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nsg_6440_wk2_dq_2_instructions.doc
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A fifteen-year-old female presents to your clinic complaining of shortness of
breath and a nonproductive nocturnal cough. She states she used to feel this way
only with extreme exercise, but lately, she has felt this way continuously. She
denies any other upper respiratory symptoms, chest pain, gastrointestinal
symptoms, or urinary tract symptoms. Her past medical history is significant only
for seasonal allergies, for which she takes a nasal steroid spray but is otherwise
on no other medications. She has had no surgeries. Her mother has allergies and
eczema, and her father has high blood pressure. She is the only child. She denies
smoking and illegal drug use. On examination, she is in no acute distress and her
vital signs are: T 98.6, BP 120/80, pulse 80, and respirations 20. Her head, eyes,
ears, nose, and throat examinations are essentially normal. Inspection of her
anterior and posterior chest shows no abnormalities. On auscultation of her chest,
there is decreased air movement and high-pitched whistling on expiration in all
lobes. Percussion reveals resonant lungs.
1.
2.
What is the chief complaint?
Based on the subjective and objective information provided what are your 3
top differential diagnosis listing the presumptive final diagnosis first?
3.
What treatment plan would you consider utilizing current evidence based
practice guidelines?
…
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