respiratory system

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respiratory system

35-year-old Asian male presents to your clinic complaining of productive cough for two weeks. Stated he has had mild intermittent fever with myalgia, malaise and occasional nausea.

  • SH: works as a law clerk
  • PE: NP noted low grade fever (99 degrees), with very mild wheezing and scattered rhonchi.

Post an explanation of the primary diagnosis, as well as 3 differential diagnoses, for the patient in the case study you were selected or were assigned. Describe the role the patient history and physical exam played in the diagnosis. Then, suggest potential treatment options based on your patient diagnosis.

  1. List the primary diagnosis and rational
  2. List 3 differential diagnosis with brief rational for the case study you’re assigned.
  3. Describe the pertinent history required to rule in or rule out
  4. Describe you physical exam findings or screening tools (nail clubbing,barrel chest, etc)
  5. Discuss the treatment plan using this outline (youwill be graded on using this outline)

Prescriptions(s):

Intervention(s)/ lifestyle change(s):

Referrals:

Follow up:

Education:

(Minimum 2 references)

Buttaro, T. M., Trybulski, J., Polgar Bailey, P., & Sandberg-Cook, J. (2017). Primary care: A collaborative practice (5th ed.). St. Louis, MO: Elsevier.

    • Part 4, “Office Emergencies”
      • Chapter 24, “Acute Bronchospasm” (pp. 192-194)
      • This chapter explores the epidemiology, pathophysiology, and clinical presentation of acute bronchospasm. It also describes the roles of physical examinations, diagnostics, and differential diagnoses in management of acute bronchospasm.

    • Part 10, “Evaluation and Management of Pulmonary Disorders” (pp. 417-503)

This part outlines examination and treatment components of pulmonary disorders, such as acute bronchitis, asthma, chest pain, chronic cough, COPD, dyspnea, lung cancer, pleural effusions, and pneumonia. Lifespan considerations, complications, and health promotion strategies are also examined.

  • Part 20, “Evaluation and Management of Infectious Disease”
    • Chapter 235, “Tuberculosis” (pp. 1262-1271)
    • This chapter differentiates between active and latent tuberculosis and examines components that aid in diagnosing and managing tuberculosis, including pathophysiology, clinical presentation, and diagnostics.

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