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Respiratory Cases II


61 yo female, dyspnea, productive cough

  • Chart
  • B.P.
  • Auscultate
  • Tests
  • Diagnose

Patient Chart
CM is a 61-year-old female who is brought to the emergency department by her husband. She was complaining of dyspnea that has been increasing over the past several hours. She has a history of shortness of breath and productive cough. Included in her home medication regime are Advair and Spiriva. In triage, she has a pulse of 104, respiratory rate of 36, and temperature of 98.9o F. Her SpO2 is 84% while breathing room air. She has an occasional cough productive of small amounts of thick, pale yellow sputum.

Use the Auscultation and Blood Pressure tabs to capture heart rate, blood pressure and lung sounds.


Stat portable chest radiograph reveals essentially clear and darkened lung fields with flattened diaphragms and nearly ninety degree costophrenic angles. Arterial blood gases obtained while the patient was breathing oxygen via oxygen nasal cannula at 2 Lpm show the following data:

pH 7.27
PaCO2 74 mmHg
HCO3 34 mEq
PaO2 59 mmHg
SaO2 87%
Hgb 16.6

Heart Rate:
Blood Pressure: /

Auscultation:




Diagnosis
Which of the following is the most likely diagnosis for this patient?







Table of Contents

     Introduction
167 yo female with extreme respiratory distress
221 yo male with dyspnea
38 yo male complains of shortness of breath
461 yo female, dyspnea, productive cough lesson complete checkmark
560 yo female, recent shortness of breath
68 mo male, cough, dyspnea
730 yo male, transient disorientation, dyspnea
860 yo female, dyspnea, non-productive cough
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Respiratory Cases - I
Respiratory Cases - II




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