Case One - History

Patient Chart

patient illustration
JV is a 61-year-old male who has presented to the emergency department with a chief complaint of shortness of breath that has gotten progressively worse over the past day or so. He has a history of COPD and was discharged from the hospital just two months ago.

Assessment in the ED reveals the following: respiratory rate 32 and slightly labored, temperature 98.8F F, SpO2 (on room air) 86%. He is alert and oriented; he has an occasional nonproductive cough. Continue the exam using the auscultation and blood pressure tab.

Which of the following would be useful information to obtain at this time (more than one answer may be correct)?

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