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Posted: May 23rd, 2023
D2
Case 2
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A 72-year-old male presents to the clinic with 4 weeks of productive cough. He has a 10-year history of diagnosed COPD. He has a 45-year history of two packs a day cigarette smoking. He states he quit smoking due to financial needs about 6 years ago. He complains of pain in his chest from coughing, saying it is sore. He has noticed some dark-colored blood on his tissue.
Vital Signs: BP 137/90; HR 82; RR 22; BMI 23.
Chief Complaint: Persistent cough won’t go away with my normal cough medicine. Noticed blood on tissue from coughing.
Discuss the following:
1) What additional subjective information will you be asking of the patient?
2) What additional objective findings would you be examining the patient for?
3) What are the differential diagnoses that you are considering?
4) What radiological examinations or additional diagnostic studies would you order?
5) What treatment and specific information about the prescription will you give this patient?
6) What are the potential complications from the treatment ordered?
7) What additional laboratory tests might you consider ordering?
8) Will you be looking for a consult?
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Additional subjective information to ask the patient:
Duration and frequency of the productive cough: Determine if the cough is persistent throughout the day or if it occurs at specific times or triggers.
Character of sputum: Ask about the color, consistency, and amount of sputum produced.
Associated symptoms: Inquire about other symptoms such as shortness of breath, wheezing, chest pain, weight loss, night sweats, fever, or fatigue.
Smoking history: Obtain more detailed information about the patient’s smoking habits, including the number of cigarettes smoked per day and the duration of smoking.
Occupational history: Ask about any exposure to dust, chemicals, or other irritants in the workplace.
History of respiratory infections: Determine if the patient has had recent respiratory infections or exacerbations of COPD.
Allergies and medication history: Inquire about any known allergies and the patient’s current medication regimen.
Family history: Assess if there is a family history of respiratory diseases or lung cancer.
Additional objective findings to examine the patient for:
General appearance and respiratory distress: Observe the patient for signs of respiratory distress, such as increased work of breathing or use of accessory muscles.
Chest examination: Auscultate the lungs for abnormal breath sounds, such as wheezing, crackles, or decreased breath sounds. Assess for any chest wall tenderness.
Vital signs: Monitor blood pressure, heart rate, respiratory rate, and oxygen saturation.
BMI: Evaluate the patient’s body mass index (BMI) to assess for any weight loss or nutritional status changes.
Oxygen saturation: Measure the patient’s oxygen saturation level to determine if there is any hypoxemia.
Pulmonary function tests (spirometry): Assess the patient’s lung function to evaluate the severity of airflow limitation and confirm the diagnosis of COPD.
Chest X-ray: Obtain a chest X-ray to evaluate the lung parenchyma and rule out other causes of cough and hemoptysis, such as lung cancer, pneumonia, or pulmonary embolism.
Differential diagnoses to consider:
Acute exacerbation of COPD: The patient’s history of COPD and smoking puts him at risk for exacerbations, which can present with increased cough, sputum production, and chest discomfort.
Lung infection: Infections such as pneumonia or bronchitis can cause persistent cough, sputum production, and chest pain.
Lung cancer: The patient’s smoking history and the presence of hemoptysis raise concerns about the possibility of lung cancer.
Pulmonary embolism: This condition should be considered in patients with risk factors for deep vein thrombosis, as it can present with cough, chest pain, and hemoptysis.
Chronic bronchitis: Given the patient’s history of productive cough for more than 3 months per year over 2 consecutive years, chronic bronchitis is a possible diagnosis.
Other respiratory conditions: Asthma, bronchiectasis, or interstitial lung diseases should also be considered.
Radiological examinations and additional diagnostic studies to order:
Chest X-ray: To evaluate the lung parenchyma and assess for signs of infection, structural abnormalities, or lung cancer.
High-resolution computed tomography (HRCT) scan: If the chest X-ray is inconclusive or further evaluation is necessary, an HRCT scan can provide more detailed information about the lung architecture and detect subtle abnormalities.
Complete blood count (CBC): To assess for any signs of infection or anemia.
Sputum culture and sensitivity: To identify any potential pathogens causing the respiratory symptoms and guide appropriate antibiotic therapy if needed.
Arterial blood gas (ABG) analysis: To evaluate the patient’s oxygenation status and
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