A 67-year-old female patient presents to the emergency room you work at complaining of shortness of...

A 67-year-old female patient presents to the emergency room you work at complaining of shortness of breath and pain on the right side of her chest. Upon auscultation of the lung field during the physical exam, you note flatness and diminished breath sounds over the right lung. Her temperature is 101.3°F.

What are the possible causes of her symptoms? (What is your differential diagnosis?)
What tests might order to determine the specific cause of this patient’s symptoms? Why?
This patient’s husband tells you he does not understand why she feels short of breath. How might you explain to him the lung physiology that underlies her symptoms?

Solutions

Expert Solution

Most probably the case is pneumonia .

Differential diagnoses are pleurisy, pneumo thorax, myocarditis..etc

History, physical examination, Chest x ray, Blood investigation like complet blood count, ecg etc are the urgent diagnostic tests to confirm the diagnoses. Chest x ray may help to differentiate pnemothorax amd pneumonia cases..pathophysiology to be explained to pt realative.as follows..

Lung cells infected by bacteria which leads to inflammation and cause fever.it may lead to right sided pain and produces sputum which leads to decreased air entry .

Nightingale answered 2 years ago

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