This patient is a 62-year-old Caucasian male. He presents to the office today with an intermitted cough and recent onset of shortness of breath

This patient is a 62-year-old Caucasian male. He presents to the office today with an intermitted cough and recent onset of shortness of breath
INSTRUCTIONS:
This patient is a 62-year-old Caucasian male. He presents to the office today with an intermitted cough and recent onset of shortness of breath. The cough has been present for the last 6 months, is productive in nature, with whitish-yellow phlegm. The cough is intermittent in nature but does occurs frequently and is worse in the AM. Activity makes the cough worse, while rest improves it. The patient is unable to walk > 20 feet without having to stop and catch his breath. One year ago, the patient noted that he was able to walk about a mile without any difficulties noted. He states that he has tried taking Robitussin, but it did not help the symptoms.
ROS: Pt denies fever, chills, weight loss, otalgia and otorrhea, rhinorrhea, nasal congestion, sneezing or postnasal drip, ST and redness in the throat. No lymph node tenderness or swelling, denies chest pain and no lower extremity edema. However, pt reports a persistent productive cough upon wakening for the last 6 months with SOB with activity.
History: Pt has primary HTN and takes Metoprolol succinate ER (Toprol-XL) 50mg PO daily and a MVI daily. He has had a cholecystectomy, appendectomy and allergic to PCN causing hives. Pt. is a senior accountant, married with 3 children. He denies alcohol or drug use. He is a former smoker (20 pack-year), he quiet when his father died of MI and CHF at age 59. His father also had a hx of diabetes and was a smoker. His mother is alive with osteoporosis and his siblings are healthy.
Physical Exam: Adult male in NAD is alert and oriented and able to speak in full sentences.
VS: Temp-98.1, P-66, RR-20, BP 156/94, Height 68.9in, Weight 258 pounds, O2sat 94% on RA.
Head: Normocephalic. Ears: Tympanic membranes gray and intact with light reflex noted. Pinna and tragus nontender. Nose: Nares patent. Nasal turbinates clear without redness or edema. Nasal drainage is clear. Throat: Oropharynx moist, no lesions or exudate. Tonsils ¼ bilaterally. Teeth in good repair, no cavities noted. Neck: Neck supple. No lymphadenopathy. Thyroid midline, small and firm without palpable masses. No JVD. Cardiopulmonary: Heart S1 and S2 with no murmurs, noted. Lungs clear to auscultation bilaterally with faint forced expiratory wheezes in bilateral bases. Respirations unlabored. Legs without edema. Abdomen: Soft, non-tender. No organomegaly
Differential Diagnoses: Listed below in order from most likely to least likely
Diagnosis

Place your order
(550 words)

Approximate price: $22

Calculate the price of your order

550 words
We'll send you the first draft for approval by September 11, 2018 at 10:52 AM
Total price:
$26
The price is based on these factors:
Academic level
Number of pages
Urgency
Basic features
  • Free title page and bibliography
  • Unlimited revisions
  • Plagiarism-free guarantee
  • Money-back guarantee
  • 24/7 support
On-demand options
  • Writer’s samples
  • Part-by-part delivery
  • Overnight delivery
  • Copies of used sources
  • Expert Proofreading
Paper format
  • 275 words per page
  • 12 pt Arial/Times New Roman
  • Double line spacing
  • Any citation style (APA, MLA, Chicago/Turabian, Harvard)

Our guarantees

Delivering a high-quality product at a reasonable price is not enough anymore.
That’s why we have developed 5 beneficial guarantees that will make your experience with our service enjoyable, easy, and safe.

Money-back guarantee

You have to be 100% sure of the quality of your product to give a money-back guarantee. This describes us perfectly. Make sure that this guarantee is totally transparent.

Read more

Zero-plagiarism guarantee

Each paper is composed from scratch, according to your instructions. It is then checked by our plagiarism-detection software. There is no gap where plagiarism could squeeze in.

Read more

Free-revision policy

Thanks to our free revisions, there is no way for you to be unsatisfied. We will work on your paper until you are completely happy with the result.

Read more

Privacy policy

Your email is safe, as we store it according to international data protection rules. Your bank details are secure, as we use only reliable payment systems.

Read more

Fair-cooperation guarantee

By sending us your money, you buy the service we provide. Check out our terms and conditions if you prefer business talks to be laid out in official language.

Read more
Open chat
1
You can contact our live agent via WhatsApp! Via + 1 3234125597

Feel free to ask questions, clarifications, or discounts available when placing an order.

Order your essay today and save 30% with the discount code GIFT