Week4 Human Case Study
, 1
Week4iHumanCaseStudy
1:PrimaryDiagnosiswithICD-10code,rationale,andresources.
Acute Asthma J45 – is a chronic inflammatory disorder of the airways characterized
by increased responsiveness of the tracheobronchial tree to various stimuli, which results in
narrowingandinflammationoftheairways.Thisbronchialinflammationcauseswheezing,chest
tightness, SOB, and cough. Asthma can vary from mild to life-threatening if untreated and is
triggered by allergens, infections, exposure to airway irritants such as tobacco smoke or pests,
abrupt change in weather, and exercise (Buttaro et al., 2021).
DifferentialDiagnosis:
• Pneumonia, viral J12.9 – is a disease wherein there is the viral causation of oxygen and
carbon dioxide gas exchange abnormalities at the alveoli level, secondary to viral-
mediatedand/orimmuneresponse-mediatedinflammation.Itismostcommoninthevery
youngandintheelderly,andinthoseexposedtoinfluenza. Symptomsmayvary,suchas gradual
onset as opposed to the sudden onset of symptoms, lack of purulent sputum, bilateral
positive lung findings, concomitant upper respiratory tract infection, and lower
temperature (Freeman & Leigh, 2022).
• Pneumonia, bacterial J15.9 – the lower respiratory tract is not sterile and always exposed
to environmental pathogens. The invasion of bacteria into the lung parenchyma at the
alveolar level causes bacterial pneumonia. The body's inflammatory response against it
causes the clinical syndrome of pneumonia. Signs and symptoms may vary from patient
topatient,dependingontheseverityoflungconsolidation,theextentoftheinfection,the typeof
organism, and the existence or nonexistence of pleural effusion. Clinical findings
mayincludeincreasedordecreasedtemperature,tachypnea,tachycardia,tactilefremitus,
, 1
Week4iHumanCaseStudy
1:PrimaryDiagnosiswithICD-10code,rationale,andresources.
Acute Asthma J45 – is a chronic inflammatory disorder of the airways characterized
by increased responsiveness of the tracheobronchial tree to various stimuli, which results in
narrowingandinflammationoftheairways.Thisbronchialinflammationcauseswheezing,chest
tightness, SOB, and cough. Asthma can vary from mild to life-threatening if untreated and is
triggered by allergens, infections, exposure to airway irritants such as tobacco smoke or pests,
abrupt change in weather, and exercise (Buttaro et al., 2021).
DifferentialDiagnosis:
• Pneumonia, viral J12.9 – is a disease wherein there is the viral causation of oxygen and
carbon dioxide gas exchange abnormalities at the alveoli level, secondary to viral-
mediatedand/orimmuneresponse-mediatedinflammation.Itismostcommoninthevery
youngandintheelderly,andinthoseexposedtoinfluenza. Symptomsmayvary,suchas gradual
onset as opposed to the sudden onset of symptoms, lack of purulent sputum, bilateral
positive lung findings, concomitant upper respiratory tract infection, and lower
temperature (Freeman & Leigh, 2022).
• Pneumonia, bacterial J15.9 – the lower respiratory tract is not sterile and always exposed
to environmental pathogens. The invasion of bacteria into the lung parenchyma at the
alveolar level causes bacterial pneumonia. The body's inflammatory response against it
causes the clinical syndrome of pneumonia. Signs and symptoms may vary from patient
topatient,dependingontheseverityoflungconsolidation,theextentoftheinfection,the typeof
organism, and the existence or nonexistence of pleural effusion. Clinical findings
mayincludeincreasedordecreasedtemperature,tachypnea,tachycardia,tactilefremitus,
