Question Answered step-by-step Mr. K, age 56, is brought to the clinic accompanied by his wife who”wants him checked out”.  He states there is nothing wrong  but “sometimes I have to sit down to catch my breath when I’m working outside”.  His last visit to a physician was 10 years ago.  The NP completes the physical assessment and orders several tests.  Test are:General Chemistry:Result                                                       Normal Range:CKB-MB: 234                                                        49-397Special Chemistry:ResultTroponin  I : 0.01                                       0.00-0.49> pr = t0 0.5 is suggestive of coronary syndrome> 1.0  is indicative of MICardiovascular:BNP-CHP:Result:                                       Normal range:348                                             5- 99Stage 1:  100-300Stage 2: 301550Stage 3: 551-800Stage: 4: 801-1300Lipid Panel:Results:                                                            Normal range:Cholesterol: 168                                               < 200HDL: 46                                                            > 40LDL: 86                                                             < 160Triglyceride: 182 EKG reading:Normal Sinus Rhythm What are these tests for?  After reviewing the results, what concerns (if any) do you have for this patient? Explain in detail?Substantiate your post with citation(s).  Health Science Science Nursing APN MISC Share QuestionEmailCopy link Comments (0)

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Question Answered step-by-step Mr. K, age 56, is brought to the clinic accompanied by his wife who”wants him checked out”.  He states there is nothing wrong  but “sometimes I have to sit down to catch my breath when I’m working outside”.  His last visit to a physician was 10 years ago.  The NP completes the physical assessment and orders several tests.  Test are:General Chemistry:Result                                                       Normal Range:CKB-MB: 234                                                        49-397Special Chemistry:ResultTroponin  I : 0.01                                       0.00-0.49> pr = t0 0.5 is suggestive of coronary syndrome> 1.0  is indicative of MICardiovascular:BNP-CHP:Result:                                       Normal range:348                                             5- 99Stage 1:  100-300Stage 2: 301550Stage 3: 551-800Stage: 4: 801-1300Lipid Panel:Results:                                                            Normal range:Cholesterol: 168                                               < 200HDL: 46                                                            > 40LDL: 86                                                             < 160Triglyceride: 182 EKG reading:Normal Sinus Rhythm What are these tests for?  After reviewing the results, what concerns (if any) do you have for this patient? Explain in detail?Substantiate your post with citation(s).  Health Science Science Nursing APN MISC Share QuestionEmailCopy link Comments (0)

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Question Answered step-by-step Chief complaint: Pt complains of feeling tired all the time, dizziness upon awakening.  HPI: 51 year old male complaining of increasing fatigue over about 2-3months. Feels tired all day, feeling constantly rundown. Denies recent acute illnesses. Dizziness for a second when he gets up too fast. No precipitating events for fatigue. Is not aware of other major symptoms. He is concerned something is wrong but can't specify a particular concern.Past Medical history:NoneMedications:AllegraAllergies:Seasonal Past surgical historyNone Family history NoneSocial history: Married, no children works as a engineerReview Of System General: 51 year old English speaking male with reduced energy, and dizziness upon awakening.Skin: Denies rashes, lesionsHead: Denies trauma , headache, dizziness, lightheadednessEyes: Denies eye pain ,redness, visual disturbances, excessive tearingEars : Denies hearing loss ,discharge ,tinnitus ,vertigo, pain ,earacheNose: Denies nasal discharge  itching , nose bleeds, sinus trouble Mouth and Throat:  Denies throat pain, frequent sore throats, denies bleeding gumsNeck : Denies lumps , swollen glands ,neck stiffnessChest: Denies difficulty of breathing , coughs, shortness of breath Heart/Cardiovascular: Denies chest pain, chest tightnessAbdomen: Denies heartburn, constipation, abdominal pain, diarrhea. GU/GYN:  deniesMusculoskeletal: denies  Neurologic:  Denies headache ,+dizziness, light-headedness, numbness, speech difficulty, syncope, tremors, weaknessPsychiatric: denies Endocrine: Denies  Hematological: Denies   Physical Exam: General Survey: Alert and Oriented x3, well- nourished male Vital signs : B/P 116/66, HR 64, RR 16, Skin: no rash Head: Normacelphac, atraumaticEyes: PEERLA, visual acuity 20/20Ears: External canal patent, tymphanic membrane pearly grey, with good cone of light 5 in right ear and 7 in left ear, rhinne, weber intact.Nose: nasal mucosa pink, moist, no sinus tendernessThroat: anterior tonsils normal in size , no evidence of obstruction in the posterior pharyngeal wall, uvula rises midlineNeck: supple with no thyromegaly, Cardiovascular : S1 and S2, no murmurs , rubs or gallops, no heaves, no liftsPeripheral vascular: pulses 2+Neurovascular : Cranial nerves intact, normal, (-)Romberg (-) pronator drift  Identify at least 4 differential diagnoses for this patient based on the history and exam findings?2. Create a plan of care based upon case presentation                             Health Science Science Nursing NURSING 751 Share QuestionEmailCopy link Comments (0)
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