Additional hx:
no rash, no headache or vomiting, no hemoptysis, friends recently ill
What is your diagnosis based on the history?
pneumonia
symptoms like : cough, malaise or fatigue and right sided pleuritic chest pain,plegm,fever and difficulty breathing are the main symptoms for pneumonia....
right sided pleuritic chest pain is caused by foreign particles attached to the walls of the lungs....in this time antibodies are react with foriegn substances and produce yellow color sputum or phlegm.
phlegm is produced because antibodies are fight against to the foriegn particles.
chey x ray is the best diagnosis for pneumonia
63 yof bank manager presents to clinic in Nov 1 wk hx of upper respiratory symptoms,...
63 yof bank manager presents to clinic in Nov 1 wk hx of upper respiratory symptoms, 2 day hx of fever, malaise, nausea cough productive yellow sputum right-sided pleuritic chest pain Additional hx: no rash, no headache or vomiting, no hemoptysis, friends recently ill nonsmoker negative past medical hx no allergies had flu shot last year Physical exam: alert, flushed, oriented using accessory muscles T-39.2 orally, P 100 and regular, RR 32 BP 110/80 skin warm and moist ears slight...
Pneumonia Case Study 63 yof bank manager presents to clinic in Nov 1 wk hx of upper respiratory symptoms, 2 day hx of fever, malaise, nausea cough productive yellow sputum right-sided pleuritic chest pain Additional hx: no rash, no headache or vomiting, no hemoptysis, friends recently ill nonsmoker negative past medical hx no allergies had flu shot last year Physical exam: alert, flushed, oriented using accessory muscles T-39.2 orally, P 100 and regular, RR 32 BP 110/80 skin warm and...
Pneumonia Case Study 63 yof bank manager presents to clinic in Nov 1 wk hx of upper respiratory symptoms, 2 day hx of fever, malaise, nausea cough productive yellow sputum right-sided pleuritic chest pain Additional hx: no rash, no headache or vomiting, no hemoptysis, friends recently ill nonsmoker negative past medical hx no allergies had flu shot last year Physical exam: alert, flushed, oriented using accessory muscles T-39.2 orally, P 100 and regular, RR 32 BP 110/80 skin warm and...
Pneumonia Case Study 63 yof bank manager presents to clinic in Nov 1 wk hx of upper respiratory symptoms, 2 day hx of fever, malaise, nausea cough productive yellow sputum right-sided pleuritic chest pain What other questions would you like to ask?
58 yo female presents to clinic c/w SOB and increasing slowly for yrs. Symptoms worse in recent months, last 2 days much worse with productive cough. Ankles swelling. Additional hx: 60 pack-yr; quit 5 yrs. Ago Yellow sputum No fever, no chills or chest pain No weight loss No hx of heart disease Additional No TB or asbestos exposure-no occupational exposure no allergies no hx of asthma occasional bronchitis What is the differential diagnosis
58 yo female presents to clinic c/w SOB and increasing slowly for yrs. Symptoms worse in recent months, last 2 days much worse with productive cough Ankles swelling Additional hx: 60 pack-yr; quit 5 yrs. Ago Yellow sputum No fever, no chills or chest pain No weight loss No hx of heart disease Additional No TB or asbestos exposure-no occupational exposure no allergies no hx of asthma occasional bronchitis List all tests you would order?
58 yo female presents to clinic c/w SOB and increasing slowly for yrs. Symptoms worse in recent months, last 2 days much worse with productive cough Ankles swelling Additional hx: 60 pack-yr; quit 5 yrs. Ago Yellow sputum No fever, no chills or chest pain No weight loss No hx of heart disease Additional No TB or asbestos exposure-no occupational exposure no allergies no hx of asthma occasional bronchitis What are the key elements of management for this patient.
58 yo female presents to clinic c/w SOB and increasing slowly for yrs. Symptoms worse in recent months, last 2 days much worse with productive cough. Ankles swelling. Additional hx: 60 pack-yr; quit 5 yrs. Ago Yellow sputum No fever, no chills or chest pain No weight loss No hx of heart disease What would you like to ask about her medical hx?
58 yo female presents to clinic c/w SOB and increasing slowly for yrs. Symptoms worse in recent months, last 2 days much worse with productive cough. Ankles swelling. Additional hx: 60 pack-yr; quit 5 yrs. ago Yellow sputum No fever, no chills or chest pain No weight loss No hx of heart disease What would you lke to ask about her medical hx?
58 yo female presents to clinic c/w SOB and increasing slowly for yrs. Symptoms worse in recent months, last 2 days much worse with productive cough. Ankles swelling. Additional hx: 60 pack-yr; quit 5 yrs. ago Yellow sputum No fever, no chills or chest pain No weight loss No hx of heart disease Additional No TB or asbestos exposure-no occupational exposure no alleriges no hx of asthma occasional bronchitis What is the differential diagnosis?