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your next patient is a 55 year old man who has experienced shortness of breath for the past 2 days. When you walk into t...

your next patient is a 55 year old man who has experienced shortness of breath for the past 2 days. When you walk into the room you hear audible, labored breathing. Based on the picture at the top of p. 69, write a general survey

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Answer #1

Mr.X, 55 year old man got admitted in medical ward with complaints of shortness of breath for past 2 days. He is a smoker for past 20 years and smokes 1-2 pack of cigarettes/day. He is a known case of Chronic Obstructive Pulmonary disease (COPD) for past 15 years on treatment.

On examination, his vital signs are

T- 98⁰F

P- 100/min

R- 28/min

BP – 140/80 mm of Hg

SpO2 – 91%

He was on Oxygen via nasal prongs 2L/min.

His general appearance shows that he is tired, has dyspnea. Nails shows clubbing. His respiratory system assessment shows,

He has barrel chest, Chest expansion is equal, Unable to breathe while lying down(orthopnea), respiratory rate is increased and has bilateral wheeze.

His cardiac assessment showed normal findings.

Other system findings showed age related changes.

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