{"id":10986,"date":"2024-02-09T05:40:26","date_gmt":"2024-02-09T05:40:26","guid":{"rendered":"https:\/\/www.writemyessays.app\/blog\/questions\/list-and-define-each-of-the-underlined-words-in-the-scenario-tell-what-the-abbreviations-stand-for-and-then-describe-what-they-mean-explain-to-the-patient-in-normal-terms-what-the-doctor-understood\/"},"modified":"2024-02-09T05:40:26","modified_gmt":"2024-02-09T05:40:26","slug":"list-and-define-each-of-the-underlined-words-in-the-scenario-tell-what-the-abbreviations-stand-for-and-then-describe-what-they-mean-explain-to-the-patient-in-normal-terms-what-the-doctor-understood","status":"publish","type":"questions","link":"https:\/\/www.writemyessays.app\/blog\/questions\/list-and-define-each-of-the-underlined-words-in-the-scenario-tell-what-the-abbreviations-stand-for-and-then-describe-what-they-mean-explain-to-the-patient-in-normal-terms-what-the-doctor-understood\/","title":{"rendered":"List and define each of the underlined words in the scenario. Tell what the abbreviations stand for and then describe what they mean. explain to the patient in normal terms what the doctor understood the problem to be"},"content":{"rendered":"<p>S:            <u>CC<\/u>: 68 y\/o male presents complaining of <u>SOB<\/u>.<\/p>\n<div><\/div>\n<div>&nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; <u>HPI<\/u>:  Pt states that he has suffered consistent dyspnea x4 days.  States that the issue is worse with exertion and alleviated by leaning forward with arms across his chest.  He has noted associated faintness and one episode of syncope yesterday.  Syncope was witnessed, pt recovered immediately, no head trauma.<\/div>\n<div><\/div>\n<div>&nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; <u>PMHx: HTN<\/u> x12 yrs, CHF x5 yrs, hypercholesterolemia x 7 yrs, <u>MI<\/u> 2017, <u>NIDDM<\/u> 2018<\/div>\n<div><\/div>\n<div>&nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; <u>PSHx<\/u>: <u>CABG<\/u> (x4) 2017<\/div>\n<div><\/div>\n<div>&nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; <u>FHx<\/u>: Lung <u>CA<\/u>, mother 1996<\/div>\n<div><\/div>\n<div>&nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; Meds: Metoprolol (200mg\/day), Atorvastatin (40mg\/day), Metformin (1000mg\/day)<\/div>\n<div><\/div>\n<div>&nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; Social: Lives at home alone; Smoker (90 pack-years); ETOH 2-3 liquor drinks daily.<\/div>\n<div><\/div>\n<div>O:           <u>VS<\/u>:         <u>BP<\/u>: 138\/91          <u>T:<\/u> 36.8   <u>HR<\/u>: 96   <u>RR<\/u>: 28<\/div>\n<div><\/div>\n<div>&nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; <u>PE<\/u>: General: <u>Pt<\/u> is barrel chested and in distress, lips are pursed and he is supporting himself leaning over on the exam table.<\/div>\n<div><\/div>\n<div>Chest: hyperresonance on percussion, prolonged expiration, audible expiratory wheezes, no crackles in the base.<\/div>\n<div><\/div>\n<div><u>HEENT<\/u>: notable <u>JVPs<\/u><\/div>\n<div><\/div>\n<div>Heart: muffled heart sounds<\/div>\n<div><\/div>\n<div><u>ROS<\/u> normal unless otherwise noted<\/div>\n<div><\/div>\n<div>&nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; Radiology: Chest X-ray and <u>CT<\/u> show hyper-expansion of the lungs consistent with <u>COPD<\/u><\/div>\n<div><\/div>\n<div>&nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; Spirometry: Decreased <u>FEV<\/u> consistent with emphysema<\/div>\n<div><\/div>\n<div>A:            1. Emphysema<\/div>\n<div><\/div>\n<div>&nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; 2. Smoker, 2<u>ppd<\/u><\/div>\n<div><\/div>\n<div>&nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; 3. CHF<\/div>\n<div><\/div>\n<div>&nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; 4. HTN<\/div>\n<div><\/div>\n<div>P:            <u>Tx<\/u> plan as follows: Albuterol 10mg\/hr continuous nebulizer used to treat acute symptoms. Rx for albuterol 5mg nebulized TID PRN, NTE 10mg\/day and at-home supplemental oxygen 1-2L\/min via nasal cannula given.  Smoking cessation information given to patient with education on the importance of quitting smoking with emphysema.  Pt to f\/u with pulmonology next week for long-term care plan.<\/div>\n","protected":false},"excerpt":{"rendered":"<p>S: CC: 68 y\/o male presents complaining of SOB. &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; HPI: Pt states that he has suffered consistent dyspnea x4 days. States that the issue is worse with exertion and alleviated by leaning forward with arms across his chest. He has noted associated faintness and one episode of [&hellip;]<\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"open","ping_status":"closed","template":"","meta":[],"disciplines":[40],"paper_types":[],"tagged":[],"aioseo_notices":[],"_links":{"self":[{"href":"https:\/\/www.writemyessays.app\/blog\/wp-json\/wp\/v2\/questions\/10986"}],"collection":[{"href":"https:\/\/www.writemyessays.app\/blog\/wp-json\/wp\/v2\/questions"}],"about":[{"href":"https:\/\/www.writemyessays.app\/blog\/wp-json\/wp\/v2\/types\/questions"}],"author":[{"embeddable":true,"href":"https:\/\/www.writemyessays.app\/blog\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/www.writemyessays.app\/blog\/wp-json\/wp\/v2\/comments?post=10986"}],"version-history":[{"count":0,"href":"https:\/\/www.writemyessays.app\/blog\/wp-json\/wp\/v2\/questions\/10986\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.writemyessays.app\/blog\/wp-json\/wp\/v2\/media?parent=10986"}],"wp:term":[{"taxonomy":"disciplines","embeddable":true,"href":"https:\/\/www.writemyessays.app\/blog\/wp-json\/wp\/v2\/disciplines?post=10986"},{"taxonomy":"paper_types","embeddable":true,"href":"https:\/\/www.writemyessays.app\/blog\/wp-json\/wp\/v2\/paper_types?post=10986"},{"taxonomy":"tagged","embeddable":true,"href":"https:\/\/www.writemyessays.app\/blog\/wp-json\/wp\/v2\/tagged?post=10986"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}