In the chief complaint, it states that the patient had dyspnea after climbing one flight.Explain what this means? **Case Study: Cholelithiasis/Cholecystitis**- **Admitted:** 11/11/19- **Discharged:** 11/12/19**Chief Complaint:**This 66 y.o. male was admitted for nausea, vomiting, and anorexia of three days duration. The patient also complained of recent RUQ pain and pyrosis after heavy meals. This is the second hospital admission for the 66 y.o. male patient with a known history of chronic kidney disease, hypertension, osteoarthritis, asthma, gastroesophageal reflux disease, PUD (with prior hemorrhage), and bilateral total knee replacement. Prior to admission, the patient had been drinking heavily as he had in the past and he had tremors prior to admission. He sleeps on two pillows and has dyspnea after climbing one flight of stairs. He denied recent colds, upper respiratory infections, hematemesis, or diarrhea. The patient complained of some urinary frequency and urgency. There was a rash noted on the forearms, which the patient had been treating with Benadryl cream.**Physical Examination:**The patient was in some distress on examination. Examination of the head revealed pupils and eye movements to be within normal limits. The chest was clear and the heart rate was normal. The blood pressure was elevated at 200/120. Temperature was slightly elevated at 100.6. Pulse was 72 and respirations were 16. Examination of the abdomen revealed some distention with pain in the RUQ. The rectal examination revealed an enlarged prostate of two to three times the normal size. Occult blood was negative. The rest of the exam was within normal limits.**Laboratory Studies:**Admission blood tests revealed an elevated white blood cell count as well as an elevated serum bilirubin. Urinalysis showed albuminuria, the presence of bacteria, TNTC white cells and pus. Sonography and HIDA scan revealed cholelithiasis. PSA was 19.8.**Impression:**Cholelithiasis/cholecystitis. Enlarged prostate with elevated PSA, possible BPH, rule out tumor. Consider EGD due to history of GERD and PUD.**Hospital Course:**The patient was diagnosed with cholelithiasis/cholecystitis. The patient underwent laparoscopic cholecystectomy under general endotracheal anesthesia. Pathology revealed chronic chole **Patient Case Summary for Educational Purposes****Case Overview:**A male patient underwent a medical procedure and his tolerance to the procedure and consequent events are outlined below. This summary is designed for educational purposes to provide insight into postoperative complications and subsequent patient management.**Procedure Tolerance and Complications:**The patient tolerated the procedure well initially. However, on postoperative day 2, the patient developed nausea and vomiting, which likely resulted from a postoperative paralytic ileus. Paralytic ileus is a condition characterized by cessation of bowel motility, preventing contents from passing through the intestines.**Nasogastric Tube Management:**To address the paralytic ileus, a nasogastric tube was utilized due to low concomitant suction. This intervention helped manage gastrointestinal symptoms.**Prostate Examination and Biopsy:**During hospitalization, the patient underwent a transrectal ultrasound of the prostate. This diagnostic measure was accompanied by a biopsy. The biopsy results identified adenocarcinoma of the prostate, with Gleason's Grade 3. Additionally, the seminal vesicles were noted to be non-dilated, and the prostatic capsule remained intact.**Postoperative Treatment and Patient Status:**- **Scheduled TURP:** The patient was scheduled for Transurethral Resection of the Prostate (TURP).- **UTI Treatment:** The patient showed symptoms of a Urinary Tract Infection (UTI) and was treated with intravenous Levaquin, an antibiotic.- **Resolution of Postoperative Issues:** The patient's ileus resolved with treatment and no further complications were reported.- **Discharge:** The patient was discharged on postoperative day 5 with a favorable prognosis and plans for outpatient follow-up.**Discharge Diagnoses:**1. Cholelithiasis/Cholecystitis (Gallstones and inflammation of the gallbladder)2. Paralytic Ileus3. Adenocarcinoma of the Prostate (Gleason’s Grade 3)4. Chronic Kidney Disease5. Osteoarthritis6. Gastroesophageal Reflux Disease (GERD)7. Peptic Ulcer Disease (PUD)8. Contact Dermatitis9. Status Post Total Knee Replacement (TKR)10. Urinary Tract Infection (UTI)**Discharge Medications:**1. **Zofran:** An antiemetic used to prevent nausea and vomiting.2. **Zantac

INTRODUCTION Dyspnea Dyspnea is shortage in breathing after doing hard workout or climbing altitude.…

Answered: In the chief complaint, it states that…

11th Edition

ISBN:9780134580999

Author:Elaine N. Marieb, Katja N. Hoehn

Publisher:Elaine N. Marieb, Katja N. Hoehn

Chapter1: The Human Body: An Orientation

Section: Chapter Questions

Problem 1RQ: The correct sequence of levels forming the structural hierarchy is A. (a) organ, organ system,...