display tachycardia, tachypnea, chest pain, cough, diminished breath sound to right middle and lower lobes which are concurrent with pneumonia. But patient does not display fever, nausea, vomiting and adventitious lung sounds, diagnosis of pneumonia could be possible but very unlikely. Additional tests such as CBC, chest X-ray would be valuable to rule out diagnosis. 5. Pleurisy: is an inflammation of the pleura which consists the two large membranes and thin layer of tissue that rub together causing sharp pain (NHLBI, n.d.). According to NHLBI manifestation can include shortness of breath, coughing, fever and chills, and unexplained weight loss. Patient is experiencing shortness of breath, coughing, but no fever and chills, and no change in weight reported so the diagnosis of pleurisy is unlikely. P. This section is not required for the assignments in this course (NURS 6512) but will be required for future courses. 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. Douketis, J. D. Deep Venous Thrombosis. (2018). Cardiovascular Disorders -Merck Manuals Professional Edition. Retrieved from - © 2014 Laureate Education, Inc. Page 4 of 5
venous-disorders/deep-venous-thrombosis-dvt Huether, S. E., & McCance, K. L. (2017). Study guide for understanding pathophysiology (6 th ed.). St Louis, MO: Mosby. National Heart, Lung, and Blood Institute (NHLBI). (n.d.). Venous Thromboembolism. Retrieved from National Heart, Lung, and Blood Institute (NHLBI). (n.d.). Pleurisy and Other Pleural Disorders Retrieved from - Disorders. © 2014 Laureate Education, Inc. Page 5 of 5
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