24-year-old male, drug user (marijuana) and hookah user, he comes to the emergency room with a chronic, productive cough, a viscous sputum, and a loss of approx. 15 lbs of weight. Then he started with dyspnea when walking, stabbing pain in right chest, night sweats. He denies quantified fever spikes. RT: 120-80Mmg, FC 80latxmts, FR: 16, SATO2 98%. Symmetric chest, Lungs: absence of vesicular murmur in the lower 2¨ thirds of the right hemithorax, and dullness in this area, no added noises or rales. a) Possible diagnoses b) What studies would you request from this patient. c) Treatments according to your diagnostic approaches.

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
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24-year-old male, drug user (marijuana) and hookah user, he comes to the emergency room with a chronic, productive cough, a viscous sputum, and a loss of approx. 15 lbs of weight. Then he started with dyspnea when walking, stabbing pain in right chest, night sweats. He denies quantified fever spikes. RT: 120-80Mmg, FC 80latxmts, FR: 16, SATO2 98%. Symmetric chest, Lungs: absence of vesicular murmur in the lower 2¨ thirds of the right hemithorax, and dullness in this area, no added noises or rales. a) Possible diagnoses b) What studies would you request from this patient. c) Treatments according to your diagnostic approaches.
Expert Solution
Step 1-Introduction

The respiratory system is involved in exchange of gases between the environment and the body. It includes the nose, trachea, bronchi, lungs, and diaphragm. 

Air enters the body through the nose and flows through the trachea. The trachea is a tube that splits into two smaller diameter tubes known as bronchi. Each bronchus serves each lungs. Within the lungs, the bronchi split into smaller diameter tubes known as bronchioles. The bronchioles terminate in alveoli (air sacs). 

Gas exchange occurs at the alveoli, as the alveoli are enriched with blood vessels. Oxygen is picked up by red blood cells and delivered to all cells.

Smoking, inhaling pollutants, exposure to heavy metals, etc. can compromise the functioning of the lungs.

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