1. Knowing his history and seeing his condition this morning, what further questions are you going to ask JM and his daughter? CASE NUMBER 3ScenarioYou are working in the internal medicine clinic of a large teaching hospital. Today your first patient is70-year-old J.M., a man who has been coming to the clinic for several years for management of CADhypertension, and anemia. A cardiac catheterization done a year ago showed 50% occlusion of thecircumflex coronary artery. He has had episodes of dizziness for the past 6 months and orthostatichypotension, shoulder discomfort, and decreased exercise tolerance for the past 2 months. On hislast clinic visit 3 weeks ago, a CXR and 12-lead ECG were done, showing cardiomegaly and anLBBB. Results of chemistries (blood studies) drawn at this time were as follows: Na 136 mmol/L, K5.2 mmol/L, BUN 15 mg/dL, creatinine 1.8 mg/dL, glucose 82 mg/dL, CI 95 mmol/L, CBC: WBC 4.4thou/cmm, Hgb 10.5 g/dL, Hct 31.4%, and platelets 229 thou/cmm. This morning his daughter hasbrought him to the clinic because he has had increased fatigue, significant swelling of his ankles, andSOB for the last 2 days. His VS are 142/83, 105, 18, and 36.6° C.OXORY

Cardiomegaly also referred to as enlarged heart. This is not a disease condition, but it acts as a…

Answered: 1. Knowing his history and seeing his…

1. Knowing his history and seeing his condition this morning, what further questions are you going to ask JM and his daughter?

Phlebotomy Essentials

6th Edition

ISBN:9781451194524

Author:Ruth McCall, Cathee M. Tankersley MT(ASCP)

Publisher:Ruth McCall, Cathee M. Tankersley MT(ASCP)

Chapter1: Phlebotomy: Past And Present And The Healthcare Setting

Section: Chapter Questions

Problem 1SRQ

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