What diagnostic exams do you want to order

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Reference no: EM133484676

Chief Complaint

(CC) A 65-year-old male with chronic obstructive pulmonary disease (COPD) presents to the clinic with a cough he has had for the past 2 weeks.Subjectivedenies chest pain, denies night sweats, admits to having a fever but does not know the temp.VS(BP) 115/75, (P) 89, (RR) 16, (T) 100.4°F (38°C), O2 sat 98% on room air.GeneralPatient appears tired; skin color pale, the patient is diaphoretic and sweaty, height 5?3?; weight 175 lbsHEENTEYES: no injection, no increase in lacrimation or purulent drainage;
EARS: Normal

TM: Normal
NOSE: Bilateral erythema and edema of turbinates with significant yellow drainage on the right. Obstructed air passagesRespiratorylung crackles in LLL, no wheezes or rhonchi noted; do not clear with coughing; dullness to percussion over the LLL; shallow respirations and is 30, accessory muscles use not presentNeck/Throatno neck swelling or tenderness with palpation; neck is supple; no JVD; thyroid is not enlarged;
trachea midlineHeartRegular rate and rhythm, no murmur, S3, or S4

Question 1: What other subjective data would you obtain?

Question 2: What other objective findings would you look for?

Question 3: What diagnostic exams do you want to order? State your rationale for each supported by academic resources.

Question 4: Name 3 differential diagnoses based on this patient presenting symptoms.

Question 5: Give rationales for each differential diagnosis supported by academic resources.

Reference no: EM133484676

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