Question

hello, please help to answer A patient with aortic stenosis has come into the clinic with...

hello, please help to answer

A patient with aortic stenosis has come into the clinic with dyspnea, orthopnea, cough, and chest pain. Explain in your own words why these particular symptoms develop in people with aortic stenosis. 1. Write th exact question you are directing (you may pick one from the five listed). 2. Start with defining the disease. 3. Share symptoms, diagnosis procedure, and treatment. 4. Share personal experience, if you have any with family/friend/patient who may have had this.

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

Explanation of symptoms.

Angina - improper oxygen supply due to hypertrophy of left ventricle. Exertion Al dyspnoea is because on exercise or heavy work left ventricle is unable to increase its output to meet the oxygen demand of myocardium and the body causing an increased afterload and increased filling pressure.

Cough, orthopnea and paroxysmal nocturnal dyspnoea due to failure of left ventricle.

2. Definition of the disease.

Narrowing of the aortic valve causing fixed luminal obstruction to the outflow of left ventricle.

3. Symptoms include exertional dyspnea, Angina pectoris, cough, hemoptysis, orthopnea, PND due to left heart failure (LHF*)

Exertional syncope due to low cardiac output, sudden death.

Diagnosis -

Inspection of the chest - apex beat may be normal or may be displaced beyond 5th intercostal space and outside mid clavicular line.

Palpation. - palpable left ventricular thrust may be noted.

Displaced apex beat as mentioned above.

Tender hepatomegaly in case of failure of right heart.

Percussion - cardiac dullness.

Auscultation - mid systolic ejection murmur can be heard. And lung creptitions can also be heard due to LHF.

Investigations -

ECG - shows left atrial Nd ventricular hypertrophy.

Chest x ray - lateral view to see calcification of aortic valve.

Echocardiography - left ventricular hypertrophy, calcified aortic valve, can be seen also decreased left ventricle function.

Treatment -

Mainly surgical  

Ballon valvuloplasty in case of congenital aortic stenosis.

Valve replacement - patients with AS and pressure gradient exceeding 60mm across the valve should undergo valve replacement.

Question 4 is for the student to answer.

Add a comment
Know the answer?
Add Answer to:
hello, please help to answer A patient with aortic stenosis has come into the clinic with...
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
  • 2. A patient with aortic stenosis has come into the clinic with dyspnea, orthopnea, cough, and...

    2. A patient with aortic stenosis has come into the clinic with dyspnea, orthopnea, cough, and chest pain. Explain in your own words why these particular symptoms develop in people with aortic stenosis.

  • Please assign correct ICD-10-CM and ICD-10-PCS codes. ICD-10-CM and ICD-10-PCS Coding Exercises A male patient, known...

    Please assign correct ICD-10-CM and ICD-10-PCS codes. ICD-10-CM and ICD-10-PCS Coding Exercises A male patient, known to have acquired immune deficiency syndrome (AIDS), was admitted with a fever, shortness of breath, and a dry cough. The symptoms had been increasing in severity over the past several days. A chest x-ray showed extensive pulmonary infiltrates. A sputum culture was obtained, and the diagnosis of pneumocystic pneumonia was made based on the microscopic examination. The patient was told that his pneumonia was...

  • Oxygenation Handout Please answer all questions in your own words. No citations are needed for this...

    Oxygenation Handout Please answer all questions in your own words. No citations are needed for this assignment as the answers are located in your textbook. Please ensure your answers are brief so they will fit inside each box. 1. Describe the following cardiopulmonary terms: Frank Starling law Cardiac Output Cardiac Index Stroke Volume Preload Afterload ECG Normal Sinus Rhythm 2. Explain the waves in the heart’s electrical conduction system and what they represent: P Wave QRS Complex QT Interval PR...

  • Chief Complaint: Cough History of Present Illness A 59 year old female presents to the urgent care clinic complaining of...

    Chief Complaint: Cough History of Present Illness A 59 year old female presents to the urgent care clinic complaining of a 24-hour history of fever and chills, with an episode of rigors last night. She is complaining of a productive cough and increased dyspnea. She reports she does have a baseline “smoker’s cough.” She reports having to use her inhaler constantly since yesterday. Denies any chest pain at rest but does report mild discomfort when coughing. The patient does report...

  • r UNE R Prepare to administer 12.5 on sus Joo mL to your patient. Multiple Choice...

    r UNE R Prepare to administer 12.5 on sus Joo mL to your patient. Multiple Choice Circle the correct letter. » (LO 11:4) You assess a patient who hyperventilates when breathing as experiencing which of the following conditions? a. Dyspnea c. Orthopnea b. Apnea d. Hyperpnea 40. (LO 11-4, 11-5) Which of the following respiratory disorders do you suspect when a patient presents with fever, cough, tachypnea, purulent sputum, and pleuritic chest pain? a. Bronchitis c. Pulmonary embolism b. Cancer...

  • What are diagnostic criteria that favor a diagnosis of infective endocarditis in this patient?

    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.”...

  • Patient M is a white woman, 75 years of age, who presented to her local emergency...

    Patient M is a white woman, 75 years of age, who presented to her local emergency room with sudden complaints of chest pain. She described the pain as a severe substernal burning sensation that radiated across the chest to her shoulders bilaterally and then to the neck and jaw region. Although not brought on by exertion, the chest pain was associated with dyspnea, pallor, diaphoresis, nausea, and epigastric discomfort. Patient M had taken one nitroglycerin tablet with partial relief. When...

  • A.N is a 28-year-old male who presents to the clinic with complaints of having episodes of...

    A.N is a 28-year-old male who presents to the clinic with complaints of having episodes of dyspnea, coughing & chest feeling tight. A.N states it started after he got over his cold a few weeks ago. 1. As the R.N, explain what additional data you would obtain. (USLO 1, 2) Here is the additional data that you obtained. V.S- 125/78, 78, 22, 98.4, O2 sat 93%. No apparent respiratory distress currently. Bilateral wheezes heard in lower lobes. Symptoms do seem...

  • Group 2- Asthma A.N is a 28-year-old male who presents to the clinic with complaints of...

    Group 2- Asthma A.N is a 28-year-old male who presents to the clinic with complaints of having episodes of dyspnea, coughing & chest feeling tight. A.N states it started after he got over his cold a few weeks ago. As the R.N, explain what additional data you would obtain. (USLO 1, 2) Here is the additional data that you obtained. V.S- 125/78, 78, 22, 98.4, O2 sat 93%. No apparent respiratory distress currently. Bilateral wheezes heard in lower lobes. Symptoms...

  • 2. Diagnosis: Once the nurse has all the information on the patient and after analyzing next...

    2. Diagnosis: Once the nurse has all the information on the patient and after analyzing next step in the process is the diagnosis. Diagnosis. as the name sugests, involves the clinical judgment of a nurse on the response of a patient to the actual (happening right now) of potential (risk for/concern) health condition. The diagnosis is done by a skilled nurse, and so it should be very detailed. For example, it should not just indicate that the patient is in...

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