Organ systems that could be involved

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description

Organ systems that could be involved. Organ systems that could be involved. Pertinent Data. Pink palpebral conjunctiva (-) melena (-) hematochezia (-) Pallor (pale skin, mucosal linings and nail beds) (-) pica . DYSPNEA. Hematologic Neuromusculoskeletal Neuropsychiatric - PowerPoint PPT Presentation

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