J.W. is a 15-year-old high school student who is in the clinic for a sports physical prior to beginning football practice. He has no known significant medical history, takes no medications, and has no allergies. J.W. states “I get really winded, really easily and it’s embarrassing. Sometimes, I get so winded that I feel dizzy and like I want to throw up. The other guys on the team don’t have that problem.” He attributes this to needing to get into better physical condition. The physical exam is unremarkable except for a grade III systolic murmur heard over the entire precordium. Select a potential diagnosis for J.W. and describe the pathophysiology of that diagnosis. How does the pathophysiology explain J.W.’s reported symptoms and physical exam findings?

J.W. is a 15-year-old high school student who is in the clinic for a sports physical prior to beginning football practice. He has no known significant medical history, takes no medications, and has no allergies. J.W. states “I get really winded, really easily and it’s embarrassing. Sometimes, I get so winded that I feel dizzy and like I want to throw up. The other guys on the team don’t have that problem.” He attributes this to needing to get into better physical condition. The physical exam is unremarkable except for a grade III systolic murmur heard over the entire precordium. Select a potential diagnosis for J.W. and describe the pathophysiology of that diagnosis. How does the pathophysiology explain J.W.’s reported symptoms and physical exam findings?

Similar questions

On a pathology report, the D&T dates for the gross description have been left off the dictation. Can the HDS reconstruct these dates? If so, how? If not, what is the next step to take with this pathology report?
John Michael Jones was seen by Dr. Peters who has seen the patient previously in this office. History: Mr. Jones has been having a fever and shortness of breath the last two days. He is not on any present medications but has been taking an over the counter Nyquil, but this has not been working. Physical Examination: Dr. Peters listens to Mr. Jones chest and hears nothing of real concern. Dr. Peters tells Mr. Jones that he doesn't believe the patient has bronchitis but just the flu. Dr Peters documented he spent 12 minutes with the patient. Plan: Drink a lot of fluid, rest and return if it worsens. What is the correct E/M code for this scenario
Angina pectoris is a symptom rather than a disease. It's Latin name translates to "pain in the chest." Angina pectoris occurs when the muscle tissue of the heart does not have enough oxygenated blood, resulting in discomfort or pain under the sternum. Do an online search and answer the follow questions: 1. What disease(s) causes angina pectoris? 2. What happens during an angina episode? 3. What type of treatment might be prescribed by the physician? 4. What tests might be ordered by the physician to determine the cause for angina pectoris? Please do not provide more than 2-3 sentences for each question.
The healthcare provider orders erythromycin 20 mg/kg/day every 8 hours in equally divided dose.The child weighs 44 pounds. How many rilligrams per dose should the nurse administer?
Bonnie’s physician suspects DVT. Which of the following procedures would likely be used to diagnose this condition? Ultrasound Blood glucose test X-ray Arteriogram
J.C. is a 52-year-old man with a history of chronic heavy alcohol use. He has frequent bouts of gastrointestinal bleeding for which he has been hospitalized on six separate occasions over the years. He continues to drink and exhibits most of the common manifestations of alcoholic cirrhosis. He was recently hit by a car and was hospitalized for a broken leg. He appeared to be under the influence of alcohol at the time of the accident and had a blood alcohol level of 0.18. What are the common manifestations of alcoholic cirrhosis? Which of these are secondary to hepatocellular failure? Which are secondary to portal hypertension? (List at least 6 manifestations of alcoholic cirrhosis and discuss which of those manifestations are secondary to hepatocellular failure and which are secondary to portal hypertension.) Why is J.C. at particular risk for GI bleeding? (List at least 3 reasons for an elevated risk of GI bleeding.)
What is a critical factor in the care of a patient with a do not resuscitate (DNR) order? A) Ensuring all staff are aware of the DNR status B) Withholding all medications and treatments C) Ignoring the patient’s comfort needs D) Encouraging family to reconsider the decision
J.C. is a 52-year-old man with a history of chronic heavy alcohol use. He has frequent bouts of gastrointestinal bleeding for which he has been hospitalized on six separate occasions over the years. He continues to drink and exhibits most of the common manifestations of alcoholic cirrhosis. He was recently hit by a car and was hospitalized for a broken leg. He appeared to be under the influence of alcohol at the time of the accident and had a blood alcohol level of 0.18. What is the probable cause of F.C.’s progressive mental deterioration? How might his mental deterioration be medically managed? ( Explain the probable cause of the mental deterioration and list at least 3 ways this cause can be medically managed.) How does alcoholic cirrhosis differ from biliary cirrhosis? What occurs in the two types of biliary cirrhosis? (Explain how alcoholic cirrhosis differs from biliary cirrhosis. List the 2 types of biliary cirrhosis and explain the pathophysiology of each type.)
The post mortem evacuation of any substance from any external orifice of the body due to internal and/or external pressure is emaciation desquamation skin slip purge
Pt who was at home treating her right foot infection with VNA support. VNA recommended she return to the hospital because she was not caring for herself. The pt has not been able to get up and walk around including going to the bath. She complains of discomfort with swallowing and so she is not consistently taking her medication. She denies chest pain and shortness of breath. She is dysphagia, stage 2 plantar heel ulcer and at her butt. Has bruises on both hands, both legs is discolor and peeling. High fall risk and wear diapers. Pain is 7 on a scale of 0-10 at her coccyx wound. Normal bowl sounds and lungs sounds and heart sound. Cellulitis of right lower extremities. Cardiac diet and hypertension. Base on this information please do the concept map in the image
Chief Complaint: Rajesh Kumar presents to the village health worker complaining of persistent fatigue, weakness, and occasional abdominal pain. He reports feeling increasingly tired despite getting adequate rest and experiencing discomfort in his abdomen. Rajesh describes his symptoms as ongoing for several weeks. He mentions that many other villagers have been experiencing similar symptoms, and there has been talk of a "strange illness" spreading throughout the community. He denies any recent travel or changes in diet. Social History: Rajesh is married with three children. He works as a farmer, tending to crops and livestock on his family's farm. The village is situated in a remote area with limited access to modern amenities. Rajesh mentions that he often walks barefoot around the farm and occasionally experiences minor cuts and scrapes on his feet. Physical Examination: Vital Signs: Temperature 37°C (98.6°F), Blood Pressure 120/80 mmHg, Heart Rate 80 bpm, Respiratory Rate 16 bpm…
M. J. is a 76-year-old woman who lives on the side of a very steep mountain. The home health nurse has visited her once a week for the last year. She has running water, electricity, and a coal stove with back-up oil heat for very cold winter nights. She uses the telephone for communication. She has diabetes mellitus, hypertension, hypothyroidism, and is in atrial fibrillation. She has never been in the hospital before. Her current medications include metformin (250 mg twice a day), losartan (50 mg/day), levothyroxine sodium (Synthroid) (50 mcg/day), digoxin (0.125 mg/day), furosemide (Lasix) (10 mg/day), aspirin (81 mg/day), simvastatin (20 mg/day), and warfarin (Coumadin) (4 mg/day, with 6 mg on Sundays). Allergies are to penicillin (hives) and to metoprolol (hypotension and dizziness). M. J. stopped smoking 5 years ago, but until then she smoked one-half pack a day. Last laboratory test results (1 week ago) were: hemoglobin A1C (Hgb A1C) 8.3, international normalized ratio (INR) 1.7,…