Throat, Respiratory & Cardiovascular Disorders

For this, you will take on the role of a clinician who is building a health history for  the following patient:

Chief Complaint
(CC) A 65-year-old male with chronic obstructive pulmonary disease (COPD) presents to the clinic with a cough he has had for the past 2 weeks.

Subjectivedenies chest pain, denies night sweats, and admits to having a fever but does not know the temp.

VS(BP) 115/75, (P) 89, (RR) 16, (T) 100.4°F (38°C), O2 sat 98% on room air.

The general patient appears tired; skin colour pale; the patient is diaphoretic and sweaty; height 5′3″; weight 175 lbs.

HEENTEYES: no injection, no increase in lacrimation or purulent drainage;
EARS: Normal
TM: Normal
NOSE: Bilateral erythema and oedema of turbinates with significant yellow drainage on the right. Obstructed air passages

Respiratorylung crackles in LLL, no wheezes or rhonchi noted; does not clear with coughing; dullness to percussion over the LLL; shallow respirations and is 30, accessory muscles use not present

Neck/Throat no neck swelling or tenderness with palpation; the neck is supple; no JVD; thyroid is not enlarged;
trachea midline

HeartRegular rate and rhythm, no murmur, S3 or S4

 

 Answer the following :

1. What other subjective data would you obtain?
2. What other objective findings would you look for?
3. What diagnostic examination do you want to order?
4. Name 3 differential diagnoses based on this patient presenting symptoms.
5. Give rationales for each differential diagnosis.

Submission Instructions:

Requirements: at least 500 words ( 2 complete pages of content) formatted and cited in current APA style 7 ed with support from at least 3 academic sources, which need to be journal articles or books from 2019 up to now. NO WEBSITES allowed for a reference entry. Include DOI, page numbers, etc. Plagiarism must be less than 5%.

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