General 56-year-old male with 40 pack per year smoking history… General56-year-old male with 40 pack per year smoking history admitted to the Emergency DepartmentHistory of present illnessPatient states “I have been Short of breath for 4 days. It has gotten progressively worse. I have had chest tightness and wheezing for the last 2 days. I can’t do anything without getting winded, even get dressed. I cough all the time and cannot get anything up. My ribs hurt with coughing.”Current DiagnosisPneumoniaMedical History / Secondary DiagnosesHypertension, OsteoarthritisVital SignsBP 147/86 mmHg, Heart Rate 116 beats /min, Normal sinus rhythm, temperature 100.6 0F, Respiratory rate 28 breaths/min, oxygen saturation 93% on room air. Pain 3 out of 10 on a scale of 0- 10 at restPhysical ExamAwake, alert and oriented to time, place, person and situation, PERRLA, Breath sounds crackles right upper lobe & diminished RLL, SOB on exertion Labs and DiagnosticsWBC 17,000/mm3 with 29% neutrophils, 8% lymphocytes, 16% monocytes and 35% bands. Hgb 15, Hct 45%; Chest X-ray: infiltrates Right lower lobe (RLL)MedicationsLisinopril 20 mg daily, Levaquin 750 mg PO daily X 5 days, Ibuprofen 800 mg PO TID PRN pain1. Write a pathophysiology report for 3 of the medical diagnoses identified in the case study (Pneumonia, Arthritis and Hypertension Health Science Science NursingKINE 3398
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