NR 603 Week 2 Case Discussion; Pulmonary - Part 2 Follow up Visit
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$15.00
| Institution | NR 603 Advanced Clinical Diagnosis and Practice Across the Lifespan |
| Contributor | Evelyne Remy |
Week 2: Case Discussion Pulmonary - Part 2 Follow up Visit
Hello Dr. Keiffer and Classmates,
Patient: Michelle
Age: 40
Sex: Female
Subjective
CC: Acute illness for past 2 days
HPI
Michelle continues to work in the bakery and her asthma has been well controlled. Michelle presents to the clinic with an acute illness that developed 2 days ago and has a respiratory rate of 24, mild SOB with exertion, O2 saturation of 94%, and complaint of inspiratory and expiratory wheezing. She is able to speak and states her temperature over the last 2 days has been 101 to 102 F. Cough is productive of white sputum. Influenza A is going around the bakery. Exam findings show a woman who appears her stated age and is alert and oriented and though calm, is having mild work of breathing........ Continue
PMHx: Michelle G. reports her overall health as good.
Childhood/previous illnesses: eczema as a child
Chronic illnesses: Has seasonal allergies, spring is her worst season. Was seen by an allergy specialist ten years ago.
Surgeries: Cholecystectomy
Hospitalizations: childbirth x 3.
Immunizations: up-to-date on all vaccinations.
Allergies: Strawberries-Rash; erythromycin- severe GI upset.
Blood transfusions: none
Drinks alcohol socially, smoked 1 pack per week for 3 years in her 20's. Denies illicit drug use.
Sleeps 6 to 7 hours a night. Exercises four to five days per week.
Social History: Married, lives with husband and 3 children. Worked in advertising up until 18 months ago when she got laid off. In order to help with the household finances, she took a job as a Baker's assistant at an Artisan Bread Bakery. She arrives at 4 a.m. every morning to begin baking breads/pastries for the day.
Family History: Children are healthy- daughter currently has a sinus infection. Parents are deceased. Mother at age 80 from congestive heart failure. Father died at age 82 from lung cancer, diagnosed when metastasized to brain. PGM: died from unknown causes, PGF: Stroke at age 82. MGM: died at 83, had HTN, atherosclerosis and many heart attacks. PGF: died at 71 from complications of COPD........ Continue
| Instituition / Term | |
| Term | Spring |
| Institution | NR 603 Advanced Clinical Diagnosis and Practice Across the Lifespan |
| Contributor | Evelyne Remy |
