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Develope a diagnosis for a patient with the following symptoms Description: The

ID: 3511762 • Letter: D

Question

Develope a diagnosis for a patient with the following symptoms

Description:

The patient was reported eating dinner at home before a sudden pain in the chest arose(angina). He collapsed soon after and is gasping for air

It is possible that the breathing in the right side of the chest was a Bronchial Breathing pattern.

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Explanation / Answer

SpO2 is 34, which is very low, because normal range is 94 to 99. Too little SpO2 can lead to little oxygen in blood and cause hypoxia. The patient requires Oxygenation.

PaCO2 is 75, which is very high, because normal range is 35 to 45 mmHg. High PaCO2 can lead to conditions of respiratory acidosis. Because of less breathing, CO2 levels have increased which has lead to decrease PH of the blood.

Respiratory rate is 25, which is also on a higher side because normal range is 12 to 25 breaths per minute.

Heart rate is 120, which is also higher because the normal range is 60 to 100 beats per minute.

Blood Pressure of 164/104 is also high which comes under stage II hypertension.

Body temperature and ECG is normal.

On reviewing the above Symptoms one can say that the patient is having a respiratory disorder, may be pulmonary embolism. The sudden pain which the patient had in the chest is also result of that and not because of angina. ECG is normal so we can say that there is no angina. But some other lab test should also be done like D- dimer blood test, CT scan, MRI to see any blockade in the pulmonary artery by embolus and to confirm pulmonary embolism.