A 60-year-old shopper presents to the ED with extreme onset shortness of breath, fatigue, and up to date weight achieve of 5kg. The shopper stories problem sleeping. He states, “I really feel like I’m drowning.” He stories utilizing a number of pillows to enhance this sense with out aid. That is the shopper’s second hospital admission this 12 months for the same criticism. His previous medical historical past is important for coronary heart failure, a 20-year pack historical past of smoking, COPD, coronary artery illness, myocardial infarction, hypertension, hyperlipidemia, diabetes mellitus, and weight problems. Previous surgical historical past is important for cardiac catheterization with stent placement. The shopper’s household stories he isn’t adherent to his treatment routine. He likes to eat quick meals and frozen dinners for many of his meals every week. He doesn’t have interaction in train and lives a sedentary way of life.
Medicine checklist contains:
A 60-year-old girl involves the emergency room with vital shortness of breath, tiredness, and a 5-pound weight achieve. The shopper says he has hassle sleeping. “I really feel like I am drowning,” he says. He says he is tried a number of cushions to alleviate the discomfort however hasn’t gotten any aid. That is the shopper’s second hospitalization for the same drawback this 12 months. Coronary heart failure, a 20-year smoking historical past, COPD, coronary artery illness, myocardial infarction, hypertension, hyperlipidemia, diabetes mellitus, and weight problems are all current in his medical historical past. For cardiac catheterization with stent placement, earlier surgical historical past is essential. The shopper’s household claims that he doesn’t observe his treatment routine. He eats quick meals and prepackaged dinners for almost all of his meals through the week. He does
