Module 4: Discussion
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Week 4 Case Study 1
African American Male – age 49Family history of hypertensionCurrent smoker 1ppd x 30 pack history
Assessment:
No complaints of headache or chest pain. No edema.
Labs:
Elevated total cholesterol with an LDL of 145CBC/metabolic panel – normalBMI = 35BP = 180/100
Include the following in your discussion post:
1)Your diagnosis (including classification from American Heart Association), 2) pathophysiology of diagnosis, 3) potential complications of diagnosis and 4) treatment options- including patient education
Week 4 Case Study 2
White female – age 35Family history unremarkableNonsmokerOccasional alcohol intake
Subjective data:
Patient reports: dizziness and nearly passing out when standing up; a recent weight loss of 30 lbs. in the past 6 weeks due to dieting; limiting fluid intake
Objective data:
CBC/metabolic panel- normal, BMI 36, Blood pressure sitting: 130/80; BP standing: 100/70
Include the following in your discussion post:
1)What is the diagnosis and its pathophysiology? 2) How is it diagnosed? 3) What are the contributing factors this patient has for this specific diagnosis? 4) Are there differential diagnoses you have and why? 5) What education would you provide?
Week 4 Case Study 3
60-year-old white female presents to the EDPMH: anterior wall infarction and coronary artery bypass surgery
HPI:
In the past week, she’s been experiencing fatigue and decreased urine output. She feels as if her heart is “beating out of my chest” and is having increased episodes of shortness of breath to the point she is sleeping on 4 pillows. Over the last two weeks she has noticed her ankles and feet are swollen making it difficult to wear her shoes.
Physical exam:
CV: S3 gallop, Resp: inspiratory crackles, Extremities: +3 edema of the lower extremities.
Labs/imaging:
B-type natriuretic peptide (BNP): 495pg/ml; CBC: Anemia of chronic disease (AKD); Metabolic panel: Acute or chronic kidney disease
Chest x-ray: Pulmonary venous congestion, Cardiomegaly, Pulmonary interstitial edema
EKG: Left ventricular hypertrophy
Include the following in your discussion post:
1)Diagnosis- specifying type, 2) pathophysiology of diagnosis, 3) what lab/physical findings were key to helping you make this diagnosis? 4) What treatment measures are important for easing the patient’s symptomatology- include any patient education required.
Post your initial discussion by 11:59 PM ET on Thursday. ALL posts are to be 1) a minimum of 250 words (excluding the references), 2) scholarly written, 3) APA formatted (with some exceptions due to limitations in the D2L editor), 4) run thru Turnitin with score < 24%, and 5) be supported by a minimum of 2 references (one of which may include the course textbook and the other must be a peer reviewed article no more than 5 years old ).
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