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
Related questions
Question
45-year-old female with a history of pulmonary TB 5 years ago, comes to the Consultation for cough with hemoptoic expectoration, dyspnea and daytime fever of one month of evolution
The physical examination found:
SatO2: 92%, HR: 95 lat.xmts, TA: 110-70Mmhg
On auscultation, abundant rhonchi and bilateral crackles are heard.
a) Possible diagnoses
c) What therapeutic measures would you use based on the possible diagnoses.
Expert Solution
Step 1
Rhonchi
Rhonchi are continuous low pitched sound. Obstruction and secretions in larger airways are frequent causes of rhonchi. They can be heard in patients with COPD, pneumonia and bronchiectasis.
Bilateral crackles
Interrupted, short, sharp non musical sound, characteristic of pneumonia, pulmonary congestion, pulmonary fibrosis and bronchiectasis.
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