Question

Questions What signs and isk tactors does Nick present with that suggest a pulmonary disorder? 2 pts) Scenario thal for the past 2 years he has had a persistent dry cough that seems to be gelting worse sonetimes interfering with his sleep or inbernupting ha classroor lectures. He also says hat seems to be increasingly snable to toler ate heavy work He reports that be recenty became 2 Whut aspects of Nick's physical examinationchXray, and soleonedecontmths raking the lawm, he has to stop trequenty to catch his breath Occasionally, he even tnds himse gasping tor tweath when simply sting and walching elevision hypothesis? (2 pts) His dodtor notes a ligh cyarosis of Nick's ingemal beds and clubbing areund the edges of the with children who brosis? What neters Nick to the hospital radiclogy depatment trom a chest X-eay and to a putmonologist for some puámonary function tests. A mrse draws tiood for hemaloiogy The temallogic resufts show a momal bloed pHh and PCO, but moderate hypeoxenia. The 3 What signs does Nick have in conmon have pulmonary unction tests show that Nck's FEVS in normal but he has a sigficarty reduced vea capacity (VC) and total ung capaciy (TLC) The chest Xay echibls calcified plaques about $-10cm long paralel to the pleural surface Parts of the lung are starting to look age ef the school whene the works sow relevan? What might the dector have done demolition crew betore deciding to gs to colege and gel a teaching certficate Afler completing S Tubercuiosis in especialy prevalent in dak poorly venslated homes and instinions n ight of the chrica tindengs and Nick's occupational hinlory, the doctor dagnones te proiem blood gases, and

Answer 1

1. The signs of a pulmonary disorder in Nick’s case include a dry cough and exertional dyspnea. His risk factors include his occupational history, age, and cigarette smoking.
2. A respiratory disorder is suggested by several of Nick’s signs and test results: cyanosis and clubbing in the fingertips seen in the physical examination, hypoxemia detected by his blood work, a reduced vital capacity and total lung capacity as revealed by his spirometric tests, and calcified pulmonary and pleural lesions observed in his chest X rays
3. Children with CF, like Nick, commonly exhibit cyanosis and clubbing. Nick’s hypoxemia is the underlying cause of these signs.