Case Analysis
Order Description
Read each case analysis and choose two to complete:
P. W., a 23 year-old recent immigrant, has come to the health care center complaining of night sweats, recent weight loss, and a decrease in energy level. Sputum is blood tinged.
S. B. has come for his first physical in several years. History includes the use of one or two packs of cigarettes a day for 20 years. Examination reveals increased anteroposterior diameter, decreased tactile fremitus, hyperresonance on percussion, and decreased breath sounds.
J. V., a 24-year-old man, is admitted to the emergency department after a motorcycle accident. He is having trouble in breathing and is very upset. The rescue personnel tell you that his breath sounds are absent on the right side, his chest expands unequally, and that there is tracheal shift toward the left. There is a large contusion on his right rib cage.
G. E., a 52-year-old social worker, has been treated for a deep vein thrombosis for two days. He calls the nurse to come to his room right away. When the nurse arrives, she sees that he is apprehensive, restless, diaphoretic, and extremely anxious. His PaO2 is 82% (previously had been 97% on room air), his heart rate is 116 beats per minute and his blood pressure is 100/56 mm Hg. He is complaining of a sharp chest pain that gets worse when he breathes in and has shortness of breath.
Choose two cases from the list above and complete the following:
5 review of systems (ROS) questions
5 physical assessment techniques that would be conducted in a focused physical exam
Each case is worth 10 points
Each case must include 5 ROS questions and 5 physical assessment techniques for full credit
