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1. Case Study For Diagnostic Accuracy Of Lungs Essay Paper
Case Study For Diagnostic Accuracy Of Lungs Essay PaperThis paper seeks to examine the
case of a 58-year-old female who primarily complains of excessive exhaustion as well as
having trouble breathing normally. She is employed at the community procurement
department on a biweekly basis in the role of a sales associate. She also gives her time as a
volunteer at the community library, where she works only once a week. However, she is
taking a break from her duties due to exhaustion at the moment. Hypertension is a health
condition that runs in her family. Both of her parents were known to have a stroke while
they were in their later years. The patient acknowledges that she smoked in the past and
states that she has a 40-pack-a-year history, but she was able to kick the habit successfully.
In her past medical history, it is noted that she did not test positive for asthma or any other
respiratory disorders. However, she has a history of hypertension, type 2 diabetes, and
elevated cholesterol. She has been operated on in the past and has had procedures such as
appendectomy, cataract removal, and hysterectomy Case Study For Diagnostic Accuracy Of
Lungs Essay Paper.ORDER A PLAGIARISM-FREE PAPER HERECongestive heart failure,
chronic obstructive pulmonary disease (COPD), and pneumonia are the three illnesses that
should be taken into consideration in differential diagnosis for this patient. The patient's
symptoms of exhaustion and difficulty breathing point toward the diagnosis of congestive
heart failure as one of the probable possibilities. These two symptoms are the most
prominent signs of congestive heart failure (Polikandrioti et al., 2019). The patient also has
a history of type 2 diabetes, elevated lipids, and hypertension, all of which are risk factors
for congestive heart failure. When taking into account the patient's smoking history, COPD
is another diagnosis that may be considered. The fact that her cough and difficulty breathing
have healed in the past after receiving therapy, on the other hand, renders this condition
less probable. Given the patient's history of cough and difficulty breathing, pneumonia is the
third likely diagnosis. The presence of crackles in the patient's lungs during auscultation
may have been the result of excessive secretions in the airways, which is a symptom that is
often associated with pneumonia (Arts et al., 2020). As such, I would consider pneumonia
the final diagnosis.In ruling out congestive heart failure, it would be necessary to do a
thorough examination of the heart muscle, which would include determining the strength of
the pumping activity of the heart as well as the thickness of its walls. To rule out COPD, a
pulmonary function test would be crucial in measuring lung function and capacity (Rawat &
Sharma, 2021)Case Study For Diagnostic Accuracy Of Lungs Essay Paper.Laboratory tests,
such as those on blood and mucus, would be necessary to run as part of a further

2. examination in this case. Such testing will assist in identifying any potential infections and
pathogens that are underlying the patient's condition. An X-ray of the chest is also
necessary to determine the degree and indications of infection. In addition, pulse oximetry
has to be reevaluated in order to establish how the lungs facilitate the transport of oxygen
throughout the circulation.Considering the determination of pneumonia as the final
diagnosis, this patient’s treatment plan would involve prescribing an antibiotic like
amoxicillin and educating her to understand her current condition and possible solutions to
improve it. She should be advised to take rest and a lot of fluids to avoid
dehydration.Conclusively, a proper diagnosis may both enhance the efficiency of treatment
and help patients avoid developing any long-term complications as a result of their
conditions. When patients receive correct diagnoses, they have the highest chance of
favorable health outcomes. This is due to the fact that clinical decision-making will be
adapted to a proper comprehension of the health situation that the patient is
experiencing.ReferencesArts, L., Lim, E. H., Van de Ven, P. M., Heunks, L., & Tuinman, P. R.
(2020). The diagnostic accuracy of lung auscultation in adult patients with acute pulmonary
pathologies: A meta-analysis. Scientific Reports, 10(1). https://doi.org/10.1038/s41598-
020-64405-6Polikandrioti, M., Kalafatakis, F., Koutelekos, I., & Kokoularis, D. (2019). Fatigue
in heart failure outpatients: Levels, associated factors, and the impact on quality of life.
Archives of Medical Science – Atherosclerotic Diseases, 4(1), 103-
112. https://doi.org/10.5114/amsad.2019.85406Rawat, D., & Sharma, S. (2021). Case
study: 60-year-old female presenting with shortness of breath. In StatPearls [Internet].
StatPearls Publishing. https://www.ncbi.nlm.nih.gov/books/NBK499852/ Case Study For
Diagnostic Accuracy Of Lungs Essay PaperNSG 6420CASE STUDY 1Chief ComplaintA 58
year old female presents with fatigue and difficulty catching her breath. Although she has
frequently coughed for months, the fatigue and shortness of breath have increased over the
past 2 months. She has been treated twice in the past year for bronchitis, which included a
severe cough with yellow sputum, shortness of breath, and fever. Once treated, the
shortness of breath resolved until recently. She is a former smoker, describing a 40-pack-a
year history and finally quitting successfully on her 58th birthday.Past Medical
HistoryNegative for asthma and other respiratory conditionsType 2 diabetes, hypertension,
and increased lipidsSurgeries: hysterectomy at age 55; an appendectomy in her teens;
cataract removals earlier this yearCurrent MedsAtorvastatin 10 mg dailyHCTZ 25 mg
dailyMetformin 500 mg bidAtenolol 25 mg dailyFamily HistoryBoth parents,
hypertensionFather, stroke at age 75Mother, diabetes most of life, stroke at age 80, breast
cancerSister, hypertension, breast cancer Case Study For Diagnostic Accuracy Of Lungs
Essay PaperPsychosocial HistoryWorks 2 days a week as a sales associate in the local
department store and volunteers 1 day a week at the local library. Has recently taken a
leave from her volunteer role and has decreased from 8 hour to 4 hour work days at the
store because of the fatigue. Used to walk daily but has quit this lately, as she says, “It is all I
can do to make the bed some days”.ORDER YOUR PAPERPhysical ExaminationVital signs: T
98, BP 138/86, HR 92, RR 33, HT 64, WT 155 lbs.General: Appearance in no acute distress.
Alert and oriented. Well groomed. Articulate and seems to be a good historian. Fluid
movements.CV: S1/S2 without audible extra sounds or murmurs.Lungs: Initially some

3. crackles, which cleared with forceful cough. Decreased breath sounds, slight wheeze noted.
Slight increased AP ratio.MS: Full ROM, non-pitting edema ankles/feet bilaterally. Pulses 2+
bilaterally.QuestionsWhat three conditions would be considered in your differential
diagnosis, with most likely condition listed first (provide rationale)?What further history,
further reexamination, and diagnostic studies are warranted to evaluate your differential
diagnosis?What further evaluation or work up should be done for this patient?What is the
final diagnosis? Case Study For Diagnostic Accuracy Of Lungs Essay Paper