Sydney Sikes Course Project HIT111 JOAN SMITH WEEK #3 Week #3 Prompt: A list of tests/procedures and the corresponding diagnoses (there may be more than one). Identity and define 5 abbreviations found in the History and Physical Procedures: With an original complaint of shortness of breath and chest pain the doctors were determined to figure out the cause of Mrs. Smith’s symptoms. The doctors use palpitations to feel the lungs and to see if they are tender as well as the abdomen to make sure everything is functioning properly. The doctors examined her Ears Nose and Throat with an otoscope. They used a blood pressure monitor to measure the blood pressure and a thermometer to determine body temperature. Doctors use a stethoscope to listen to Mrs. Smith’s heart and determined everything was normal. The doctors also listened to her lungs and breathing sounds and that is how they were able to hear and diagnose the bilateral crackles and the rhonchi in the lungs. The rhonchi sound is most likely due to a clog in the airway. The bilateral crackle sound that is heard in the lungs can be due to a number of reasons but most commonly pneumonia, although in this case I believe that it is due to a type obstructive pulmonary disease which could either be, chronic obstructive pulmonary disease, cystic fibrosis, bronchiectasis, or asthma. I believe this because she has trouble breathing in and chest pain, and the rhonchi- something being clogged, obviously would make sense if the airways are inflamed or narrowed. The inflammation or narrowing of the airways would explain the rhonchi, and the crackles being heard, as well as the problems and pain with inhalation. I believe that a blood test, if not multiple different tests should be preformed. I believe the blood test that should be preformed is an arterial blood gases test, it measures the oxygen and carbon dioxide levels in the blood, which is particularly important to Mrs. Smith’s case because she’s experiencing symptoms that make it hard for her to breathe, aka take in oxygen. It may be important to preform a ECG to rule out any possibility of Heart Angina. I also think that the doctors should preform a CT of the chest that way they can determine the exact cause of the problem that is occurring in the lungs. They will be able to see if there is any narrowing or constrictions of the airways, if there is pneumonia, etc. Abbreviations: WDWNWF: Well Developed, Well Nourished White Female ER: Emergency Room N/v/d: Nausea, Vomiting, Diarrhea RR: Respiratory Rate BP: Blood Pressure PERRLA: Pupils Equal Round, Reactive to Light And EOM: End of Message ENT: Ears Nose and Throat 1
Sydney Sikes Course Project HIT111 JVD: Jugular Vein Distention Sources: Breath Sounds. (2019, May 08). A.D.A.M quality. Medline Plus. 1-1. Retrieved from Breathing Difficulty (Dyspnea). (2017, May 21). A.D.A.M Multimedia Encyclopedia. 1-1.
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- Spring '14
- optic nerve, SYDNEY SIKES