Chapter 6, Problem 211R

ADMITTING HISTORYA 52-year-old male factory worker was apparently in good health until about 2 months before admission, when he developed a cough, which was productive of moderate amounts of yellowish sputum. The cough was most severe in the morning but persisted throughout the day. He also complained of general malaise and reported a recent weight loss of 5 pounds. He had no night sweats and was afebrile.He was seen by his private physician and was treated with antibiotics. No chest x-rays were taken, but the physical examination was described as being within normal limits. On a follow-up telephone call 1 week later, the patient reported some improvement. Over the next 2 weeks, however, the patient developed moderate shortness of breath and marked hoarseness. He had no history of exposure to industrial irritants, but he admitted to a moderately heavy intake of alcohol and had a smoking history of 50 pack-years. As his symptoms persisted, he was admitted to the pulmonary clinic for…

A patient has been diagnosed with pneumoconiosis and asks the health care professional to explain this disease. what description by the professional is best?

What challenges could arise in the treatment of polycythemia with aspirin and phlebotomy when providing care to the patient?

Mr. H is a 52-year-old male who presents to the emergency department. His left leg is in a cast, and he states that 1 week ago he was in an automobile crash and broke his upper leg. Since that time, he has had difficulty “getting around” and has mostly been lying on the couch watching television. On the evening of admission he noticed a sudden onset of dyspnea and chest pain. He denies having orthopnea, cough, hemoptysis, or wheezing. He smoked two packs of cigarettes a day for 19 years but quit 3 years ago.  The ABG analysis of Mr. H suggests uncompensated respiratory alkalosis with mild hypoxemia, with base excess of -1 in her arterial side, whereas -4 in her venous side. Part 1: Her actual arterial-venous oxygen content difference (Ca-vO2) is 5.31 mL/dL. (Normal range considered here is 3.5 to 5 mL/dL) Part 2: Patient's actual oxygen extraction ratio (O2ER) was 29%. (Say normal range is 20-28%) What is clinically happening to the patient?