Highlights
Task:
This scenario is for a 42 year old male who migrated from Pakistan about 2 months ago. He is having difficulty breathing. He complained of severe cough which wakes him up at night. He has not been feeling well for about 3 weeks, but has been using PCM to “keep him strong”. He has had similar problem in his home country about 2 years ago and he was treated in the hospital because he was coughing out blood. He was discharged home after about 3 months. It is 11 am and you find the patient in their home.
Questions
1. Considering this scenario, list the two (2) MOST LIKELY DIAGNOSIS to be considered in the management of this patient. What are the common complications that may accompany each diagnosis? (List 5 each)
Word count: Not included in word count
2. Justify the inclusion of these two (2) diagnosis by highlighting the information which was provided in the scenario that support your chosen differential diagnosis.
Word count: 200 words max
3. What additional history and physical examination will you seek for to confirm (or exclude) each of the diagnosis?
Word count: 250 words max
4. Discuss the underlying pathophysiology of one of these diagnosis. Please relate the pathophysiology to the clinical features (signs and symptoms) which this patient presents with and without.
Word count: 600 words max
5. What in-hospital investigations (3 maximum) would be relevant for establishing a correct diagnosis in this patient? Why are they relevant in the care of this patient?
Word count: 250 words max
6. With the appropriate use of an Ambulance service algorithm/guideline/protocol, discuss how you will manage this patient.
Word count: 800 words max
7. Discuss the relevance/importance of personal protective equipment in the management of this patient
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