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Physical exam: VS: T 97.9, RR 32 labored, HR 112, BP 148/88, O2 sat 90%RA, WT 210lbsGENERAL: Patient is well nourished and appears to be in acute distress and experiencing SOBCARDIOVASCULAR- Heart rate is irregular with good s1 and s2, no s3 or s4, no murmur, gallops, or rubsRESPIRATORY-tachypnea, labored breathing pattern, diminished breath sounds in R middle andlower lobes, no rales, rhonchi or wheezingGI- Abd is protuberant with normoactive bowel sounds x 4 quadrantsSKIN- Skin is cool and diaphoretic PERIPHERAL VASCULAR: R LE + 2 edema, + erythema + pain/ tenderness, + homan’s sign, LLE without edema/erythema, +2 dorsalis pedis bilaterallyDiagnostic results: 1.EKG-An electrocardiogram records the electrical signals in your heart. It's a common testused 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
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.