1-woriking diagnosis, using a rationale to include differntial diagnosis. 2- rev
ID: 3473209 • Letter: 1
Question
1-woriking diagnosis, using a rationale to include differntial diagnosis.
2- review of any sigificant clical findings EKG's. to support diagnosis
3-Disease eriology
4-possible treatment plan to include any immediate interventions to establish a long- term plan.
5- patient prognosis.
Comprehensive Case Study Instructions You are given complete clinical information, including patient history, vital signs, an EKG, and blood lab values with the goal of creating a working diagnosis for the simulated patient. As in the field, some patient information may be layered or complex, and may include information that is not diagnostically relevant. You should use skills gained from the EKG lab, as well as comprehensive knowledge of the anatomy and physiology of the heart, blood, digestive, renal and urinary systems. You may use a group of up to 4 total students to work through the study, however each student must submit their own unique write-up. You are welcome to use outside healthcare providers for help. Reference any major sources in the format of your choosing Finally, in 5-6 paragraphs, explain the following .Working diagnosis, using a rationale to include differential diagnosis .Review of any significant clinical findings (labs, EKG's, etc.) to support diagnosis Disease etiology .Possible treatment plan to include any immediate interventions to establish a long- term plan Patient prognosis Clinical Presentation History A 79 year old male presents to the emergency room complaining of shortness of breath and respiratory distress. The patient states they have no past medical history other than 15 years of chronic shortness of breath, due to not having seen a physician in the last 20 years. The patient states today is worse than it has ever been. The patient denies any specific pain, denies any recent trauma, and describes the onset of this episode as being gradualExplanation / Answer
1) Pulse oximetry measures the level of oxygenated and deoxygenated blood or rather more appropriately haemoglobin in the blood. A normal pulse oximetry measure is 92-100% i.e. about this much percent of Hb in blood should be saturated with oxygen. A 71% pulse oximetry shows low saturation level of hb. This is the reason why the respiration rate is so high, to intake more oxygen.
2) As the Hb is not saturated with the blood at its normal physiological levels, the heart has to work excessively and increase the cardiac output to meet the body's oxygen requirements which is why the individual EKG represently one cardiac cycle is short and placed together.
3) The causeof low saturation of Hb could be:
a) Low Hb, excessive Hb degradation or improper synthesis rate of Hb
b) Abnormal Hb which can not bind properly to oxygen
c) respiratory acidosis- increasde level of CO2
4) The immediate plan would be administration of Oxygen. A supporting oxygen tank is recommended. If the issue is related with the synthesis or degradation of hemoglobin, then the medicines can help regulate these process so the body can produce normal levels of Hb,
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