Auscultation

Case Study Assignment #1- Stroke Patient Assessment Introduction Stroke is the single leading cause of adult disability in Canada, also accounting for one third of all deaths (Ontario Stroke Network, 2017). Approximately 14,000 Canadians die from strokes annually, and around 430,000 Canadians live with the debilitating effects of stroke (Ontario Stroke Network, 2017). For the purpose of this assignment and to maintain patent confidentiality, the examined patient will be referred to as a…

Ron was seen today following the HRCT scan to assess for the significance of the crackles in the setting of his mild decrease in gas transfer factor. The HRCT showed multiple bilateral calcified pleural plaques consistent with his known past asbestos exposure, probably as a child, and some mild subpleural reticulation in the bi-basal regions noted, but no interstitial fibrotic change. The significance of these findings is uncertain and given that we have no past chest imaging that Ron can…

Offender seen today in chronic care followup of hypertension, chronic renal insufficiency, and hypothyroidism. Patient is currently in CIP. I reviewed her chart and noted that her renal function was normal in 12/2016. At the time, her blood pressure was good at 106/71. At her visit in 12/2016, it was felt that she was overly controlled and was having episodes of possible orthostatic hypotension with lightheadedness. She was on Norvasc, atenolol 50 mg once daily, hydrochlorothiazide, and…

1 Chronic cough 2 Current smoker - 15-20 pack-year history 3 Gastro-oesophageal reflux disease/hiatus hernia 4 Diverticular disease 5 Osteoporosis Thank you for referring Jillian Whiffen, a 72-year-old lady who has previously owned a news agency and worked for a family business. Jillian currently smokes six cigarettes per day and keeps no pets. Regular medications are Nexium, Ostelin, Cardia, Crestor, Prolia infections and she was using Pulmicort a couple of months ago. Around three…

W.’s breath sounds are heard with audible inspiratory and expiratory wheezing to auscultation with no air movement in the lower lobes of the lung. Breath sounds are can be normal or abnormal (adventitious). Breath sounds can indicate problems within the lungs, such as obstructions, inflammation, or infection (Kahn, 2012). Normal breath…

sounds bilaterally, with no wheezing, crackles, rales or rubs. No tenderness on palpation. Cardiovascular:
 On auscultation of sternal border: RRR with no murmur, clicks, rubs, splitting or abnormal sounds noted. (Placement of cardiac electrodes prevented visualization and palpation of the aortic, pulmonary, and mitral areas; PMI not identified). No carotid bruit detected on auscultation. Carotid, brachial and radial pulses symmetrical, regular and strong. Dorsalis pedis and posterior tibial…

as signs and symptoms of cardiogenic shock. Vital assessment tools in identifying and prioritising the nursing care for Frank consist of the ABCDE of primary survey in conjunction with physical examination (inspection, palpation, percussion, and auscultation). This case study will explore relevant nursing assessments such as primary survey, physical examination, and the pathophysiology of cardiogenic shock and how it relates to Frank’s presenting signs and symptoms. Primary survey which…

to light and accommodation. Sclerae are anicteric. Oral mucosa is moist without lesions. No JVD. No thyromegaly. Lymphatics: No cervical, supraclavicular, axillary, or inguinal adenopathy is appreciated. Respiratory: Lungs are clear to auscultation bilaterally. Heart: Regular rate and rhythm. Abdomen: Soft and nontender. Positive bowel sounds. Liver and spleen not palpable. Strength is 5/5 throughout. Neurological exam is…

P1 had clear lung sound in all lobes and normal heart sound on auscultation; regular apical, radial, and pedal pulses; capillary refill was less than 3 minutes, +1 pitting edema in his lower extremities, skin was warm to touch. The patient exhibited poor skin turgor due to limited fluid intake. The pt. had ecchymosis on his upper extremities due to multiple IV lines insertion and erythema on his sacral area due to limited ambulation. Due to pt.’s history of acute-on-chronic renal failure, his…

History of present illness: Mr. F. is a 55-year-old advertising executive who comes to the emergency room complaining of pain in his chest that began 1 hour ago. He describes the pain as pressure under the sternum that radiates into his left arm and up into his jaw. On a scale of 1 to 10, he rates it as a 7 in intensity. He feels short of breath. He has had similar symptoms during the last 2 weeks, but these episodes have lasted for 5 to 10 minutes at the most. He noticed that the symptoms are…