STU Throat, Respi

Description

Case 1
Chief Complaint
(CC) A 65-year-old male with chronic obstructive pulmonary disease (COPD) presents to the clinic with a cough he has had for the past 2 weeks
Subjectivedenies chest pain, denies night sweats, admits to having a fever but does not know the temp.
Objective Data VS(BP) 115/75, (P) 89, (RR) 16, (T) 100.4°F (38°C), O2 sat 98% on room air.

GeneralPatient appears tired; skin color pale, patient is diaphoretic and sweaty, height 5?3?; weight 175 lbs

HEENTEYES: No injection, no increase in lacrimation or purulent drainage;
EARS: Normal
TM: Normal
NOSE: Bilateral erythema and edema of turbinates with significant yellow drainage on the right. Obstructed air passages

Respiratorylung crackles in LLL, no wheezes or rhonchi noted; does not clear with coughing; dullness to percussion over the LLL; shallow respirations and is 30, accessory muscles use not present

Neck/Throatno neck swelling or tenderness with palpation; neck is supple; no JVD; thyroid is not enlarged;
trachea midline

HeartRegular rate and rhythm, no murmur, S3, or S4
Answer the below questions. Note that all your responses should apply to your specific patient from your assigned case study.

What other subjective data would you obtain?
What other objective findings would you look for?
What diagnostic exams do you want to order?
Name 3 differential diagnoses based on this patient presenting symptoms.
Give rationales for each differential diagnosis.

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