Case Study

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Fgurcunavr

Health Medical

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Hello follow instruction. Please review the following case study and answer the following questions. APA format with at least 5 references, no older than 5 years

A fifteen-year-old female presents to your clinic complaining of shortness of breath and a nonproductive nocturnal cough. She states she used to feel this way only with extreme exercise, but lately, she has felt this way continuously. She denies any other upper respiratory symptoms, chest pain, gastrointestinal symptoms, or urinary tract symptoms. Her past medical history is significant only for seasonal allergies, for which she takes a nasal steroid spray but is otherwise on no other medications. She has had no surgeries. Her mother has allergies and eczema, and her father has high blood pressure. She is the only child. She denies smoking and illegal drug use. On examination, she is in no acute distress and her vital signs are: T 98.6, BP 120/80, pulse 80, and respirations 20. Her head, eyes, ears, nose, and throat examinations are essentially normal. Inspection of her anterior and posterior chest shows no abnormalities. On auscultation of her chest, there is decreased air movement and high-pitched whistling on expiration in all lobes. Percussion reveals resonant lungs.

1. What is the chief complaint?

2. What is the diagnosis? Describe and define the diagnosis.

3. Based on the subjective and objective information provided what are the 3 top differential diagnosis listing the presumptive final diagnosis first? Discuss and define each of them

4. What treatment plan would you consider utilizing current evidence based practice guidelines?

5. What education you will provide to the patient and the family?

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Hello follow instruction. Please review the case study below and answer the following questions. APA format with at least 5 references, no older than 5 years A fifteen-year-old female presents to your clinic complaining of shortness of breath and a nonproductive nocturnal cough. She states she used to feel this way only with extreme exercise, but lately, she has felt this way continuously. She denies any other upper respiratory symptoms, chest pain, gastrointestinal symptoms, or urinary tract symptoms. Her past medical history is significant only for seasonal allergies, for which she takes a nasal steroid spray but is otherwise on no other medications. She has had no surgeries. Her mother has allergies and eczema, and her father has high blood pressure. She is the only child. She denies smoking and illegal drug use. On examination, she is in no acute distress and her vital signs are: T 98.6, BP 120/80, pulse 80, and respirations 20. Her head, eyes, ears, nose, and throat examinations are essentially normal. Inspection of her anterior and posterior chest shows no abnormalities. On auscultation of her chest, there is decreased air movement and high-pitched whistling on expiration in all lobes. Percussion reveals resonant lungs. 1. What is the chief complaint? 2. What is the diagnosis? Describe and define the diagnosis. 3. Based on the subjective and objective information provided what are the 3 top differential diagnosis listing the presumptive final diagnosis first? Discuss and define each of them 4. What treatment plan would you consider utilizing current evidence based practice guidelines? 5. What education you will provide to the patient and the family?
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Explanation & Answer

Attached.

Running HEAD: NURSING

1

Nursing
Student’s Name
Institutional Affiliations
Course Name
Date

2

NURSING
The chief complaint is about shortness of breath and a non-productive nocturnal
cough. This could be as a result of having asthma or Interstitial lung disease.
Diagnosis
The diagnosis includes shortness of breath and a non-productive nocturnal cough.
This could be a symptom of asthma. This is because asthma causes shortness of breath
and coughing mostly at night. The fifteen-year old girl also wheezes a symptom that she
could be suffering from asthma.
The 3 top differential diagnoses include: non-productive nocturnal cough,
shortness of breath and wheezing. This makes it clear that the girl is diagnosed of asthma.
This is because these particular symptoms could only be found in a person that is
suffering from asthma (Smith and Smith, 2013). When an individual has asthmatic
attacks, these are the three top symptoms that would lead to the conclusion that it is
actually an asthmatic attack.
Treatment Plan
The treatment plan for this particular girl should include several categories of
medication for asthma (Royston, 2013). The first category of medication will include:
long-acting beta agonists. This will entail; Fluticasone (Flovent HFA), Ciclesonide
(Alvesco) and Mometasone (Asmanex Twisthaler). The medicat...


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