Need help for this. Thank you. If you have an NCP regarding this case. Please share it with me. Or please make an NCP. Thank you.Create 2 NCP.CHIEF COMPLAINT: Cough and fever for four days. HISTORY: Mr. Alcot is a 68 year old man who developed aharsh, productive cough four days prior to being seen by aphysician. The sputum is thick and yellow with streaks ofblood. He developed a fever, shaking, chills and malaise alongwith the cough. One day ago he developed pain in his rightchest that intensifies with inspiration. The patient lost 15 lbs.over the past few months but claims he did not lose hisappetite. "I just thought I had the flu." Past history revealsthat he had a chronic smoker's cough for "10 or 15 years"which he describes as being mild, non-productive andoccurring most often in the early morning. He smoked 2packs of cigarettes per day for the past 50 years. The patientis a retired truck driver who has been treated for mildhypertension, bronchitis, appendicitis (as a young adult),hemorrhoids and a fractured femur and splenic injury(motorcycle accident).PHYSICAL EXAMINATION: The patient is an elderly man whoappears tired haggard and underweight. His complexion issallow. He coughs continuously. Sitting in a chair, he leans tohis right side, holding his right chest with his left arm. Vitalsigns are as follows: blood pressure 152/90, apical heart rate112/minute and regular, respiratory rate 24/minute andsomewhat labored, temperature 102.6oF.Examination of the neck reveals a large, non-tender hardlymph node in the right supraclavicular fossa. Both lungs areresonant by percussion with one exception: the rightmid-anterior and right mid-lateral lung fields are dull.Auscultation reveals bilateral diminished vesicular breathsounds. Bronchial breath sounds, rhonchi and lateinspiratory crackles (are heard) in the area of the rightmid-anterior and right mid-lateral lung fields. The remainderof the lung fields is clear. Percussion and auscultation of theheart reveals no significant abnormality. Examination of thefingers shows clubbing.LABORATORY: WBC 17,000/mm3; neutrophils 70%, bands15%, lymphocytes 15%.COURSE OF ILLNESS: Following a chest x-ray PA view andLateral which revealed an acute pneumonia in the rightmiddle lobe, the patient was treated with antibiotics as anoutpatient. During the 10 days of treatment the patient'sfever abated and he felt somewhat better. A post-treatment(follow up) chest x-ray reveals a right hilar mass. Sputumcytology demonstrates atypical cells.

Case summary: A 68 year old, elderly patient, Mr.Alcot is diagnosed with Right middle lobe…

Answered: Need help for this. Thank you. If you…

Need help for this. Thank you. If you have an NCP regarding this case. Please share it with me. Or please make an NCP. Thank you. Create 2 NCP. CHIEF COMPLAINT: Cough and fever for four days

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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