Chronic Obstructive Pulmonary Disease Exacerbation typically include a chronic cough. On physical exam, persons with COPD may have wheezing, cyanosis, a barrel-shaped chest, low diaphragms, and signs of cor pulmonale (e.g., peripheral edema, enlarged heart). Which is not present in this scenario (Arcangelo, et al., 2017). Acute Bronchitis: A patient was considered to have this condition if there was coughing, which lasted for 2 weeks, but no more than 4 weeks. In addition, at least one of the following two symptoms should be present: expectoration of purulent sputum for a maximum of 2 weeks or rhonchi on auscultation (Thiadens, et al., 2000). Bronchogenic Carcinoma: I listed this diagnosis just for the patient stating he had coughed up sputum that was blood tinged. Hemoptysis as well as weight loss and/or shortness of breath, are frequent health concerns. All hemoptysis should be evaluated with a chest radiograph and CT scan if indicated (Dains, et al., 2016).Viral Upper Respiratory Infection: This disorder typically is viral in nature. Common symptoms include: cough, nasal congestion, sore throat, fever, chills. Most symptoms of URIs, including local swelling, erythema, edema, secretions, and fever, result from the inflammatory response of the immune system to invading pathogens and from toxins produced by pathogens (Dains, et al., 2016). ReferencesArcangelo, V.P., Peterson, A.M., Wilbur, V., & Reinhold, J. A. (Eds.). (2017). Pharmacotherapeutics for advanced practice: A practical approach (4thed). Ambler, PA: Lippincott Williams & Wilkins.
Dains, J. E., Baumann, L. C., & Scheibel, P. (2016). Advanced health assessment and clinical diagnosis in primary care (5thed.). St. Louis, MO: Elsevier Mosby.Thiadens HA, Postma DS, De Bock GH, Huysman DA, Van Houwelingen HC, & Springer MP. (2000). Asthma in adult patients presenting with symptoms of acute bronchitis in general practice. Scandinavian Journal of Primary Health Care, 18(3)., 188-192.
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- Summer '15
- Chronic obstructive pulmonary disease, productive cough