67-year-old female with a 50-pack-year history of smoking pr…
67-year-old female with a 50-pack-year history of smoking presents for a routine annual physical examination. She complains of becoming easily short of breath and of fatigue. Physical examination reveals diminished breath sounds, hyperresonance, and hypertrophied respiratory accessory muscles. Here complete blood count is slightly elevated. Her pulmonary function test (PFT) results show increased total lung capacity. What is the most likely diagnosis?
Read DetailsAn asthmatic patient who was seen for a viral upper respirat…
An asthmatic patient who was seen for a viral upper respiratory infection presents to the nurse practitioner’s office complaining of a recent onest of shortness of breath, inspiratory wheezing, and chest tightness. He has been using his albuterol inhaler from four to six times a day. When the nurse practitioner quickly evaluates the patient, he notices that the patient is diaphoretic and tachypneic. Which of the following interventions is not indicated?
Read DetailsA 77 year old female is admitted to the Neuro ICU secondary…
A 77 year old female is admitted to the Neuro ICU secondary to subarachnoid hemorrhage. 3 days after admission she remains intubated requiring mechanical ventilation. Morning labs: WBC 15K, H&H 12.5 & 35.1, Plt 205K. Na+ 148, K+ 4.2, Mg+ 2.1, BUN 15, Cr 1.0, glucose 112. Bilateral crackles on heard on physical exam, therefore a chest x-ray is ordered. Right upper and middle lobe pneumonia is noted. What is the most appropriate treatment regimen?
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