Respiratory Therapy Asthma Case Study Initial History: 15 yo girl complaining of chest tightness and dyspnea...
Respiratory Therapy
Asthma Case Study
Initial History:
- 15 yo girl complaining of chest tightness and dyspnea
- Mowing lawn when symptoms develop
- Prodrome of rhinorrhea and tearing along with chest symptoms
- Felt no better after going outside
- Now one hour later
What is the differential diagnosis based on the information you know?
Homework Answers
Differential diagnosis based on the given information would be listed as:
1. Cardiac issue
2. Asthma
3. Infection
4. Drugs-Cocaine, Methamphetamines, etc.
5. Allergic reaction to unknown allergen
6. Allergies
7. Anxiety
8. Gastroesophageal Reflux Disease (GERD)
9. Pulmonary embolism
10. Pneumonia
11. Recent injury to chest wall
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Respiratory Therapy
Asthma Case Study
Initial History:
15 yo girl complaining of chest tightness and dyspnea...
Respiratory Therapy Asthma Case Study Initial History: 15 yo girl complaining of chest tightness and dyspnea...
Respiratory Therapy Asthma Case Study Initial History: 15 yo girl complaining of chest tightness and dyspnea Mowing lawn when symptoms develop Prodrome of rhinorrhea and tearing along with chest symptoms Felt no better after going outside Now one hour later What other questions would you ask?
Respiratory Therapy Asthma Case Study Initial History: 15 yo girl complaining of chest tightness and dyspnea...
Respiratory Therapy Asthma Case Study Initial History: 15 yo girl complaining of chest tightness and dyspnea Mowing lawn when symptoms develop Prodrome of rhinorrhea and tearing along with chest symptoms Felt no better after going outside Now one hour later Additional information: Hx of asthma since childhood, mother and brother have asthma Allergic to grass, ragweed and cats Productive cough clear phlegm Uses a “blue” inhaler for past six months, BID No other hx Now what do you think about...
Respiratory Therapy Asthma Case Study Initial History: 15 yo girl complaining of chest tightness and dyspnea...
Respiratory Therapy Asthma Case Study Initial History: 15 yo girl complaining of chest tightness and dyspnea Mowing lawn when symptoms develop Prodrome of rhinorrhea and tearing along with chest symptoms Felt no better after going outside Now one hour later Additional information: Hx of asthma since childhood, mother and brother have asthma Allergic to grass, ragweed and cats Productive cough clear phlegm Uses a “blue” inhaler for past six months, BID No other hx Physical examination: Alert, anxious, T=37, P=105,...
Respiratory Therapy Asthma Case Study Initial History: 15 yo girl complaining of chest tightness and dyspnea...
Respiratory Therapy Asthma Case Study Initial History: 15 yo girl complaining of chest tightness and dyspnea Mowing lawn when symptoms develop Prodrome of rhinorrhea and tearing along with chest symptoms Felt no better after going outside Now one hour later Additional information: Hx of asthma since childhood, mother and brother have asthma Allergic to grass, ragweed and cats Productive cough clear phlegm Uses a “blue” inhaler for past six months, BID No other hx Physical examination: Alert, anxious, T=37, P=105,...
Respiratory Therapy Asthma Case Study Initial History: 15 yo girl complaining of chest tightness and dyspnea...
Respiratory Therapy Asthma Case Study Initial History: 15 yo girl complaining of chest tightness and dyspnea Mowing lawn when symptoms develop Prodrome of rhinorrhea and tearing along with chest symptoms Felt no better after going outside Now one hour later Additional information: Hx of asthma since childhood, mother and brother have asthma Allergic to grass, ragweed and cats Productive cough clear phlegm Uses a “blue” inhaler for past six months, BID No other hx Physical examination: Alert, anxious, T=37, P=105,...
Respiratory Therapy Asthma Case Study Initial History: 15 yo girl complaining of chest tightness and dyspnea...
Respiratory Therapy Asthma Case Study Initial History: 15 yo girl complaining of chest tightness and dyspnea Mowing lawn when symptoms develop Prodrome of rhinorrhea and tearing along with chest symptoms Felt no better after going outside Now one hour later Additional information: Hx of asthma since childhood, mother and brother have asthma Allergic to grass, ragweed and cats Productive cough clear phlegm Uses a “blue” inhaler for past six months, BID No other hx Physical examination: Alert, anxious, T=37, P=105,...
Initial History: 15 yo girl complaining of chest tightness and dyspnea Mowing lawn when symptoms develop...
Initial History: 15 yo girl complaining of chest tightness and dyspnea Mowing lawn when symptoms develop Prodrome of rhinorrhea and tearing along with chest symptoms Felt no better after going outside Now one hour later Additional information: Hx of asthma since childhood, mother and brother have asthma Allergic to grass, ragweed and cats Productive cough clear phlegm Uses a “blue” inhaler for past six months, BID No other hx Physical examination: Alert, anxious, T=37, P=105, RR=30, BP=115/68, skin flushed and...
Initial History: 15 yo girl complaining of chest tightness and dyspnea Mowing lawn when symptoms develop...
Initial History: 15 yo girl complaining of chest tightness and dyspnea Mowing lawn when symptoms develop Prodrome of rhinorrhea and tearing along with chest symptoms Felt no better after going outside Now one hour later Additional information: Hx of asthma since childhood, mother and brother have asthma Allergic to grass, ragweed and cats Productive cough clear phlegm Uses a “blue” inhaler for past six months, BID No other hx Physical examination: Alert, anxious, T=37, P=105, RR=30, BP=115/68, skin flushed and...
A 19-year-old female college student presents to the emergency department complaining of chest tightness and dyspnea....
A 19-year-old female college student presents to the emergency department complaining of chest tightness and dyspnea. She was cutting and trimming the lawn when these symptoms developed. Rhinorrhea and tearing began soon after she went outside and preceded the chest discomfort. Going inside did not relieve her symptoms. During the physical examination, she said, “I have had asthma since childhood, and my mother and brother also have asthma.” Her respiratory rate was 30 breaths per minute, and she exhibited the...
CASE STUDY A 19-year-old female college student presents to the emergency department complaining of chest tightness...
CASE STUDY A 19-year-old female college student presents to the emergency department complaining of chest tightness and dyspnea. She was cutting and trimming the lawn when these symptoms developed. Rhinorrhea and tearing began soon after she went outside and preceded the chest discomfort. Going inside did not relieve her symptoms. During the physical examination, she said, "I have had asthma since childhood, and my mother and brother also have asthma." Her respiratory rate was 30 breaths per minute, and she...
CASE STUDY A 19-year-old female college student presents to the emergency department complaining of chest tightness and dyspnea. She was cutting and trimming the lawn when these symptoms developed. Rhinorrhea and tearing began soon after she went outside and preceded the chest discomfort. Going inside did not relieve her symptoms. During the physical examination, she said, "I have had asthma since childhood, and my mother and brother also have asthma." Her respiratory rate was 30 breaths per minute, and she...
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