3 acute bronchitis symptoms of acute bronchitis may

CBC would be needed to diagnosis this (Dains, Baumann, & Scheibel, 2016).
3. Acute Bronchitis:
Symptoms of acute bronchitis may include sore throat, fever, cough that produces
mucus, chest congestion, shortness of breath, wheezing, chills, or body aches
(Ball et al., 2015). Acute bronchitis should be differentiated from other common
diagnoses, such as pneumonia and asthma, because these conditions may need
specific therapies not indicated for bronchitis. Diagnostic tests to determine acute
bronchitis include a chest x-ray, sputum test, and a pulmonary function test.
4. Chronic Obstructive Pulmonary Disease (COPD):
Dyspnea may be intermittent, with or without environmental triggers, and is
usually accompanied by dyspnea, cough, wheezing, sputum, and a history of
smoking or industrial exposure. The most common symptoms clinical
presentations of COPD are dyspnea, cough, fatigue, intolerance of physical
activity and abnormal SA02 (Ball et al., 2015). Mr. H is a smoker and is
experiencing dyspnea and a cough. He could be experiencing COPD exacerbation
due to another cause or vice versa.
5. Pulmonary Embolism (PE):
According to Dains, Baumann, & Scheibel (2016) “physical findings in a patient
with a PE would be restlessness, fever, tachycardia, tachypnea, diminished breath
sounds, crackles, wheezing, and pleural friction rub” (p. 171). A major risk factor
for developing a PE is being a smoker and being overweight which are both
things that Mr. H is during the visit. Some patients with pulmonary embolism may

have no obvious symptoms initially and some experience acute dyspnea that
gradually gets worse. It is important to rule a PE out if other causes of his dyspnea
are unknown.
References
Ball, J. W., Dains, J. E., Flynn, J. A., Solomon, B. S., & Stewart, R. W. (2015). Seidel's guide to
physical examination (8th ed.). St. Louis, MO: Elsevier Mosby.
Dains, J. E., Baumann, L. C., & Scheibel, P. (2016). Advanced health assessment and clinical
diagnosis in primary care (5th ed.). St. Louis, MO: Elsevier Mosby.
Inamdar, A. A., & Inamdar, A. C. (2016). Heart Failure: Diagnosis, Management and Utilization.
Journal of clinical medicine, 5(7), 62. doi:10.3390/jcm5070062
Laureate Education. (Producer). (2012). Advanced health assessment and diagnostic reasoning.
Baltimore, MD: Author.
Tseng, Y. L., Ko, P. Y., & Jaw, F. S. (2012). Detection of the third and fourth heart sounds using
Hilbert-Huang transform. Biomedical engineering online, 11, 8. doi:10.1186/1475-925X- 11-8
Responses:
Respond to at least two of your colleagues on two different days who were assigned different
case studies than you. Analyze the possible conditions from your colleagues' differential
diagnoses. Determine which of the conditions you would reject and why. Identify the most likely
condition and justify your reasoning.
Response # 1 to Melissa Smith
Great post Melissa, I think you did a great job on this weeks Soap note. As obvious as the
diagnosis seems, I do believe the diagnosis of a pulmonary embolism is the most likely condition
due to his symptoms. According to Dains, Baumann, & Scheibel (2016), a patient reporting
severe dyspnea, cough, fever, hemoptysis, chest pain, and/or recent immobilization should be
evaluated for a possible PE. Because I must choose one, I would reject the diagnosis of