Demographic Data Joseph Assignment Help: How to Answer This Question
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Original Question
Demographic Data: Mr. Joseph Hope is a 56-year-old self-employed communications consultant. He has smoked a pack/day for 30+ years. He has a 10-year history of asthma/chronic bronchitis, arthritis of the knees and congestive heart failure. He is 6′ tall and weighs 350 lbs. He routinely takes a diuretic (furosemide) and his pulmonary medications. The following laboratory values are obtained: Diagnosis: COPD exacerbation secondary to bronchitis, right CHF, degenerative osteoarthritis, duodenal ulcer Presenting signs and symptoms: Cough productive of brownish-green phlegm, ankle swelling, orthopnea (six pillows), dyspnea (on walking one block), fever and chills, and tinnitus Relevant lab values (assume all other lab values are normal): Na =136, K= 3.8, glucose = 99, BUN = 19, Creatinine = 1.1, WBC = 5,600, Theophylline level = 5.7 ug/ml, Salicylate level = 32 mg/dl. ABGs on room air: pH = 7.32, pCO2 = 57, pO2 = 57, HCO3= 30, O2 saturation = 81%. Relevant diagnostic tests: Chest x-ray- borderline cardiomegaly, chronic bronchitis with bibasilar pneumonia. ECG – sinus tachycardia. PFTs – FVC = 3.08 (predicted 5.24), FEV1 = 2.00 (predicted 3.86); UGI/Small bowel series depicts an ulceration in the duodenal wall. In your review of this case, please address the following questions. Please include at least 5 research articles and /or Web citations as references. What is the pathogenesis of this case? What is the pathophysiological basis for the signs/symptoms and lab results that are seen in this case? What are the potential complications of this disorder and why might they occur? What are the usual treatment(s) and expected effects of such treatment(s) for this disease? Is there anything unusual about this case? If so, what and why? End of Case Study
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