Imaging studies should be considered confirm the diagnosis

Assignment Help Other Subject

Reference no: EM133828056

Review the case study and answer all questions with a scholarly response using APA and include 2 scholarly references within 5 years. Answer the case studies on the same document.

Case study

Bertha, a 58 - year - old Hispanic female, presents to the primary care clinic to establish care. She states that in 1985 she received a blood transfusion after sustained an MVA. She had tested positive for hepatitis C virus ( HCV ) in the past, but ignored any advice regarding treatment options. She brings a previous lab result with her today that shows :(ALT) level of 85 IU/mL (range 8 - 35 IU/mL). The lab form also states, " HCV antibody is positive by enzyme immunoassay - confirmation is suggested. The patient also arrived with diagnosis with exacerbation of A-Fib (pulse 110 beats per mint. and COPD exacerbation as well (O2 sat: 87%)

Past medical h story: Hypertension, dyslipidemia, hepatitis C.
Family history: Unremarkable
Social history: She works as a case manager of an HMO and is married with 2 children. Denies use of illegal drugs, denies alcohol abuse, and has no tattoos.
Medications: HCTZ, 12,5 mg daily; Atorvastatin 20 mg daily, Metoprolol Succinate 25 mg and Pro-Air HFA 90mcg one puff q 4- 6 hrs as needed x pain. Get your assignment done Now!
Allergies: No known drug or food allergies.
OBJECTIVE General a ppearance: 58 - year - old female; pleasant, in no acute distress; good eye contact. Vital signs: T: 96.8; P: 110; RR: 23; SaO 2 : 87; BP: 150/100. Her weight is 214 lb, and her height is 6.3 inches.
HEENT : Negative. Neck: Thyroid nonpalpable. No lymphadenopathy.
Cardiovascular: A-fib rhythm. irregular and rapid heartbeat.
Respiratory: Crackles and Wheezing.
Abdomen: Mild tenderness in right upper quadrant. BS x 4 no bruits. Nondistended, soft. No organomegaly. No ascites.
Neurological: A & O × 4, CN II - XII grossly intact.
Depression scale: negative. Musculoskeletal: Full ROM. No deformities. Muscle strength is 5/5.

CRITICAL THINKING

Which diagnostic or imaging studies should be considered confirm the
diagnosis?
What is the most likely differential diagnosis?
What is your plan of treatment?
Are there any emergency referrals needed?
What is first line treatment for AFib in patients with the mentioned comorbidities?
What is the first line of treatment for COPD exacerbation?

Reference no: EM133828056

Questions Cloud

How does this leader handle conflict : Discussing Jeff Bezos the founder of amazon. How does this leader handle conflict? How do they work and communicate with others?

What does the address indicate : What does the address indicate? List 3 possible causes for the address given, briefly explain them and suggest solutions.

How is communication handled at Runway : (Communication) How is communication handled at Runway? Is this ideal or are there problems?

Basic skills in literacy : Robert will be able to get a job at the Caterpillar Manufacturing plant because he has basic skills in literacy

Imaging studies should be considered confirm the diagnosis : Which diagnostic or imaging studies should be considered confirm the diagnosis? What is the most likely differential diagnosis? What is your plan of treatment?

Describe your current or former work organization : Describe your current or former work organization. Does the organization operate under 1 of the project management structures?

What physiological changes might explain this : How could an infection, such as a urinary tract infection (UTI) lead to confusion in an older adult? What physiological changes might explain this

Appraise a clinical practice guideline : Appraise a clinical practice guideline - The purpose of this assignment is to acquaint you with a clinical practice guideline as well as the appraisal

Compare the business strategy of the company : Compare the business strategy of the company with one of its competitors. Select any one competitor of company and do a comparison of their business strategies.

User Account

All Pages