Communal

Respiratory System


0

{"ops":[{"insert":{"image":"\/storage\/case-images\/cs\/M7_F1.jpg"}},{"insert":"\n\n"},{"insert":"\u0022These new sudoku puzzles are going to be the death of me!\u0022, you think, while attempting to figure out just one more number in the few seconds you have between patients.\n\nJust as you are about to fill up a whole block, the next patient of the day walks in ....\n"}]}

1

{"ops":[{"insert":{"image":"\/storage\/case-images\/cs\/M7_F2.jpg"}},{"insert":"\n\n"},{"insert":"Mr. Miller is well known to you, having been the manager of your local bank for many years, before retiring not too long ago.\n\nHe is 62 years old, and has been part of your primary care practice for 10 years now. His last appointment was approximately 5 months ago.\n\nMr. Miller complains of experiencing a cough productive of yellowish sputum for the past 3 days, in association with an intermittent fever with chills.\n\nThere is no history of dyspnea, wheezing, chest pain, or hemoptysis. He has not traveled abroad recently, there is no history of contact with tuberculosis, and he has never smoked.\n\nYou recall that Mr. Miller\u0027s only comorbidity is mild essential hypertension, which has always been well controlled on diet alone.\n\nHis temperature is 38.0 \u00baC (100.4 \u00baF), with a pulse of 78 bpm, blood pressure of 130\/80 mmHg and respiratory rate of 24 breaths per minute.\n\nExamination of the respiratory system reveals coarse crackles in the left lower zone. No other abnormal signs are present.\n"}]}

2

{"ops":[{"insert":{"image":"\/storage\/case-images\/cs\/M7_F3.jpg"}},{"insert":"\n\n"},{"insert":"You decide to order a complete blood count (CBC), posteroanterior chest radiograph, and a blood urea nitrogen (BUN) level.\n\nThe CBC is only significant for a leucocyte count of 23,000\/mm3 with 80% neutrophils. All other indices are within normal parameters.\n\nThe X-Ray appears completely normal, even after you closely inspect it for potential complications.\n\nBlood urea nitrogen levels are reported to be 14 mg\/dL.\n"}]}

3

{"ops":[{"insert":"Now that the clinical assessment and investigations are over with, you need to decide on Mr. Miller\u0027s management.\n\nShould he be managed as an inpatient or an outpatient, you ponder ....\n"}]}

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