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
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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
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Disorders.
© 2014 Laureate Education, Inc.
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