Physical exam VS T 979 RR 32 labored HR 112 BP 14888 O2 sat 90RA WT 210lbs

Physical exam vs t 979 rr 32 labored hr 112 bp 14888

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Physical exam : VS: T 97.9, RR 32 labored, HR 112, BP 148/88, O2 sat 90%RA, WT 210lbs GENERAL: Patient is well nourished and appears to be in acute distress and experiencing SOB CARDIOVASCULAR- Heart rate is irregular with good s1 and s2, no s3 or s4, no murmur, gallops, or rubs RESPIRATORY-tachypnea, labored breathing pattern, diminished breath sounds in R middle and lower lobes, no rales, rhonchi or wheezing GI- Abd is protuberant with normoactive bowel sounds x 4 quadrants SKIN- Skin is cool and diaphoretic PERIPHERAL VASCULAR: R LE + 2 edema, + erythema + pain/ tenderness, + homan’s sign, LLE without edema/erythema, +2 dorsalis pedis bilaterally Diagnostic results : 1. EKG-An electrocardiogram records the electrical signals in your heart. It's a common test used to detect heart problems and monitor the heart's status ("Electrocardiogram (ECG or EKG)," 2019) 2. Chest x-ray-Chest x-ray uses a very small amount of ionizing radiation to produce pictures of the structures inside of the chest. It is used to evaluate the lungs, heart and
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chest wall and may be used to help diagnose shortness of breath, persistent cough, fever, chest pain or injury ("Chest X-ray (Radiograph)," n.d.). 3. VQ SCAN- A ventilation–perfusion (VQ) scan is a nuclear medicine scan that uses radioactive material to examine airflow and blood flow in the lungs, its great at detecting PE in the lungs.
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