Highlights
Task:
The purpose of this assignment is for you to understand the pathophysiologic causes for symptoms of a specific disorder. It is very important for you to LINK the cause of EACH INDIVIDUAL CLINICAL MANIFESTATION with the underlying pathophysiological cause for the clinical manifestation on the concept map. You should have lines connecting between the pathophysiology portion of your concept map and the key assessment findings portion of your concept map that clearly show these linkages for each individual symptom." It is also important for you to able to identify the rationale for each appropriate diagnostic test that you identify (on the concept map).
You are asked to CHOOSE 1 OF THE 2 CASES TO WORK UP BELOW.
Case 1
Tom, a 69-year-old retired geologist presents to his health care provider complaining of increasing shortness of breath especially on any exertion, and a chronic productive cough with wheezing on expiration. He states he is chronically fatigued and often wakes in the morning with a headache. He also is complaining of frequent episodes of heart palpitations. Tom has a 40-year smoking history but has recently quit smoking. He has a history of chronic bronchitis.
Physical Exam
Vital Signs:
?
? Temperature - 99 °F
? RR - 30/min
? HR - 120 bpm
? BP - 136/90
? SpO2 - 92 %
Case 2
Mrs. T presents to the emergency Department with crushing chest pain of a 2-hour duration. The pain is radiating to her jaw. She is mildly diaphoretic
and exhibits shortness of breath. She is anxious and in acute distress. Overthe past 3 weeks she reports frequent episodes of substernal chest pain
unrelieved by rest. Previously, she only experienced chest pain with exertion and it was relieved by rest. She has a 30-pack year history of smoking and controlled mild hypertension.
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