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Organ systems that could be involved

Organ systems that could be involved. Organ systems that could be involved. Pertinent Data. Pink palpebral conjunctiva (-) melena (-) hematochezia (-) Pallor (pale skin, mucosal linings and nail beds) (-) pica . DYSPNEA. Hematologic Neuromusculoskeletal Neuropsychiatric

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Organ systems that could be involved

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  1. Organ systems that could be involved

  2. Organ systems that could be involved

  3. Pertinent Data • Pink palpebral conjunctiva • (-) melena • (-) hematochezia • (-) Pallor (pale skin, mucosal linings and nail beds) • (-) pica

  4. DYSPNEA Hematologic Neuromusculoskeletal Neuropsychiatric Gastrointestinal Endocrine Respiratory Cardiovascular

  5. Organ systems that could be involved

  6. Pertinent Data • (-) weakness of the eye muscles • (-) difficulty in swallowing, slurred speech • (-) asymmetrical ptosis • (-) twitching, cramping, or stiffness of muscles • (-) Chest wall deformities (kyphoscoliosis)

  7. DYSPNEA Hematologic Neuromusculoskeletal Neuropsychiatric Gastrointestinal Endocrine Respiratory Cardiovascular

  8. Organ systems that could be involved

  9. Pertinent Data • Conscious and coherent • No illicit drug use • (-) History of generalized anxiety, • Anxiety disorder, • post-traumatic stress, • hyperventilation disorder, • obsessive-compulsive disorder, • panic disorder • (-) restlessness

  10. DYSPNEA Hematologic Neuromusculoskeletal Neuropsychiatric Gastrointestinal Endocrine Respiratory Cardiovascular

  11. Organ systems that could be involved

  12. Pertinent Data • (+) substernal chest heaviness • non-alcoholic beverage drinker • Anicteric sclera • Normoactive bowel sounds • Abdomen tympanitic, nontender • Liver and spleen not palpable • (-) Fluid wave • (-) Heartburn after intake of food • (-) Anorexia • (-) Epigastric pain

  13. DYSPNEA Hematologic Neuromusculoskeletal Neuropsychiatric Gastrointestinal Endocrine Respiratory Cardiovascular

  14. Organ systems that could be involved

  15. Pertinent Data • Significant weight gain • Body Mass Index - 31 (obese) • Flabby abdomen • Supple neck • (-) heat or cold tolerance • (-) constipation

  16. DYSPNEA Hematologic Neuromusculoskeletal Neuropsychiatric Gastrointestinal Endocrine Respiratory Cardiovascular

  17. Organ systems that could be involved

  18. Pertinent Data • 30 pack years of smoking • RR- 26/min • (+) bibasilar crackles • Cough productive of pink frothy secretions ? COPD - Emphysema - Chronic Bronchitis ? Pulmonary Edema

  19. Pertinent Data • 30 pack yeas of smoking • RR- 26/min • (+) bibasilar crackles • Cough productive of pink frothy secretions • (-) nasal or aural discharge • Symmetrical chest expansion • resonant • unimpaired tactile and vocal fremiti • (-) cyanosis • (-) supraclavicular retractions • (-) use of accessory muscles of ventilation • (-) tripod position COPD (Emphysema, Chronic Bronchitis)

  20. Pertinent Data • RR- 26/min • (+) bibasilar crackles • Cough productive of pink frothy secretions Pulmonary Edema • Non-Cardiogenic • Direct Injury to the lung • (Chest trauma, Pneumonia, Aspiration) • Cardiogenic • Increased intracardiac pressure • (S3 gallop, elevated JVP, peripheral edema)

  21. Pertinent Data • RR- 26/min • (+) bibasilar crackles • Cough productive of pink frothy secretions • S3 grade 3/6 • JVP 6 cm at 45 degrees angle • Grade 2 pitting bipedal edema Pulmonary Edema Cardiogenic

  22. DYSPNEA Hematologic Neuromusculoskeletal Neuropsychiatric Gastrointestinal Endocrine Respiratory Cardiovascular

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