Question

Preport on the note of her nede. At first, thought it was enlarged lymph node due to a sinus infection 3 months ago Case Study #2 Case The patient, a 60 year old black male who works as a roofer noted onset of shortness of breath, associated with more noticeable effort to breathe and rating in chest 6 months ago 508 is aggravated when the patient is on the job, climbing ladders, carrying shinges, of walking around the job site picking up debris. Patient says he becomes fatigued easily and reports that if he does not sleep on two large pillows he awakens somewhat short of breath. Patient reports coughing up a rusty brown mucold sputum in the morning for approximately 5 years. Denies history of pneumonia, hemoptysis, tuberculosis, fever, night sweats, precordial pain or discomfort, heart murmurs, varicosities, phlebitis, or claudication Vital signs: BP 150/84, T 37.1 C/98.8*F, P 86, R 28 Physical Examination General Appearance: Alert, responsive; appears older than stated age; lips dusky. Heart: Rate 86, regular; heart sounds distant; no murmurs. Lungs: Respirations 28/min; patient uses accessory muscles to facilitate respiration. Expiration prolonged; associated with lip pursing. AP diameter increased; patient has barrel-shaped chest. Auscultation yields distant lung sounds, with end-stage expiratory wheezes on forced expiration. Nose: Within normal limits. Throat: Within normal limits; jugular veins demonstrate some distension. 1) State the subjective data.

Answer 1

Answer: The subjective data are those information which is mainly experienced and explained by the patient. In the above case study

The subjective data includes:

• While doing any work, the patient feels fatigue
• Short of breath while trying to sleep.
• Rusty brown sputum while coughing.
• Patient is unable to perform his daily work.