case 10 sb.docx - HISTORY AND PHYSICAL EXAMINATION Patient Name Scott Chandler Hospital No 11503 Room No ICU Date of Admission Admitting Physician Lynn

case 10 sb.docx - HISTORY AND PHYSICAL EXAMINATION Patient...

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HISTORY AND PHYSICAL EXAMINATION Patient Name : Scott Chandler Hospital No .: 11503 Room No .: ICU Date of Admission : 12/10/2017 Admitting Physician : Lynn Andrew, MD Admitting Diagnosis : Pneumothorax right side. HISTORY: This 61-year-old white male patient with a history of severe end-stage COPD presented to the ER with complains of acute SOD. The patient has a long history of COPD and smoking and is continue to smoke in spite of his respiratory problems. He does take bronchodilator at home, but has been fairly non- compliance in his care. He also uses home oxygen. He developed an acute onset dyspnoea this morning and was brought to the ER via ambulance. He has a history of collapsed lung in the past, but no history of hypertension or heart disease. PAST HISTORY: Surgeries included bronchoscopes several years ago and a collapsed lung in 1997 requiring chest tube insertion and ablation therapy. He also has a history of asthma.
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  • Fall '17
  • Chronic obstructive pulmonary disease, Pneumothorax, Scott Chandler

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