Please review the case presentation below and provide answers to the following;
1. Three differential diagnoses: Pulmonary Embolism, Cellulitis, Muscle Strain / Tear
2. Definitive diagnosis: Pulmonary Embolism
3. Management plan (include appropriate treatment/diagnostic tests) D-Dimer,CBC, creatinine, aPTT ,PT, ABG, if d-dimer is elevated do a CXR, ECG, CT,V/Q scan,Pulmonary angiogram, Echo, MRI, CUS, CT Venography
4. Indications for referral and/or consultations (if needed)
5. Health education/lifespan considerations
6. Schedule a F/U appointment
Case Study: Case IV:
G. E., a 52-year-old social worker, has been treated for a deep vein thrombosis for 2 days. He calls the nurse to come to his room right away. When the nurse arrives, she sees that he is apprehensive, restless, diaphoretic, and extremely anxious. His pulse oximetry reading is 82% (previously had been 97% on room air), heart rate is 116 beats per minute and blood pressure is 100/56 mm Hg. He is complaining of a sharp chest pain that gets worse when he breathes in and has shortness of breath.
Temp—101
Pulse–116
B/P 100/56
RR- 26
Pulse Ox check– 82%
General: Alert & apprehensive
SKIN: Cool & diaphoretic
HEENT: Normocephalic; PERRL, sclera clear, Bil.TMs pearly gray. Pink, moist nasal turbinates. O/P without erythema, masses, or lesions. Pink, moist mucous membranes.
NECK: Supple without LAD
HEART: Tachycardia with S4
RESP: Tachypnea with rales throughout lung fields
ABD: Soft, round, NT with positive BS
APA formatting , references must be no older then 5 yrs old.
Use the order calculator below and get started! Contact our live support team for any assistance or inquiry.
[order_calculator]