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CASE STUDY: Respiratory. #2 Patient Profile: A 65-year-old man with a long history of smoking presents...

CASE STUDY: Respiratory.

#2 Patient Profile: A 65-year-old man with a long history of smoking presents with acute onset of shortness of breath, wheezing, and fever. A chest x-ray shows hyper expansion of the lungs.

Critical Thinking Questions: Answer each question thoroughly and with details

  1. What would you expect the medical diagnosis to most likely be? Explain your rationale?.
  2. How would you treat the patient? Explain your rationale?.
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Answer #1

A 65-year-old man with a long history of smoking presents with acute onset of shortness of breath, wheezing, and fever. A chest x-ray shows the hyper expansion of the lungs.

A.

the medical diagnosis to most likely is COPD (Chronic obstructive pulmonary disease) which involves emphysema or bronchitis. It's because the symptoms include Shortness of Breath, Wheezing and the chest x-ray shows the hyper expansion of the lungs.

COPD is a condition where air passages are blocked or alveoli are damaged which causes decreased air entry and shortness of breath and wheezing, Due to damaged alveoli, there is larger air space which causes hyper expansion of the lungs.

B.

Treatment of COPD includes

Bronchodilators - (Which dilates the bronchos are make easer way for air entry)

Oxygenation - To improve saturation

CAPAP (Continuous positive pressure ventilation) - This improves saturation and gives relief from shortness of breath.

Corticosteroids - Long-acting bronchodilators.

Antibiotics - To treat infection and inflammation

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