Mr. Brennan, age 63, has smoked cigarettes since he was 14. He has a long history...
Mr. Brennan, age 63, has smoked cigarettes since he
was 14. He has a long history of gradually increasing dyspnea.
Currently, he has a chronic morning cough productive of only scant
white sputum. Mr. Brennan has been losing weight and now feels
fatigued and weak at all times. Upon examination, he has a barrel
chest. His diagnosis is emphysema.
Answer the following questions about Mr. Brennan’s condition to
deepen your understanding of emphysema.
1. What assessment questions should you ask Mr.
Brennan?
2. Why should you assess Mr. Brennan for swollen ankles and
distended neck veins when he is upright?
3. How did Mr. Brennan’s smoking contribute to development of
emphysema?
4. Mr. Brennan says, “Why is my chest so round?” How should you
respond?
Homework Answers
Add Answer to:
Mr. Brennan, age 63, has smoked cigarettes since he
was 14. He has a long history...
Jim was a smoker for the past 20 years. He has been gradually experiencing breathing difficulties,...
Jim was a smoker for the past 20 years. He has been gradually experiencing breathing difficulties, tachycardia, tachypnea, and wheezing. The doctor notices that he has a barrel chest and distended neck veins. The x-ray shows translucent-appearing lungs and a depressed or flattened diaphragm. Based on the most probable diagnosis, what would be another common symptom? a. purulent sputum b. weight loss c. digital clubbing d. night sweats
1. Howard Long, 50 years of age, is a male patient diagnosed with bronchiectasis. He has...
1. Howard Long, 50 years of age, is a male patient diagnosed with bronchiectasis. He has smoked 1 pack per day of cigarettes for 35 years. He has a long history of recurrent bronchial infections. He has a chronic productive cough with copious amounts of purulent sputum. The patient complains that he is short of breath even at rest. He has clubbing of his fingers. The chest CT scan reveals bronchial dilation. (Learning Objectives 5 and 6) How should the...
Mr. B is a 63-year-old man who is clinically obese. He has a long history of...
Mr. B is a 63-year-old man who is clinically obese. He has a long history of chronic obstructive pulmonary disease (COPD) associated with smoking two packs of cigarettes a day for 40 days. During the past week, Mr. B has experienced a flu-like illness with fever, chills, malaise, anorexia, diarrhea, nausea, vomiting, and productive cough with thick, brownish, purulent sputum. Clinical Assessment Mr. B is admitted to the intermediate care unit from the emergency department with acute respiratory insufficiency. He...
Mr. B is a 63-year-old man who is clinically obese. He has a long history of...
Mr. B is a 63-year-old man who is clinically obese. He has a long history of chronic obstructive pulmonary disease (COPD) associated with smoking two packs of cigarettes a day for 40 days. During the past week, Mr. B has experienced a flu-like illness with fever, chills, malaise, anorexia, diarrhea, nausea, vomiting, and productive cough with thick, brownish, purulent sputum. Clinical Assessment Mr. B is admitted to the intermediate care unit from the emergency department with acute respiratory insufficiency. He...
CHIEF COMPLAINT: "I'm short of breath; I can't stop coughing." HISTORY: Mr. O'Connor is a 62-year-old...
CHIEF COMPLAINT: "I'm short of breath; I can't stop coughing." HISTORY: Mr. O'Connor is a 62-year-old auto mechanic who presents with progressive shortness of breath for the past several days. His problem began four days ago when "I got a cold." His "cold" consisted of a sore throat, rhinorrhea and myalgia. His job forces him to work in the cold and damp air. At first he just felt tired but later he developed a cough and shortness of breath. Initially,...
Mr. S.L is a 79-year-old African American retired maintenance worker, with a 10-year history of COPD and HTN. He was adm...
Mr. S.L is a 79-year-old African American retired maintenance worker, with a 10-year history of COPD and HTN. He was admitted to a medical-surgical unit via ambulance from his home in Bowie, MD with a diagnosis of Pneumonia. His three grown children who live out of state are gainfully employed and are the pride of his life. His wife died a year ago and his Christianity beliefs and the loving support of his children are his coping strategies. On admission,...
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...
Mr. K is a 70-year-old male who has past medical history significant for rheumatoid arthritis, mild...
Mr. K is a 70-year-old male who has past medical history significant for rheumatoid arthritis, mild COPD, quit smoking 20 years ago, HTN, and HLD who presented to the hospital with a 3-day history of dyspnea, fever, chills, and productive cough. His son called the ambulance this morning because Mr. K was in significant respiratory distress. His saturations upon arrival were 72%. He was placed on a nonrebreather mask. CXR revealed a right lower lobe infiltrate consistent with pneumonia. 1....
Please answer all Case Question 1-15. this case study is from "100 case studies in pathophysiology....
Please answer all Case Question 1-15. this
case study is from "100 case studies in pathophysiology. case
#14
Patient's Chief Complaints "I'm falling apart. I've been having more trouble breathing, my cough has gotten worse in the past three days, and now my ankles are beginning to swell up." History of Present IIlness J.T. is a 61 yo man with COPD who presents to the emergency room with a three-day history of progressive dyspnea, cough, and increased production of clear...
Which clinical evidence indicates that cirrhosis has not developed in this patient as a result of...
Which clinical evidence indicates that cirrhosis has not
developed in this patient as a result of cystic fibrosis?
CASE STUDY CYSTIC FIBROSIS Berial mised o For the Disease Summary for this case study se the CD-ROM this PATIENT CASE cient lent Patient's Chief Complaints Provided by patient's mother: "I noticed a let-down in T's exercise tolerance level a week ago and the last couple of days his cough and sputum production have gotten much worse. When he started having breathing...
CHIEF COMPLAINT: "I'm short of breath; I can't stop coughing." HISTORY: Mr. O'Connor is a 62-year-old auto mechanic who presents with progressive shortness of breath for the past several days. His problem began four days ago when "I got a cold." His "cold" consisted of a sore throat, rhinorrhea and myalgia. His job forces him to work in the cold and damp air. At first he just felt tired but later he developed a cough and shortness of breath. Initially,...
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...
Please answer all Case Question 1-15. this
case study is from "100 case studies in pathophysiology. case
#14
Patient's Chief Complaints "I'm falling apart. I've been having more trouble breathing, my cough has gotten worse in the past three days, and now my ankles are beginning to swell up." History of Present IIlness J.T. is a 61 yo man with COPD who presents to the emergency room with a three-day history of progressive dyspnea, cough, and increased production of clear...
Which clinical evidence indicates that cirrhosis has not
developed in this patient as a result of cystic fibrosis?
CASE STUDY CYSTIC FIBROSIS Berial mised o For the Disease Summary for this case study se the CD-ROM this PATIENT CASE cient lent Patient's Chief Complaints Provided by patient's mother: "I noticed a let-down in T's exercise tolerance level a week ago and the last couple of days his cough and sputum production have gotten much worse. When he started having breathing...
Most questions answered within 3 hours.
-
3.11 (Modified Account Class) Modify class Account (Fig. 3.8 )
to
provide a method called withdraw...
asked 11 minutes ago -
What will be the resulting list after the following algorithm
has been applied to the list:...
asked 4 minutes ago -
For the following reaction, 5.24 grams of
iron are mixed with excess hydrochloric
acid. The reaction...
asked 8 minutes ago -
12.56 The SN2 reaction can occur intramolecularly (within the
same mol- ecule). What product would you...
asked 20 minutes ago -
If a company repurchases shares, then the proportionate
shareholdings of shareholders who do NOT participate
A....
asked 20 minutes ago -
1. For your column to work properly, it is very important that
you do not put...
asked 20 minutes ago -
Which of the following statements accurately defines
neuroglial cell?
A.
Central area of the cell containing...
asked 23 minutes ago -
7.4) A 860 MW power plant uses steam at 600 K as its input heat
and...
asked 25 minutes ago -
The joining of two
amino acids via a peptide bond (the process of protein synthesis)
has...
asked 34 minutes ago -
9. Approximately 75% of statistics students do their homework on
time for it to be collected...
asked 40 minutes ago -
Analyze the value chain analysis of your favorite company and
describe the strengths and how they...
asked 40 minutes ago -
Which of the following is a tolerogenic cytokine?
A)
TGF-B
B)
IL-1
C) IL-10
D)Both TGF-B...
asked 1 hour ago