1. What is the Chief Complain in this case study? What are important questions to ask
the patient to formulate the HPI?
The chief complain in this case is shortness of breath. The important questions to ask the patient
...
1. What is the Chief Complain in this case study? What are important questions to ask
the patient to formulate the HPI?
The chief complain in this case is shortness of breath. The important questions to ask the patient
to formulate the HPI include the start of his shortness of breath (SOB), what makes it better or
worse, medications that he is taking, whether he has experienced weight gain, when his swelling
started, and his diet among others.
2. What components of the physical exam are important to review in this case? What
are pertinent positive and negative physical exam findings to help you formulate
your diagnosis?
The components of the physical exam that are important to review in this case include the
temperature, skin, hair, nails, eyes, mouth/pharynx, jugular venous pressure, chest and lungs,
blood pressure, and respiration among others. The pertinent positive findings that helped in
formulating the diagnosis include hypertension, swelling of less and abdomen, bloating of the
abdomen, tachycardia, and fatigue. Negative physical findings that helped in formulating the
diagnosis include no loss of appetite.
3. Which differential diagnosis is to be considered with this case study? What was your
final diagnosis?
Differential diagnosis to be considered in this case include myocardial infarction, pulmonary
embolism, cirrhosis, and heart failure. My final diagnosis is heart failure.
4. What was your treatment plan? Provide evidenced-base practice article or
treatment guideline for your chosen plan.
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