Read the case description carefully and then respond to the individual questions.Primary complaints/recent history of illness60-year-old male comes into his family physician with complaint of persistent hoarseness for past three weeks that interferes with conversation.Reports usual "smoker's cough" has worsened in past few months.Other history (past, family, social), allergies, medicationsCigarette smoking, 1-2 packs per day since teenage yearsIntermittent hemoptysis for one year--not reported in previous physician visitsIron-deficiency anemia for past six months--same physician prescribed ferrous sulfate (325 mg/day, oral)Social drinker, 1-2 drinks per day reportedMild seasonal allergies since teenage yearsPhysical examHeight, 5'10"; weight, 195 lb.Auscultation: wheezing localized in upper right lobe on inspirationPercussion: resonance/dullness over upper right lobeBP: 120/75 mm Hg; pulse: 90, regular; respiration 25, slightly laboredtemperature: 98.9 FOther exam results unremarkableDiagnostic testsChest X-ray at right:Pulmonary function tests: FEV1 1.9 liters, FVC 2.9 litersSerum electrolytes all within normal range, except calcium, which is 3.0 mmol/liter (6 mEq/liter; 11.4 mg/dL)1. What is the likely diagnosis, based on history and tests noted above? Justify your answer briefly.2. What is the likely significance of the elevated serum calcium, and how might it be related to the abnormal findings in the lung?

Based in the history of the patient, he has smoking habit since young age. Prolonged smoking leads…

Answered: What is the likely diagnosis, based on…

Human Anatomy & Physiology (11th Edition)

11th Edition

ISBN:9780134580999

Author:Elaine N. Marieb, Katja N. Hoehn

Publisher:Elaine N. Marieb, Katja N. Hoehn

Chapter1: The Human Body: An Orientation

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

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Read the case description carefully and then respond to the individual questions.

Primary complaints/recent history of illness

60-year-old male comes into his family physician with complaint of persistent hoarseness for past three weeks that interferes with conversation.
Reports usual "smoker's cough" has worsened in past few months.

Other history (past, family, social), allergies, medications

Cigarette smoking, 1-2 packs per day since teenage years
Intermittent hemoptysis for one year--not reported in previous physician visits
Iron-deficiency anemia for past six months--same physician prescribed ferrous sulfate (325 mg/day, oral)
Social drinker, 1-2 drinks per day reported
Mild seasonal allergies since teenage years

Physical exam

Height, 5'10"; weight, 195 lb.
Auscultation: wheezing localized in upper right lobe on inspiration
Percussion: resonance/dullness over upper right lobe
BP: 120/75 mm Hg;
pulse: 90, regular; respiration 25, slightly labored
temperature: 98.9 F
Other exam results unremarkable

Diagnostic tests

Chest X-ray at right:
Pulmonary function tests: FEV1 1.9 liters, FVC 2.9 liters
Serum electrolytes all within normal range, except calcium, which is 3.0 mmol/liter (6 mEq/liter; 11.4 mg/dL)

1. What is the likely diagnosis, based on history and tests noted above? Justify your answer briefly.

2. What is the likely significance of the elevated serum calcium, and how might it be related to the abnormal findings in the lung?

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