Week 2 Case Discussion Pulmonary - Part 1
Purpose
The purpose of this assignment is for students to:
1. Improve their ability to formulate diagnoses based on clinical presentation of patients
2. Improve their ability to understand and apply National Guidelines for the diagnosis and
treatment of Pulmonary disorders
Activity Learning Outcomes
Through this discussion, the student will demonstrate the ability to:
1. Utilize healthcare delivery system resources in a fiscally responsible manner in the
diagnosis and treatment of patients and families across the lifespan. (PO 5)
2. Develop management plans based on current scientific evidence and national guidelines.
(PO 5)
3. Educate patients on treatment decisions (WO1)
4. Select an evidence-based article to support the plan of care for the case study patient.
(WO2)
5. Analyze national guidelines and apply them to specific case study situations. (WO3)
6. Review appropriate antibiotic prescribing guidelines. (WO4)
Due Date:
First Post due by Tuesday 11:59PM MT of Week 2
Requirements:
Week 2: Case Discussion: Pulmonary Part One
Setting: A free medical clinic that provides health care for the under-insured.
Your next patient, Michelle G., age 40, is a regular of the clinic and the last patient of the day.
The chart states she is here for recent episodes of shortness of breath.
You enter the room and Michelle G is dressed in work clothes, standing up looking at a health
poster on the wall. You introduce yourself and ask her what brings her to the clinic today. "I think
I may have a cold. I've been having a hard time breathing on and off lately."
HPI: "I notice I'm short of breath mostly at work but by the time I get home feel fine. No
episodes of shortness of breath on the weekends that I can recall. But a few hours back at work
and I start to feel like I cannot catch my breath again. A few months ago this happened and it was
so bad I left work and went to urgent care where they gave me a breathing treatment of some
kind and sent me home on an antibiotic. I would like you to give me another antibiotic. She
denies sputum. No new allergy triggers noted. She denies heartburn.
PMHx: Michelle G. reports her overall health as good.
Childhood/previous illnesses: eczema as a child
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, Chronic illnesses: Has seasonal allergies, spring is her worst season. Was seen by an allergy
specialist ten years ago, Took allergy shots for five years with great results, now only takes
Zyrtec when needed.
Surgeries: Cholecystectomy
Hospitalizations: childbirth x 3.
Immunizations: up-to-date on all vaccinations.
Allergies: Strawberries-Rash; erythromycin- severe GI upset.
Blood transfusions: none
Drinks alcohol socially, smoked 1 pack per week for 3 years in her 20's. Denies illicit drug use.
Sleeps 6 to 7 hours a night. Exercises four to five days per week.
Current medications: Multivitamin, Zyrtec
Social History: Married, lives with husband and 3 children. Worked in advertising up until 18
months ago when she got laid off. In order to help with the household finances, she took a job as
a Baker's assistant at an Artisan Bread Bakery. She arrives at 4 a.m. every morning to begin
baking breads/pastries for the day.
Family History: Children are healthy- daughter currently has a sinus infection. Parents are
deceased. Mother at age 80 from congestive heart failure. Father died at age 82 from lung cancer,
diagnosed when metastasized to brain. PGM: died from unknown causes, PGF: Stroke at age 82.
MGM: died at 83, had HTN, atherosclerosis and many heart attacks. PGF: died at 71 from
complications of COPD.
PE: Height 5'10", Weight 140 pounds
Vital signs : BP 130/70, T 98.0, P 75, R 18 Sao2 98% on RA
General: 40-year-old Caucasian female appears stated age in no apparent distress. Alert, oriented,
and cooperative. Able to speak in full sentences and does not appear breathless. Skin: Skin warm,
dry, and intact. Skin color is pale pink, no cyanosis or pallor.
HEENT: Head normo-cephalic. Hair thick and distribution even throughout scalp.
Eyes: Sclera clear. Conjunctiva: white, PERRLA, EOMs intact.
Ears: Tympanic membranes gray and intact with light reflex noted. Pinna and tragus non-tender
Nose: Nares patent with thin white exudate noted. Mucosa appears boggy and pale. Deviated
septum noted. Sinuses non-tender to palpation.
Throat: Oropharynx pink, moist, no lesions or exudate. Tonsils 1+ bilaterally. Teeth in good
repair, no cavities noted. Tongue smooth, pink, no lesions, protrudes in midline. Neck supple. No
cervical lymphadenopathy or tenderness noted. Thyroid midline, small and firm without palpable
masses.
This study source was downloaded by 100000861168648 from CourseHero.com on 03-13-2023 14:29:53 GMT -05:00
https://www.coursehero.com/file/65487133/Week-2-Case-Discussion-Pulmonary-INSTRUCTIONSdocx/
Purpose
The purpose of this assignment is for students to:
1. Improve their ability to formulate diagnoses based on clinical presentation of patients
2. Improve their ability to understand and apply National Guidelines for the diagnosis and
treatment of Pulmonary disorders
Activity Learning Outcomes
Through this discussion, the student will demonstrate the ability to:
1. Utilize healthcare delivery system resources in a fiscally responsible manner in the
diagnosis and treatment of patients and families across the lifespan. (PO 5)
2. Develop management plans based on current scientific evidence and national guidelines.
(PO 5)
3. Educate patients on treatment decisions (WO1)
4. Select an evidence-based article to support the plan of care for the case study patient.
(WO2)
5. Analyze national guidelines and apply them to specific case study situations. (WO3)
6. Review appropriate antibiotic prescribing guidelines. (WO4)
Due Date:
First Post due by Tuesday 11:59PM MT of Week 2
Requirements:
Week 2: Case Discussion: Pulmonary Part One
Setting: A free medical clinic that provides health care for the under-insured.
Your next patient, Michelle G., age 40, is a regular of the clinic and the last patient of the day.
The chart states she is here for recent episodes of shortness of breath.
You enter the room and Michelle G is dressed in work clothes, standing up looking at a health
poster on the wall. You introduce yourself and ask her what brings her to the clinic today. "I think
I may have a cold. I've been having a hard time breathing on and off lately."
HPI: "I notice I'm short of breath mostly at work but by the time I get home feel fine. No
episodes of shortness of breath on the weekends that I can recall. But a few hours back at work
and I start to feel like I cannot catch my breath again. A few months ago this happened and it was
so bad I left work and went to urgent care where they gave me a breathing treatment of some
kind and sent me home on an antibiotic. I would like you to give me another antibiotic. She
denies sputum. No new allergy triggers noted. She denies heartburn.
PMHx: Michelle G. reports her overall health as good.
Childhood/previous illnesses: eczema as a child
This study source was downloaded by 100000861168648 from CourseHero.com on 03-13-2023 14:29:53 GMT -05:00
https://www.coursehero.com/file/65487133/Week-2-Case-Discussion-Pulmonary-INSTRUCTIONSdocx/
, Chronic illnesses: Has seasonal allergies, spring is her worst season. Was seen by an allergy
specialist ten years ago, Took allergy shots for five years with great results, now only takes
Zyrtec when needed.
Surgeries: Cholecystectomy
Hospitalizations: childbirth x 3.
Immunizations: up-to-date on all vaccinations.
Allergies: Strawberries-Rash; erythromycin- severe GI upset.
Blood transfusions: none
Drinks alcohol socially, smoked 1 pack per week for 3 years in her 20's. Denies illicit drug use.
Sleeps 6 to 7 hours a night. Exercises four to five days per week.
Current medications: Multivitamin, Zyrtec
Social History: Married, lives with husband and 3 children. Worked in advertising up until 18
months ago when she got laid off. In order to help with the household finances, she took a job as
a Baker's assistant at an Artisan Bread Bakery. She arrives at 4 a.m. every morning to begin
baking breads/pastries for the day.
Family History: Children are healthy- daughter currently has a sinus infection. Parents are
deceased. Mother at age 80 from congestive heart failure. Father died at age 82 from lung cancer,
diagnosed when metastasized to brain. PGM: died from unknown causes, PGF: Stroke at age 82.
MGM: died at 83, had HTN, atherosclerosis and many heart attacks. PGF: died at 71 from
complications of COPD.
PE: Height 5'10", Weight 140 pounds
Vital signs : BP 130/70, T 98.0, P 75, R 18 Sao2 98% on RA
General: 40-year-old Caucasian female appears stated age in no apparent distress. Alert, oriented,
and cooperative. Able to speak in full sentences and does not appear breathless. Skin: Skin warm,
dry, and intact. Skin color is pale pink, no cyanosis or pallor.
HEENT: Head normo-cephalic. Hair thick and distribution even throughout scalp.
Eyes: Sclera clear. Conjunctiva: white, PERRLA, EOMs intact.
Ears: Tympanic membranes gray and intact with light reflex noted. Pinna and tragus non-tender
Nose: Nares patent with thin white exudate noted. Mucosa appears boggy and pale. Deviated
septum noted. Sinuses non-tender to palpation.
Throat: Oropharynx pink, moist, no lesions or exudate. Tonsils 1+ bilaterally. Teeth in good
repair, no cavities noted. Tongue smooth, pink, no lesions, protrudes in midline. Neck supple. No
cervical lymphadenopathy or tenderness noted. Thyroid midline, small and firm without palpable
masses.
This study source was downloaded by 100000861168648 from CourseHero.com on 03-13-2023 14:29:53 GMT -05:00
https://www.coursehero.com/file/65487133/Week-2-Case-Discussion-Pulmonary-INSTRUCTIONSdocx/
