essay on pneumonia ( prompt below)
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NUR1211L-2215-3476: Case study External Inbox ×
<[email protected]> 12:09 PM (1 hour ago)
to Mrs Denacy S Walker - [email protected]
Hi Jessica,
I have attached the case study for your QEP paper.
Professor Walker
Pneumonia.docx
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Pneumonia
HISTORY: Mr. Alcott is a 68-year-old man who developed a harsh, productive cough four days
prior to being seen by a physician. The sputum is thick and yellow with streaks of blood. He also
developed a fever, shaking, chills and malaise. One day ago, he developed pain in his right chest
that intensifies with inspiration. He lost 15 lbs. over the past few months but claims he did not
lose his appetite. "I just thought I had the flu and a smoker's cough for "10 or 15 years." He
describes the cough as mild, non-productive, and occurring most often in the early morning. Mr.
Alcott smoked 2 packs of cigarettes per day for the past 50 years. He is a retired truck driver with
a history of mild hypertension, bronchitis, appendicitis (as a young adult), hemorrhoids and a
fractured femur and splenic injury (motorcycle accident).
PHYSICAL EXAMINATION: The patient appears tired, weak, and underweight. His
complexion is pale, and he coughs continuously. Vital signs are152/90, apical heart rate
112/minute and regular, respiratory rate 24/minute and labored, temperature 102.6 F. A large,
non-tender, hard, lymph node in the right supraclavicular area. Auscultation of both lungs reveals
bilateral diminished breath sounds, rhonchi and inspiratory crackles in the right mid-anterior and
right mid-lateral lung fields.
LABORATORY: WBC 17,000/mm3
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