Pneumonia Case Study
What other questions would you like to ask?
Ask about any breathing difficulty?
Ask any history of sore throat?
Ask about chest pain,when he get chest pain like breathing or talking or doing any work?
Ask about sweating?
Ask the Amount of sputum?
Ask about history of smoking or alcohol?
If smoking present,ask about duration of smoking,how much ciggaretes smoke per day?
Ask any past history of similar illness?
Ask Any past history of Tuberculosis or in family anyone have tuberculosis?
Ask about appetite?
Ask Any history of similar illness in their family members?
Any history of muscle pain or fatigue?
Pneumonia Case Study 63 yof bank manager presents to clinic in Nov 1 wk hx of...
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 What is your diagnosis based on the history?
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...
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...
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 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 alleriges 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.