timer Asked: Jul 4th, 2018
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Question description

Based on the subjective and objective information provided differential diagnosis listing, consider utilizing current evidence based practice guidelines?

Tutor Answer

School: Duke University

Hello buddy, bellow is a solution to the above assignment. I will be glad to hear from you. Please do not hesitate to contact me in case of any need for a clarification or an adjustment. Thank you



Health case study
Institution Affiliation



Health case study
Bakers are exposed to dangerous disease-causing substances like dust, flour, and
smoke, among others. All these substances can cause various breathing problems and other
illnesses, which should be diagnosed to propose an appropriate patient medication (Lenz &
Panos, 2014). The sixty-year-old baker is suspected to have developed occupationally related
disorders. The primary diagnosis for the patient should involve a test for occupational asthma
commonly known as baker’s asthma, chest congestion, and left side’s heart failure among
The first diagnosis for the sixty years old baker should be the baker’s asthma or workrelated asthma. Fumes, dust, flour, smoke among other factors that are found in bakeries and
food processing industries cause the asthma. The symptoms for the illness are wheezing,
coughing, shortness in breath, chest tightness. All these symptoms have been observed in the
case study. There is a possibility that the patient will be diagnosed with asthma. The
employee’s working environment is prone to asthma triggers and allergies (Lenz & Panos,
2014). People with allergies, family history and smokers are at high risk of occupational
The second likely diagnosis for the sixty years old baker in the case study is chest
congestion. Chest congestion is caused by a virus, flu or if the patient has bronchitis or
pneumonia. The complications are caused if phlegm and mucus are left to build up and
accumulate in the bronchial tubes. The patient t feels miserable as in the sixty years old
woman. Its symptoms are feeling of pressure on the chest, unproductive coughing or at times
coughing with no stuff coming out (Barnett & De Marco, 2012). The problem impairs the
body’s ability to process oxygen. All these symptoms have been witnessed in the case study.



The other diagnosis option for the patient is the left-sided heart failure. Heart failure
makes body fluids backing up in the lungs due to the high volumes the heart cannot handle.
Due to the accumulation of these fluids crackles are formed on bases of lower lobes (Barnett
& De Marco, 2012). Staying awake, conscious and standing makes the patient breathe easier.
Its causes are the coronary artery disease and chronic high blood pressure. The complications
lead to low heart contractility and myocardial ischemia.



Barnett, C. F., & De Marco, T. (2012). Pulmonary Hypertension Associated with LeftSided Heart Disease. Heart Failure Clinics, 8(3), 447-459.
Lenz, P. H., & Panos, R. J. (2014). Asthma and COPD –...

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Thanks, good work

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