Q.9. A 65-year-old Caucasian man presents to the clinic for his annual physical examination. Since his last visit,he has noticed progressive worsening of his breathlessness. He can only walk about twenty yards on flat groundwithout having to stop and get his breath back. He has a 30-year history of smoking two packs of cigarettes perday He is noted to be using accessory muscles for respiration. Wheezing on expiration is noted uponauscultation.If compliances of lung (CL), chest wall (CCW) and respiratory system (CRS) of this patient were measured andcompared to corresponding compliances of a healthy person at the same lung volumes, which of the followingcombinations of changes in these parameters will most likely reflect this patient's condition?CowDecreasedA. 1B. 2C. 3D. 4E. 5F. 6123456CLIncreasedIncreasedDecreasedDecreasedNo changeNo changeNo changeIncreasedNo changeIncreasedDecreasedCasNo changeIncreasedNo changeDecreasedIncreasedDecreased

Dyspnea: Shortness of breath (SOB), sometimes referred to medically as dyspnea or dyspnoea. is the…

Answered: Q.9. A 65-year-old Caucasian man…

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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LF, a 34 year old white male, presented to the emergency room complaining of acute and severe shortnessof breath and intense chest tightness. LF’s speech was choppy and breathing was very rapid and erratic,punctuated by noticeable wheezing. LF’s medical records included the results of pulmonary functiontesting he had undergone six months beforeHis medical records also indicated prior admission for respiratory symptoms and a history of poorly-controlled asthma.LF received high-dose bronchodilator medication through use of a valved holding chamber. This wasfollowed by intravenous glucocorticoids and nebulized bronchodilators every two hours for a twelve-hourperiod, followed by nebulized bronchodilators every four hours for a forty-eight hour period.After discharge from the hospital, LF was provided a take-home flow meter to monitor his lung function.Table 4 shows LF’s PEFR results during a 30-day period.Table 4. Peak flow monitoring from day 1-30 post-discharge. All PEFR values are given…
Approach to a patient with Difficulty in breathing: A 25-year-old man is brought to the emergency department following a stab wound to the right back. He is complaining of difficulty breathing and severe pain on his right side. His vital signs on arriving are a blood pressure of 140/88 mm Hg, heart rate of 100bpm, respiratory rate of 25/minute with oxygen saturation of 90% by pulse oximetry. While undergoing a chest radiograph, he becomes agitated and develops severe respiratory distress. Vital signs are now blood pressure 80/60 mm Hg, heart rate 125bpm, respiratory rate 40/minute and oxygen saturator of 75% by pulse oximetry. Chest examinant reveals an absence of breath sounds and hyperresonance over the right lung field. Neck examination reveals distended neck veins and tracheal deviation to the left side. TIL Learning outcomes: 1. What is the most likely diagnosis? What X-ray findings support your diagnosis? 2 What structures are commonly involved in injury to the chost wall2 1/2
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Approach to a patient with Difficulty in breathing: A 25-year-old man is brought to the emergency department following a stab wound to the right back. He is complaining of difficulty breathing and severe pain on his right side. His vital signs on arriving are a blood pressure of 140/88 mm Hg, heart rate of 100bpm, respiratory rate of 25/minute with oxygen saturation of 90% by pulse oximetry. While undergoing a chest radiograph, he becomes agitated and develops severe respiratory distress. Vital signs are now blood pressure 80/60 mm Hg, heart rate 125bpm, respiratory rate 40/minute and oxygen saturator of 75% by pulse oximetry. Chest examinant reveals an absence of breath sounds and hyperresonance over the right lung field. Neck examination reveals distended neck veins and tracheal deviation to the left side. TIL Learning outcomes: 1. What is the most likely diagnosis? What X-ray findings support your diagnosis? 2 What structures are commonly involved in injury to the chost wall2 1/2
Compare chronic bronchitis and emphysema with respect to location of each disease within the respiratory tract and discuss the pathophysiology of each disease. Include an explanation (reason) for the signs and symptoms present in each lung condition
56. A 70-year-old man is brought to the emergency department because of severe shortness of breath for 4 hours. He has had fatigue for 6 months and moderate shortness of breath for 2 weeks. On arrival, he is pale and diaphoretic and is seated straight upright on the stretcher. His respirations are 30/min, and blood pressure is 110/90 mm Hg. Inspiratory moist crackles are heard over the posterior lower half of the lung fields. There is mild pedal edema. An increase in which of the following is the most likely cause of this patient's dyspnea? ↑P₂ OA) Capillary diffusion coefficient B) Capillary hydrostatic pressure OC) Capillary oncotic pressure D) Interstitial hydrostatic pressure E) Interstitial oncotic pressure
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