Case Exemplar Patient Question & Answer Guide (With Explanation)
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What This Question Is About
This question relates to case exemplar patient and requires a structured academic response.
How to Approach This Question
Structure your response with introduction, analysis, and conclusion.
Key Explanation
This topic involves case exemplar patient. A strong answer should include explanation, application, and examples.
Original Question
Case Exemplar: Patient With Exercise-Induced Shortness of Breath LB, a 16-year-old Caucasian, Non-Hispanic male presents to the primary care office with complaints of difficulty breathing. He states that this began during a soccer game and progressively worsened to the extent he had to sit on the bench for the last 10 minutes of the game. He is accompanied by his mother. Past Medical History ·Diagnosed with asthma in childhood; parents thought he had outgrown it; has not been on asthma medication since age 12 ·No other injuries, surgeries, or hospitalizations Medications · None Social History · Does not smoke, does not consume alcohol · Plays soccer 6 days a week as infielder · Active in a variety of school-associated activities Physical Examination · Height: 74 inches; weight: 160 lb; blood pressure: 108/66; pulse: 98; respiration rate: 33; temperature: 99.2 °F · Chest auscultation shows wheezing on inhalation and exhalation · Patient complains of chest tightness · Slight use of accessory muscles Labs · Oxygen saturation by finger probe: 80 Discussion Questions 1. What additional diagnostic tools might the clinician use to help form a diagnosis for LB? 2. What additional questions might the clinician ask LB to help determine the etiology of the attack? 3. When questioned about any environmental exposures, LB states he was working at a job in building repair that involved gluing a new wooden floor and painting. In addition, the grass on the soccer field had just been mowed. LB believes this contributed to his attack. Describe the role environment exposure plays in the development of an asthma attack 4.Outline the pharmacological and nonpharmacological management LB should receive.
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