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Medical Case Study: Mr. Smith's Vital Signs

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Mr. Smith is a 60-year-old male complaining of weakness, increased tiredness, and headache lasting a few days. He has self-treated with over the counter medications with no improvement. The patient history includes diagnosis of prostate cancer for 5 years. After collecting his current complaint and medical history, the provider will need to conduct a physical examination on Mr. Smith. The exam will include taking his vital signs, auscultation, percussion and palpation. Each area of the examination has a specific purpose. During the vital sign portion, the provider will take Mr. Smith's heart rate, blood pressure, breathing rate and temperature. The provider will then compare them to his previous vital sign history. Although there is a normal…show more content…
An abnormal heartbeat can be an indicator for other issues, such as a damaged heart valve. The next step is checking percussion, this portion of the examination the provider will tap on the patient's chest and abdomen. The provider is looking and listening for a specific sound under normal conditions. If there is a change in fluids or air there will be a different sound. The last portion of the physical examination is palpation. The provider will apply pressure using his fingers feeling along the body regions and organs. Palpation provides information about the size of an organ and changes in its consistency, shape, and tenderness, and can help determine the presence of a foreign mass. Based on the results of Mr. Smith's physical examination the provider determined that additional labs would need to be drawn. The provider ordered a complete blood count, which includes: a platelet, red blood cell, and white blood cell count, as well as a blood potassium check. Mr. Smith's labs were not within the normal limits, so the provider admitted him into the hospital. Hospital staff treated his deficiencies and sent him…show more content…
Smith came in with the same complaint as before, but is now stating he is also having shortness of breath. His vitals were taken and there was an additional concern. Mr. Smith's blood pressure was taken manually with a blood pressure cuff and stethoscope and determined his blood pressure was currently at 160/100 mmHg. The 160 or top number is the systolic blood pressure which is the amount of pressure being pushed through the arteries to the rest of the body while the heart is beating. The 100 or the bottom number is the diastolic blood pressure which is the amount of pressure in the arteries while the heart is at rest. The normal range for an adult is 120/80 mmHg. Mr. Smith had an MRI completed at it revealed metastasis of prostate cancer to osseous tissue. He also had an abdominal CT and it showed an obstruction of the intestine due to nodular enlargement of the adrenal glands. He was again admitted to the hospital and had additional labs ordered. He had to repeat the complete blood count and blood and urine potassium check, a blood glucose test, and an adrenal stress test to include serum aldosterone, 24 hour urinary aldosterone, renin, adrenocorticotopic hormone(ACTH) and cortisol
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