The patient presents with chronic shortness of breath and dyspnea upon exertion
Patient Name:Janice Navarro
Date of Birth: 12/3/1971
Clinical Notes:The patient presents with chronic shortness of breath and dyspnea upon exertion. Symptoms started several years ago and have progressively gotten worse. She reports that she is no longer able to walk around her block without severe breathlessness. Shehas a history of heavy smoking, does not take any regular medications, and has no personal or family history of heart disease. Physical exam reveals cyanosis in bilateral fingernail beds.
Current vital signs: BP 140/92, HR 88 bpm, Temperature 98.4°F
After a physical examination,imaging, and laboratory testing, the physician confirms the diagnosis of emphysema.
Question #1:What might Ms. Navarro’s spirometry results look like? (Please use your text book as reference.)
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Question #2:What are other possible signs and symptoms of emphysema that are not mentioned in this case?
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Question #3:What types of imaging tests may be used to confirm emphysema? Describe the abnormalities that would be present in the imaging test.
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Question #4:How is the cyanosis in Ms. Navarro’s nailbeds related to her diagnosis?
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Question #5:How is the pathophysiology of Ms. Navarro’s condition different from the pathophysiology of other forms of COPD?
Answer preview to the patient presents with chronic shortness of breath and dyspnea upon exertion
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