On assessment of your patient you find the following:vitals:…
On assessment of your patient you find the following:vitals: RR 16, HR 98, SpO2 88, Inspection: productive cough for large amount of foul smelling secretions, cyanotic, JVD, peripheral edemaAuscultation: coarse crackles throughoutCXR: increased bronchial vascular markings, enlarged heartLabs: polycythemiaWhat is a possible differential diagnosis for this patient?
Read DetailsUse the following information to answer the next 5 questions…
Use the following information to answer the next 5 questions.While assessing a patient on the ward you note mucosal cyanosis, a barrel chest, JVD, and mild accessory muscle use. He has a productive cough that produces 2-3 tablespoons of thick creamy secretions. The patient complains of always being short of breath and can only walk 5 – 10 feet before having to take a break. PFT results found in the chart show an FEV1 = 38% of predicted, FEV1/FVC = 0.50 with no reversibility in FEV1 post bronchodilator. The patient is a retired farmer and has been told that he has COPD and continues to smoke 1 pkg/day despite multiple admissions for exacerbations of his condition.Based upon your initial assessment of the patient’s presentation you might expect this patient to have:
Read Details