’s Name
Course Name and Number
Institutional Affiliation
Professor Name
Submission Date

2

Case One: Throat, Respiratory and Cardiovascular disorders
“Chronic Obstructive Pulmonary Disease” is a long-standing erythrogenic pulmonary ill
health awfully prevents airflow in and out of the lungs. (COPD) can result from different activities
or actions. As a clinical officer, the first step is to ask the patient questions about his daily activities
and past health condition, such as; whether he smokes. From research, one of the leading causes
of (COPD) is smoking, even though there are other causes (Agustí & Hogg,2019). The discomfort
caused by tobacco smoke narrows the airways by causing inflammation (inflammation and
edema). Smoke also harms cilia, preventing them from performing their function of clearing mucus
and debris from the airways.
Furthermore, it is to check on "Alpha-1 antit...


Anonymous
This is great! Exactly what I wanted.

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