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?
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?
Understanding Health Insurance: A Guide to Billing and Reimbursement
14th Edition
ISBN:9781337679480
Author:GREEN
Publisher:GREEN
Chapter12: Commercial Insurance
Section: Chapter Questions
Problem 3R
Related questions
Question
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?
Expert Solution
This question has been solved!
Explore an expertly crafted, step-by-step solution for a thorough understanding of key concepts.
This is a popular solution!
Trending now
This is a popular solution!
Step by step
Solved in 2 steps
Knowledge Booster
Learn more about
Need a deep-dive on the concept behind this application? Look no further. Learn more about this topic, biology and related others by exploring similar questions and additional content below.Recommended textbooks for you
Understanding Health Insurance: A Guide to Billin…
Health & Nutrition
ISBN:
9781337679480
Author:
GREEN
Publisher:
Cengage
Comprehensive Medical Assisting: Administrative a…
Nursing
ISBN:
9781305964792
Author:
Wilburta Q. Lindh, Carol D. Tamparo, Barbara M. Dahl, Julie Morris, Cindy Correa
Publisher:
Cengage Learning
Understanding Health Insurance: A Guide to Billin…
Health & Nutrition
ISBN:
9781337679480
Author:
GREEN
Publisher:
Cengage
Comprehensive Medical Assisting: Administrative a…
Nursing
ISBN:
9781305964792
Author:
Wilburta Q. Lindh, Carol D. Tamparo, Barbara M. Dahl, Julie Morris, Cindy Correa
Publisher:
Cengage Learning
Essentials Health Info Management Principles/Prac…
Health & Nutrition
ISBN:
9780357191651
Author:
Bowie
Publisher:
Cengage