Mr XYZ A few hours after your last talked with him about his chest pain, you received additional lab resulresults. on This is a 57 year old male who…

Question Answered step-by-step Mr XYZA few hours after your last talked with him about his chest pain, you received additional lab resulresults. on This is a 57 year old male who you recently saw on clinic for the first time for evaluation of generalized abdominal pain and fullness abdominal pain and fullness and urinary frequency Vitals T. 98.6, HR 100. Resp 26, BP 158/96 02 92 on 2L Nasal canulaConstitution: He is A&O x 3, Obesed and Mildly dyspneicNo trachea deviationHead: He is normacephalic and AtraumaticEyes PERRLNeck: Neck supple, 3 centimeter of JVD present Bilaterally. No trachea deviation No Thyromegaly or thyroid nodles noted.No nystagmus, No scleral icterus.Cardiovascular: Normal rate, SI normal, S2 present, S# present, +2 edema in the lower extremeties Bilaterally.Pulses: adial Bracheal, Dorsalis pedis and posterior tibialpulses are 2+/4+ BilatPulmonary/Chest: Dyspneic, not using accessary muscles. Respiration regular and even. Lungs with rales in anterior and posterior lung field Bilat.Abdominal: Obese, Soft , Bowel sounds are active. Generalized tenderness, No mass noted. No CVA tenderness. Unable to palpate liver due to body habitus. Thereis no rigidity, rebound or guarding.Lymph Nodes: No cervical lympadenopathyNeurological: CN 11-X11 intactSkin: Skin is warm dry and intact.Psychiatric: Mood and Affect Normal. Calm and cooperative behavior normal and his judgement is intact.He is not taking any medication.After seeing him you ordered labs and now additional labs are available.LabsAST 60ALT 58Total cholesterol 250LDL 180HDL 15Triglycerides 275Troponin 0.6Other diagnostic resultChest x ray shows Cardiomegaly and kerley linesEchocardiogram : Left ventricle ejection fraction of 35%, Impaired left ventricular relaxation. Left and right Atrial hypertrophy, Rt ventricular hypertrophy and pulmonary hypertension. You go back to see him after reviewing the labsObjective is to explain his diagnoses by intergrating the answers to the questions below1: Based on the current information available, what is the diagnoses for MR XYZ2: What labs and/or diagnostic tests do you believe he needs at this time3: Describe the pathogenesis which explains MR XYZ’s condition, his physical symptoms, and diagnostic test results4: What education is importand for My XYZ to receive Health Science Science Nursing NURS 5315 Share QuestionEmailCopy link Comments (0)