Question

46-year-old presents to the ER with a cough and fever. The one finding which will increase...

46-year-old presents to the ER with a cough and fever. The one finding which will increase the probability (to almost 100%) for a diagnosis of pneumonia is asymmetrical chest expansion. You also understand, however, that normal (symmetrical) chest expansion in this patient means which of the following? Rules out the possibility of pneumonia Does not rule out the possibility of pneumonia Shifts the diagnosis to acute bronchitis Provides no information at all

0 0
Add a comment Improve this question Transcribed image text
Answer #1

The correct option which means the normal chest expansion in this patient is shifts the diagnosis to acute bronchitis .

Bronchitis is an inflammation of the lining of your bronchial tubes, which carry air to and from your lungs.

Sign and symptoms :-

Cough

Production of mucus (sputum), which can be clear, white, yellowish-gray or green in color — rarely, it may be streaked with blood

Fatigue

Fever

Shortness of breath

Slight fever and chills

Chest discomfort

Add a comment
Know the answer?
Add Answer to:
46-year-old presents to the ER with a cough and fever. The one finding which will increase...
Your Answer:

Post as a guest

Your Name:

What's your source?

Earn Coins

Coins can be redeemed for fabulous gifts.

Not the answer you're looking for? Ask your own homework help question. Our experts will answer your question WITHIN MINUTES for Free.
Similar Homework Help Questions
  • It is common that patients appear in the primary-health-care setting with acute fever, productive cough, and...

    It is common that patients appear in the primary-health-care setting with acute fever, productive cough, and shortness of breath. The challenge is how to quickly and reliably rule in or rule out community-acquired pneumonia (U/Llobar pneumonia) with access to limited clinical information As discussed in class, which of the following physical findings has the highest positive likelihood ratio, thereby substantially increasing the probability of community-acquired pneumonia? Select only one (1) answer Answers A-D A Egophony B Dull percussion note Crackles...

  • Mr. H.Y. is a 63-year-old male, who presents to the ER with a two-day history of...

    Mr. H.Y. is a 63-year-old male, who presents to the ER with a two-day history of high-grade fever with chills, “I don’t feel well and I think that I may have the flu,” he tells the ER nurse and physician. He also complains of “some painful bumps on my fingers and toes that came on last night.” He denies IVDA. When asked about recent medical or dental procedures, he responded: “I had an infected tooth removed about two weeks ago.”...

  • Evan, a 3year old child carried to the clinic with the complaint of fever, cough, chest...

    Evan, a 3year old child carried to the clinic with the complaint of fever, cough, chest pain, and difficulties in breathing. On checkup, the physician found Evan to be dull, with pulse rate (118/min), breathing rate (RR 55/min), temperature 40 0C(1040F), wheezing like symptoms, crepitations, and mild dehydration. The initial diagnosis was “acute pneumonia.” The pediatrician ordered hematological and bacteriological tests. He decided to prescribe antibiotic therapy. a) Based on what we discussed in the lecture as well as from...

  • 9. A patient complains of a one-week history of fever, cough, and purulent sputum. The the...

    9. A patient complains of a one-week history of fever, cough, and purulent sputum. The the patient's lungs notes greatly diminished breath sounds in one area is probably an area of consolidation. What statement this situation? nurse listening to of the left lung and concludes that it reflects that the nurse has a good understanding of The patient probably has TB, since he is coughing up blood. The diagnosis is probably lobar pneumonia, which is consistent with having a. b....

  • 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 What would you expect the medical diagnosis to most likely be? Explain your rationale?. How would you treat the patient? Explain your rationale?.

  • Case Study #1 CHIEF COMPLAINT: Cough and fever for four days HISTORY: Mr. Alcot is a 68 year old man who developed a har...

    Case Study #1 CHIEF COMPLAINT: Cough and fever for four days HISTORY: Mr. Alcot is a 68 year old man who developed a harsh, productive cough four days prior to being seen by a physician. The sputum is thick and yellow.  He developed a fever, shaking, chills and malaise along with the cough. One day ago he developed pain in his right chest that intensifies with inspiration. He lost 15 lbs. over the past few months but claims he did not...

  • A 45-year-old homeless man who abuses alcohol presents to the emergency department with fever and cough...

    A 45-year-old homeless man who abuses alcohol presents to the emergency department with fever and cough of 4-day duration. The cough is productive with thick, bloody phlegm. He complains of pain in the right side of his chest with coughing or taking a deep breath. He denies any other medical history and says he cannot remember the last time he saw a doctor. He does not smoke cigarettes but says he drinks a pint of whiskey whenever he can get...

  • Please help Please help answer A 3 year old boy comes in with two day history of cough, runny nose and low grade fever,...

    Please help Please help answer A 3 year old boy comes in with two day history of cough, runny nose and low grade fever, usually around 102F. Dad has been treating with tylenol and ibuprofen as needed, but tonight the patient started having a cough that dad describes as "barking". You are concerned for croup- specifically acute laryngothracheobronchitis. A. What would you anticipate finding on his assessment with croup? B. What treatment would you anticipate the physician ordering with this...

  • A 45-year-old homeless man who abuses alcohol presents to the emergency department with fever and cough...

    A 45-year-old homeless man who abuses alcohol presents to the emergency department with fever and cough of 4-day duration. The cough is productive with thick, bloody phlegm. He complains of pain in the right side of his chest with coughing or taking a deep breath. He denies any other medical history and says he cannot remember the last time he saw a doctor. He does not smoke cigarettes but says he drinks a pint of whiskey whenever he can get...

  • A 80-year-old man presents to the emergency department (ED) complaining of right-sided chest pain when he...

    A 80-year-old man presents to the emergency department (ED) complaining of right-sided chest pain when he breathes and a productive cough. A sputum sample collected revealed rust-colored sputum. He also states that his symptoms began abruptly with chills the day before this visit to the ED; he had previously been healthy. Examination by the physician identifies coarse breathing sounds in the right anterior chest. A chest radiograph shows a right upper lobe infiltrate. The patient currently has a fever of...

ADVERTISEMENT
Free Homework Help App
Download From Google Play
Scan Your Homework
to Get Instant Free Answers
Need Online Homework Help?
Ask a Question
Get Answers For Free
Most questions answered within 3 hours.
ADVERTISEMENT
ADVERTISEMENT
ADVERTISEMENT