Discuss the Mr. Barley’s history that would be pertinent to his respiratory problem.

Apply information from the Aquifer Case Study to answer the following discussion questions:

  • Discuss the Mr. Barley’s history that would be pertinent to his respiratory problem. Include chief complaint, HPI, Social, Family and Past medical history that would be important to know.
  • Describe the physical exam and diagnostic tools to be used for Mr. Barley. Are there any additional you would have liked to be included that were not? 
  • What plan of care will Mr. Barley be given at this visit, include drug therapy and treatments; what is the patient education and follow-up?

Do 2 pages.

7/20/19, 11)31 PMFamily Medicine 28: 58-year-old man with shortness of breath – Sout…ollege of Nursing and Public Health Graduate Online Nursing Program

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South University College of Nursing and Public Health Graduate Online

Nursing Program

Aquifer Family Medicine

Family Medicine 28: 58- year-old man with shortness of breath

Author:Author: Alexander Chessman, MD

INTRODUCTION CLINICAL REASONINGhttps://southu-nur.meduapp.com/https://southu-nur.meduapp.com/document_sets/2164

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Dr. Wilson discusses the next patient with you.Dr. Wilson discusses the next patient with you.

!

While working with your family medicine preceptor you are scheduled to see Mr. John Barley, a 58-year-old man who has sought medical attention only rarely in the past 10 years. He comes to the office today because of progressively worsening cough and shortness of breath during the previous month.

Before you and your preceptor Dr. Wilson enter the room to meet Mr. Barley, you think about the definition of dyspnea:

Dyspnea DeHnition Dyspnea is defined as an uncomfortable awareness of breathing.

Any problem in the mechanical system of breathing can trigger dyspnea, including (but not limited to):

TEACHING POINTTEACHING POINT

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blockage in the nose fluid in the alveoli irritation of the diaphragm

Question Dr. Wilson asks you, “What are some of the conditions that lead to dyspnea?”

The suggested answer is shown below.

Pneumonia, CHF, Flu, COPD, Asthma.

Letter Count: 34/1000

SUBMITSUBMIT

Answer Comment

Causes of Dyspnea It often helps to organize your list of differential diagnoses by system, so that you make sure that it is complete. Also, an organized list can make it easier to rule in or out the diagnostic possibilities.

TEACHING POINTTEACHING POINT

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One way to organize the causes of dyspnea in adults is by categories: cardiac, hematologic, pulmonary, or psychogenic:

Cardiac:Cardiac:

Congestive heart failure (CHF), coronary artery disease (CAD), dysrhythmia, pericarditis, acute myocardial infarction

Hematologic:Hematologic:

Anemia

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