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    CASE 9 Diag

    Uploaded by

    Kenneth Nuñez
    The document discusses a patient presenting with shortness of breath, wheezing, and smoking history who is diagnosed with pneumonia and coexisting COPD based on clinical features and diagnostic testing.

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    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd

    CASE 9 Diag

    Uploaded by

    Kenneth Nuñez
    6 views11 pages
    The document discusses a patient presenting with shortness of breath, wheezing, and smoking history who is diagnosed with pneumonia and coexisting COPD based on clinical features and diagnostic testing.

    Original Title

    CASE 9 diag

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    The document discusses a patient presenting with shortness of breath, wheezing, and smoking history who is diagnosed with pneumonia and coexisting COPD based on clinical features and diagnostic testing.

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Download as pptx, pdf, or txt
    6 views11 pages

    CASE 9 Diag

    Uploaded by

    Kenneth Nuñez
    The document discusses a patient presenting with shortness of breath, wheezing, and smoking history who is diagnosed with pneumonia and coexisting COPD based on clinical features and diagnostic testing.

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Download as pptx, pdf, or txt
    of 11

    Primary Diagnosis

    COPD
    Applying key features and tabulation
    Features COPD Pneumonia CHF

    Shortness of breath + + +

    Wheezing + + +

    Smoking history + + +

    MI History - - +

    Hypertension + + +
    Applying key features and tabulation
    Features COPD Pneumonia CHF

    Salmeterol/fluticasone + - -
    50/500 dry powdered
    inhaler (DPI)
    Echocardiogram with - - +
    EF of 25%

    Spirometry with FEV1 + - -


    35% predicted that
    does not change
    significantly after
    inhaled bronchodilator
    Tachypnea + + +
    Applying key features and tabulation
    Features COPD Pneumonia CHF

    increased + - -
    anteroposterior (AP)
    diameter
    decreased BS right + + +
    lower lung field

    clubbing of fingers + - +

    right lower lobe - + +


    pneumonia

    Lung hyperinflation + + -
    Working diagnosis
    Pneumonia With
    Coexisting COPD
    Diagnostics

    PNEUMOCOCCAL
    SPUTUM LEGIONELLA URI URINE ANTIGEN
    BLOOD CULTURE CULTURE NE ANTIGEN TEST TEST
    Diagnostics

    PNEUMOCOCCAL
    SPUTUM LEGIONELLA URI URINE ANTIGEN
    BLOOD CULTURE CULTURE NE ANTIGEN TEST TEST
    Diagnostics
    ● Spirometry +/-

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