1) A 55-year-old homeless man presented with shortness of breath and cough. He has a history of COPD, hypertension, diabetes, seizures and substance abuse.
2) On examination, he had wheezes in both lungs. Labs showed mild leukocytosis. Chest x-ray revealed right lower lobe infiltrate.
3) He was diagnosed with COPD exacerbation and started on antibiotics, steroids, and bronchodilators. His other conditions including hypertension, diabetes, seizures, and dyslipidemia were also addressed.
a case study on COPD with hypertension martinshaji
Chronic obstructive pulmonary disease (COPD) is a chronic inflammatory lung disease that causes obstructed airflow from the lungs. Symptoms include breathing difficulty, cough, mucus (sputum) production and wheezing
Hypertension (HTN or HT), also known as high blood pressure (HBP), is a long-term medical condition in which the blood pressure in the arteries is persistently elevated. High blood pressure typically does not cause symptoms.
please comment
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a case study on COPD with hypertension martinshaji
Chronic obstructive pulmonary disease (COPD) is a chronic inflammatory lung disease that causes obstructed airflow from the lungs. Symptoms include breathing difficulty, cough, mucus (sputum) production and wheezing
Hypertension (HTN or HT), also known as high blood pressure (HBP), is a long-term medical condition in which the blood pressure in the arteries is persistently elevated. High blood pressure typically does not cause symptoms.
please comment
thank u....
COPD exacerbation case presentation and disease overview farah al souheil
management of a simulated case scenario: patient presenting with COPD exacerbation: what's the best next step? summary of the guideline is then described
A case study on anemia with congestive heart failuremartinshaji
a case dealing with a patient having anemia with congestive heart failure, this gives a clear idea about management, diagnosis, treatment , patient counselling, pharmacist interventions etc
please comment
thank u
Homeopathy effectively treats Asthma and also helps the patient to overcome his dependence on bronchodilators and steroid medications. Get treated for your Asthma! Say yes to freedom from inhalers, say yes to Homeopathy – Choose Speciality Clinic.
We have treated 10,000+ cases of Asthma successfully.
Our team has combined clinical experience of more than 100 years.
Control intensity, duration, and recurrence of the Asthmatic attacks by our unique treatment approach naturally.
Increase your immunity – Choose Homeopathy
Visit http://www.specialityclinic.com/ for online homeopathic treatment
COPD exacerbation case presentation and disease overview farah al souheil
management of a simulated case scenario: patient presenting with COPD exacerbation: what's the best next step? summary of the guideline is then described
A case study on anemia with congestive heart failuremartinshaji
a case dealing with a patient having anemia with congestive heart failure, this gives a clear idea about management, diagnosis, treatment , patient counselling, pharmacist interventions etc
please comment
thank u
Homeopathy effectively treats Asthma and also helps the patient to overcome his dependence on bronchodilators and steroid medications. Get treated for your Asthma! Say yes to freedom from inhalers, say yes to Homeopathy – Choose Speciality Clinic.
We have treated 10,000+ cases of Asthma successfully.
Our team has combined clinical experience of more than 100 years.
Control intensity, duration, and recurrence of the Asthmatic attacks by our unique treatment approach naturally.
Increase your immunity – Choose Homeopathy
Visit http://www.specialityclinic.com/ for online homeopathic treatment
CASE STUDY ON COPD, RESPIRATORY FAILURE, and COR-PULMONALE- by Rxvichu!!RxVichuZ
This is my 27th powerpoint............its on CASE STUDY ON COPD.........
This powerpoint contains precise details on COPD...and its management....along with newer drugs introduction....
At the same time, I have also include SOAP ANALYSIS on a patient that was suffering with COPD, that I encountered in my ward rounds ............So , through this powerpoint, members can get a precise idea on the disease, and also get an idea on how to deal with cases related to COPD...............
Do go through this...and submit ur reviews!
Thank you,
Vishnu.
Post viral pericarditis - Dr Vivek Baliga presentationDr Vivek Baliga
Dr Vivek Baliga Academic Summaries - http://drvivekbaliga.net
Patient articles - http://heartsense.in/author/dr-vivek-baliga-b/
In this presentation, you will learn about post viral pericarditis in brief.
GEMC: Case Presentation- Pericarditis: Resident TrainingOpen.Michigan
This is a lecture by Kwaku Nyame from the Ghana Emergency Medicine Collaborative. To download the editable version (in PPT), to access additional learning modules, or to learn more about the project, see http://openmi.ch/em-gemc. Unless otherwise noted, this material is made available under the terms of the Creative Commons Attribution Share Alike-3.0 License: http://creativecommons.org/licenses/by-sa/3.0/.
Dr Neerav Goyal discusses the various aspects of acute liver failure that includes the criteria, pre transplant issues, critical care management, overall survival.
2. HPI
• A.G. is a 55y/o Hispanic male, who was
transferred from Harbor-UCLA, on 10-20-09
c/o SOB and cough, and subjective fevers x
2d. Pt denies chest pain, n/v, and chills. Pt
was hospitalized 7d earlier 10-13-09 to 10-
17-09 for r/o ACS. As per UCLA ER report,
cxr revealed RLL infiltrate. Pt received
Albuterol, Atrovent, Prednisone, and
Azithromycin and showed improvement in
O2Sat 84%RA 97% and was transferred to
RLA for further management.
3. PMHx
• DM II x 2yr
• HTN
• Dyslipidemia
• CVA x 2 (last 2006)
• COPD
• HCV
• Seizure d/o (last 2 wks ago)
• CHD s/p MI
• MVA - auto vs pt (2000)
4. PSHx
• Fracture with internal fixation L tibia and
arm (2000)
• Brain injury (2000)
• Questionable stent placement or
angioplasty
5. Medications
• Metformin 500mg PO BID
• Lisinopril 5mg PO BID
• Aspirin 81mg daily
• Pravachol 40mg q.h.s.
• Metoprolol 12.5mg PO daily
• Advair 250/50 one puff BID
• Tamiflu 75mg PO BID for 1 day
• Albuterol HFA 2 puffs q 4-6h PRN
8. SocHx
• Tobacco 2-3ppd x 30yr (60-90 pack
years)
• EtOH 2-4 beers x 3-4d/wk
• Heroin and cocaine x 30yr - none in the
last 5 yr
• Homeless - lives in shelters
9. ROS
• General: Pt states he feels fatigued and has
fevers
• Skin: Pt denies new rashes, sores, itching,
dryness
• HEENT: Pt states that he has pain around his
R eye but denies recent injury, dizziness,
vision changes. Pt denies hearing changes,
tinnitus. Pt denies congestion, dry mouth,
hoarseness
10. ROS
• Neck: Pt denies swollen glands, lumps, pain
or stiffness
• Resp: Pt states that he has SOB and his
cough is dry. Pt denies hemoptysis and
sputum
• Cardiac: Pt denies chest pain, palpitations,
edema
• GI: Pt denies trouble swallowing, heartburn,
change in appetite, nausea, abnormal bowel
habits, abdominal pain, jaundice
11. ROS
• Urinary: Pt denies frequency, polyuria,
nocturia, urgency, hematuria
• Genital: Pt denies hernias, discharge,
testicular pain or masses. Pt prefers women
but is not sexually active at this time
• Extremities: Pt denies leg cramps, varicose
veins, pain with walking
• Musculoskeletal: Pt states he is limited in
motion during inspiration. Pt denies muscle or
joint pain, stiffness, injuries
12. ROS
• Psychiatric: Pt denies changes in mood,
depression, nervousness, suicidal
thoughts
• Neurologic: Pt states that he has
seizure d/o. Pt denies changes in
memory, orientation, dizziness
13. PE
• VS: T 97-97.5, P 80-85, R 17-20, O2Sat 95-
100%, SBP 95-129, DBP 58-73
• Gen: 55 y/o overweight Hispanic male
appears older than state age, in NAD, sitting
upright at side of bed
• HEENT: Head NCAT, scalp without lesions;
visual acuity 20/20 in both eyes, PERRLA,
EOMI, Sclera white; canals clear, TM intact,
acuity good to whispered voice; mucosa pink,
septum slightly deviated; poor dentition
noted, no tonsillar erythema or exudate
14. PE
• Neck: supple, no cervical lymph nodes palpated, no
thyromegaly, no JVD
• Chest: gynecomastia bilaterally
• Respiratory: Thorax symmetric with poor excursion,
Expiratory wheezes present in R and L upper and
middle lobes
• CV: RRR without murmur, radial, dorsalis pedis
pulses appreciated bilaterally
• ABD: scar noted RUQ, Active BS in four quadrants,
soft NT to palpitation, No HSM
• MS: No joint deformities, symmetrical appearance of
upper and lower extremities
15. PE
• Neuro: A&O x 3, CN II-XII intact, 4/5
strength in UE and LE, DTR 2/4 biceps,
patellar and achilles bilaterally, sensory
- light touch, pinprick intact
• Skin: Many tattoos, no rashes or lesions
16. Diagnostic Data
• CXR: RLL infiltrate per UCLA ER
Report → 1) No acute pulmonary of
pleuritic dz 2) L hemidiaphragm
elevated as per RLA report
