Organ systems that could be involved
description
Transcript of Organ systems that could be involved
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Organ systems that could be involved
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Organ systems that could be involved
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Pertinent Data
Pink palpebral conjunctiva
(-) melena(-) hematochezia(-) Pallor (pale skin,
mucosal linings and nail beds)
(-) pica
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DYSPNEA
Hematologic
Neuromusculoskeletal
Neuropsychiatric
Gastrointestinal
Endocrine
Respiratory
Cardiovascular
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Organ systems that could be involved
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Pertinent Data
• (-) weakness of the eye muscles• (-) difficulty in swallowing, slurred speech• (-) asymmetrical ptosis• (-) twitching, cramping, or stiffness of muscles• (-) Chest wall deformities (kyphoscoliosis)
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DYSPNEA
Hematologic
Neuromusculoskeletal
Neuropsychiatric
Gastrointestinal
Endocrine
Respiratory
Cardiovascular
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Organ systems that could be involved
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Pertinent Data
• Conscious and coherent• No illicit drug use • (-) History of generalized anxiety, Anxiety disorder, post-traumatic stress, hyperventilation disorder, obsessive-compulsive disorder, panic disorder• (-) restlessness
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DYSPNEA
Hematologic
Neuromusculoskeletal
Neuropsychiatric
Gastrointestinal
Endocrine
Respiratory
Cardiovascular
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Organ systems that could be involved
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Pertinent Data
• non-alcoholic beverage drinker •Anicteric sclera• Normoactive bowel sounds• Abdomen tympanitic, nontender• Liver and spleen not palpable• (-) Fluid wave• (-) Heartburn after intake of food• (-) Anorexia• (-) Epigastric pain
• (+) substernal chest heaviness
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DYSPNEA
Hematologic
Neuromusculoskeletal
Neuropsychiatric
Gastrointestinal
Endocrine
Respiratory
Cardiovascular
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Organ systems that could be involved
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Pertinent Data
Supple neck (-) heat or cold tolerance (-) constipation
• Significant weight gain• Body Mass Index - 31 (obese)• Flabby abdomen
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DYSPNEA
Hematologic
Neuromusculoskeletal
Neuropsychiatric
Gastrointestinal
Endocrine
Respiratory
Cardiovascular
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Organ systems that could be involved
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Pertinent Data
• 30 pack years of smoking• RR- 26/min• (+) bibasilar crackles• Cough productive of pink frothy secretions
? COPD - Emphysema - Chronic Bronchitis? Pulmonary Edema
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Pertinent Data
• 30 pack yeas of smoking• RR- 26/min• (+) bibasilar crackles• Cough productive of pink frothy secretions
• (-) nasal or aural discharge• Symmetrical chest expansion• resonant• unimpaired tactile and vocal fremiti• (-) cyanosis• (-) supraclavicular retractions• (-) use of accessory muscles of ventilation• (-) tripod position
COPD (Emphysema, Chronic Bronchitis)
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Pertinent Data
• RR- 26/min• (+) bibasilar crackles• Cough productive of pink frothy secretions
Pulmonary Edema
Non-Cardiogenic• Direct Injury to the lung
(Chest trauma, Pneumonia, Aspiration)
Cardiogenic• Increased intracardiac pressure
(S3 gallop, elevated JVP, peripheral edema)
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Pertinent Data• RR- 26/min• (+) bibasilar crackles• Cough productive of pink frothy secretions• S3 grade 3/6 • JVP 6 cm at 45 degrees angle• Grade 2 pitting bipedal edema
Pulmonary Edema
Cardiogenic
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DYSPNEA
Hematologic
Neuromusculoskeletal
Neuropsychiatric
Gastrointestinal
Endocrine
Respiratory
Cardiovascular