Habitual Cough Case Study

| This is important because we need to look at the relevant data and realize that she seems to be in distress and first take care of that. Also realize that she seems to have an infection. With this information we are able to prioritize

No scalp lesions. Dry eyes with conjunctival injection. Mild exophthalmos. Dry nasal mucosa. Marked cracking and bleeding of her lips with erosions of the mucosa. She has a large ulceration of the mucosa at the bite margin on the left. She has some scattered ulcerations on her hard and soft palette. She has difficulty opening her mouth because of pain. Tonsils not enlarged. No visible exudate. SKIN: She has some mild ecchymosis on her skin and some erythema, she has some patches but no obvious skin breakdown. She had some fissuring in the buttocks crease. PULMONARY: Clear to precussion and auscultation, bilaterally. CARDIOVASCULAR: No murmurs or gallops noted. ABDOMEN: Soft, non-tender, protuberant, no organomegaly, and positive bowel sounds. NORALOGIC EXAME: Cranial nerves ii – xii are grossly intact, diffuse hyporeflexia. MUSCULAR SKELETAL: Erosive destructive changes in elbows, wrist, and hands consistent with rheumatoid arthritis. Has had bilateral total knee replacements with stovepipe legs and perimalledal pitting edema 1+. I feel no pulse distally in either leg. PHYCIATRIC: Patient is a little anxious about these new symptoms and there significance. We discussed her situation and I offered her psychiatric services, she refused for now.

What are the uses of drugs used to treat lower respiratory tract disorders: sympathomimetics, anticholinergics, inhaled steroids, lung surfactants, and mast cell stabilizers?

According to the provider, the claimant's cough has been improved. His review of systems was positive for fatigue, malaise, sleep difficulty, shortness of breath, wheezes, and a cough. His blood pressure was 115/71 mmHg and his BMI was 30.35 kg/m2. The physical examination revealed wheezes. Clonazepam was prescribed for agitation. Atorvastatin, Nystatin, Citalopram, and a probiotic were prescribed. Continued use of Aspirin and a regular inhaler were suggested. Further, a follow-up visit with Endocrinology, Cardiology, and Pulmonology. As it relates to a spot in his lung, a repeat CT scan was recommended. The bronchial washes were negative for

Lungs: Diminished breath sounds in all lung fields. Resonant to percussion. No wheezes, rales, or rhonchi. Symmetric chest expansion. Breathing nonlabored.

Patient “DD” is a 56-year-old woman who was admitted to a nearby hospital for respiratory failure. With the only previous medical history being chronic bronchitis, she was diagnosed upon admission with COPD, anemia, hypoxia, moderate anxiety, and dyspnea.

The following case study is of a 37-year old Hispanic male weighing 145 lbs and 70 inches tall found unconscious by his girlfriend. According to her he was unconscious for about 15 hours and she was concerned because he would not wake or respond and was breathing shallow and slow. She then called 9-1-1. The patient entered the ER by emergency vehicle and on my initial assessment Pt had an altered mental status, was very unresponsive showing symptoms of a possible drug overdose. The girlfriend told the physician the Pt had taken 75 mg of methadone and an unknown amount of Xanex and other amounts of Benzodiazepines. On assessment, the doctor noticed his altered mental status and unconscious status. He had a gag

An elderly patient is complaining of a bad cough at her yearly physical. She has recently been diagnosed with diabetes and regularly takes prescription pain medication for her arthritis.

Negative- one negative aspect of the MMR vaccination program is that the MMR vaccine commonly induces side effects. Common side effects include

----- Clinic presents a black male 68 years old. Currently experiencing dyspnea and lethargy. For the past week he has been having a increase of difficulty breathing. Complains of alternating periods of sweating and chills. Other symptoms he has been experiencing is a productive cough with expectoration of thick yellow sputum. Patient is a ex- smoker, he was a 40 pack year history, denies smoking, stopped over 10 years ago. Medical history includes chronic bronchitis, hypertension, MI five years ago, has had a angioplasty, and denies chest pain since having angioplasty. Current medication combined albuterol/ipratropium MDI, nebulized albuterol prn, captopril, and hydrochlorothiazide.

This is 51 year old AAF. Patient is here complaining of several issues as listed. Patietn reports for the past several days she had increased SOB at rest, non-productive cough, adiouble wheezes. Patient denies chest pain, N/V/ D. Patient is a current tobacco user wit 20 pack year hisotyr. Denies use of alcohol or illicit drug use. Denies depressive moods, current pain 3/10.

The paper written by Ronald Bailey in 2013 touches on multiple areas of vaccines. His principle purpose, however, was signaling out a specific faction of people. People who choose either to not vaccinate themselves or even worse, not allow their children to be vaccinated. Bailey invokes former supreme court justice Oliver Holmes with his quote "The right to swing my fist ends where the other man's nose begins."(Holmes 1915) simply put, one runs the risk of hitting someone with what they've got. In this case, a preventable malady. Bailey usage of words denotes that herd immunity just isn't enough and people need to act more responsibly.

Abstract- Abstract-Respiratory diseases, such as pneumonia, bronchitis leading causes of child death in the word .out of this pneumonia is cause the million children death each year around the word. One of the challenged faced in consistent diagnosis of childhood pneumonia in remote regions is difficulties arising from field deployable and laboratory facilities as well as trained healthcare worker. In this paper we address such issue and to identify the pneumonia based on the mathematical analysis of cough sound. We used the wavelet-based mathematical tool which is a useful for crackle detection work in lung sound analysis. Such feature can be added with other mathematical feature and develop the automated classifier to separate pneumonia with

Yes I would order a chest x ray due to the duration of her cough, the fact that it is post infectious, her age, and to evaluate for pneumonia and masses. Due to the duration of the cough and the fact that her cough is becoming productive with yellow sputum, I would tell the patient she probably started out with a viral bronchitis that now could be transitioning into a bacterial bronchitis and/or Pertussis and I would prescribe an antibiotic that will cover both: Azithromycin 500mg PO day 1, then 250mg PO Daily X 4 days. I would instruct her to buy over the counter mucinex take as directed on box, and drink plenty of fluids. If the cough does not improve in 3 weeks have her follow up.

This is a case of a 74 year old woman who was diagnosed with Community Acquired Pneumonia.