I'm desperate!! Please help.
I have a case study due for school. What is the medical dx?
Patient: 42y/o, SOB, underweight, high WBC & BUN & PB. Anxious, in & ex wheeze, weak, dry cough. Dyspnic, tachycardia & pnea, temp 102.2. Cool & clammy. Hyptoactive bowel.
Here's my thinking:
Pneumonia - no because cough is usually productive and not wheezing like in case study.
TB - maybe, but usually crackles and chest pain, but not in study.
PE- tachypenia, dyspnea & anxiety fit, but what are breath sounds with PE? Why a fever if PE?
COPD - cough is usually productive. Why would pt have fever & high WBC?
Asthma - fits best with the presentation, but wheeze is more common on expiration. More important, why does the pt have the fever, high WBC & high BUN?
Bronchitis has a productive cough.
BUN can be kidney, sepsis, excess protein consumption, starvation, dehydration, or cardiac failure.
Pt is very thin. Can BUN be due to starvation & starvation due to dyspnea? But why fever
2007-02-08
14:48:10
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6 answers
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asked by
Raina
4