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Admitting Diagnosis: CHF History of Present Illness The patient is a 60-year-old female presenting to the...

Admitting Diagnosis: CHF

History of Present Illness

The patient is a 60-year-old female presenting to the emergency department with acute onset shortness of breath. Symptoms began approximately 2 days before and had progressively worsened with no associated, aggravating, or relieving factors noted. She had similar symptoms approximately 1 year ago with an acute, chronic obstructive pulmonary disease (COPD) exacerbation requiring hospitalization. She uses BiPAP ventilatory support at night when sleeping and has requested to use this in the emergency department due to shortness of breath and wanting to sleep.

She does report difficulty breathing at rest, forgetfulness, mild fatigue, feeling chilled requiring blankets, increased urinary frequency, incontinence, and swelling in her bilateral lower extremities that is new onset and worsening. Subsequently, she has not ambulated from bed for several days except to use the restroom due to feeling weak, fatigued, and short of breath.

Past Medical History

Past medical history is significant for coronary artery disease, myocardial infarction, COPD, hypertension, hyperlipidemia, hypothyroidism, diabetes mellitus, peripheral vascular disease, tobacco usage, and obesity. Past surgical history is significant for an appendectomy, cardiac catheterization with stent placement, hysterectomy, and nephrectomy.


MAKE A FLOW CHART PATHOPHYSIOLOGY OF CHF RELATED TO CASE AND EXPLAIN.

Solutions

Expert Solution

heart disease is the leading cause of teh death and  Third leading cause is chronic lower respiratory disease , that including Chronic respiratory pulmonary disease (COPD) . These two are connected and the symptoms they cause can be strikingly similar , Shortness of breath is a hallmark sign that is associated with both of these conditions.

Congestive heart failure (CHF) is a condition that occur when the heart becomes too weak that to effectively pump blood out to rest of teh body , In turn , fluid levels build up and blood can back up into both the heart and lungs , that leadingto shortness of breath , For most CHF patient , difficulty breathing does not occur when they are rest but even small amounts of exertion can cause symptoms to begins,

Copd and congestive heart failure are two different gconditions that may present withb similar symptoms , However , there are two others forms of heart failure , left sided and right sided , which may be directly related to or exacerbated by the presence of COPD

The Copd can cause low oxygen levels in the blood , therby placing additional stress on teh left sided heart failure . On the other hand , left sided failure can contribute in the lungs , aggravated the symptoms of COPD .

This 60 yrs old female have previously been diagnosed with COPD that she should be aware earlier to increase risk of heart failue . Also she also a smoker that also the jcontributing risk factor toward congestive heart failure.

PATHOPHYSIOLOGY

Nightingale answered 2 years ago
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