Assignment Instructions: Complete the Case Study typed, using…

Question Answered step-by-step Assignment Instructions: Complete the Case Study typed, using… Assignment Instructions: Complete the Case Study typed, using rationales and indicated. Use References for all questions requiring rationale. See Rubric in Brightspace Assignment tab for grading requirements. CASE STUDY: Respiratory Chief ComplaintA 28 y.o. female presents with shortness of breath and fatigue over the past 3 weeks. She noticed before this that she did not have her usual level of energy but says now she sometimes feels “like a fish out of water.” She had a history of asthma as a child but no problems since middle school. She has allergic rhinitis for which she takes one over-the-counter loratadine daily. She takes no other prescription or over-the-counter medications.  Psychosocial HistoryHas not worked since before her 3-month-old daughter was born and is glad she is able to be at home now. Baby sleeps most nights, and patient says she generally sleeps well herself. Eats a vegan diet. Nonsmoker; rarely drinks alcohol and limits to only one glass of wine on these occasions. Husband does not smoke; she avoids secondhand smoke. Since her pregnancy, periods are regular, lasting approximately 5 to 7 days, with heavier flow than in the past. LMP was 2 weeks ago. Physical Examination•      Vital signs: T 98.4, BP 114/68, HR 98, RR 38, HT 65, WT 115 lbs.•      General: Slender, appears stated age. In no visible distress.•      HEENT: Eyes-Conjunctiva pale but moist and intact. PERRL. EOMs intact and alignment symmetrical. Funduscopy omitted. Nose-Pale, boggy turbinates, otherwise WNL. Ears-Pink canal, scant cerumen. TM translucent with good light reflex, landmarks visible. Throat-Pink and moist mucosa, WNL.•      CV: HR 98 but regular. S1/S2. Extremely faint systolic murmur (1/VI) detected at base. •      Respiratory: Lungs clear to all fields, movement symmetrical.•      MS: No edema. FROM.  Questions1.   What three conditions would be considered in your differential diagnosis, with most likely condition listed first (ROS and PE rationale for each differential diagnosis with rationale)?   2.   What further history, further examination, and diagnostic studies are needed to further explore your differential diagnosis? (using rationale)•      History:    •      Physical examination:   •      Diagnostic studies: (using rationale)  Further EvaluationThe subsequent additional history and physical yields no positive findings. The CXR, spirometry, and EKG are all within normal limits. CBC is notable for the following: RBC 3.5 million/mm3, HCT 30%, HGB 7.8, MCV 76, reticulocyte 4%. 3.   What is the final diagnosis? (using rationale) Health Science Science Nursing NURSING NSG6420 Share QuestionEmailCopy link Comments (0)