Respiratory Case #243: Case One

History

JV is a 61-year-old male who has presented to the emergency department with a chief complaint of shortness of breath that has gotten progressively worse over the past day or so. He has a history of COPD and was discharged from the hospital just two months ago.

Assessment in the ED reveals the following: respiratory rate 32 and slightly labored, temperature 98.8F F, SpO2 (on room air) 86%. He is alert and oriented; he has an occasional nonproductive cough. Continue the exam using the auscultation and blood pressure tab.

Which of the following would be useful information to obtain at this time (more than one answer may be correct)?

Recent smoking history
Recent alcohol use
Home medications
Compliance with home medications

Table of Contents

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Pulmonary Problems - I

Pulmonary Problems - II

Pulmonary Problems - III

Case One
Case Two
Case Three
Case Four
Case Five
Case Six
Case Seven
Case Eight