Primary care clinic with chest congestion and cough

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Reference no: EM133841046

Question

1. Patient 1 is a 59-year-old who presents to the primary care clinic with chest congestion and cough for two weeks. The patient also complains of heart palpitations on and off for one week, describing them as "suddenly being aware of the heartbeat". The patient has a history of hypertension, but otherwise unremarkable medical history.

Medications include Lisinopril 10 mg daily for hypertension, and the patient has been taking an over-the-counter "cold medicine" for a little over a week. Upon further inquiry, you discover the over-the-counter medication contains a decongestant. Vital signs: BP 148/92; HR 83; RR 22; sPO2 95%; Temp 98.1.

What are the two most relevant regional assessments that need to be performed? And how?

2. Patient 2 is an 83-year-old admitted to a skilled nursing facility. The patient complains of dull stomach pain, which comes and goes, for about a month. The pain is worse when the patient hasn't eaten for a while and it improves upon eating.

The patient's history includes peripheral artery disease and takes aspirin daily "to help with my arteries." The patient denies lower extremity edema but states there is decreased sensation to the feet. Vital signs: BP 116/84; HR 66; RR 16; sPO2 97%; Temp 97.5.

What are the two most relevant regional assessments that need to be performed? And how?

3. Patient 3 is a 36-year-old who presents to the urgent care center after a bicycle accident. The patient is awake, alert, and oriented and complains of a mild headache. The patient was wearing a helmet which was dented in the accident. The patient has minor abrasions to the left arm which were cleaned and bandaged upon arrival to the facility. The patient also complains of 5/10 throbbing wrist pain.

The medical history is unremarkable except for a history of concussion two years ago. Vital signs: BP 128/76; HR 90; RR 20; sPO2 99%; Temp 98.5.

What are the two most relevant regional assessments that need to be performed? And how?

Reference no: EM133841046

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