Need help with your Discussion

Get a timely done, PLAGIARISM-FREE paper
from our highly-qualified writers!

glass
pen
clip
papers
heaphones

MDC Congestive Heart Failure Case Study

MDC Congestive Heart Failure Case Study

MDC Congestive Heart Failure Case Study

Description

DISCUSSION QUESTIONS

1.What is EMàdiagnosis?

2.What is the underlying pathophysiology of EMàcondition?

3.What is the best therapeutic approach to the treatment of EMàcondition?

DIAGNOSIS: CHF. ( Congestive Heart Failure). 

Patient With Fatigue

EM is a 74-year-old male with a history of rheumatoid arthritis (RA) who presents in the clinic with a complaint of fatigue. EM is ambulatory with a walker and recently has had intermittent flare-ups of his rheumatoid arthritis (RA) disease activity, with increasing pain and swelling in his affected joints. His energy has been declining over the past few months, so he thought it was a good time to come in for follow-up laboratory testing and reassessment of his medications. Most troublesome, he has fainted twice in the past 2 weeks, which resulted in falls onto his carpeted floor. He is afraid to go out into public and even more afraid to drive his car. He has also had some chest pains with exertion. He is eating and sleeping okay, although he does sleep better if his head is elevated on a few extra pillows. He lives alone and gets meals delivered by a local organization.

Past Medical History

RA for 35 years, affecting hands, feet, knees, hips, and cervical spine

Systolic hypertension

Presbycusis

Medications

Ibuprofen, 600 mg three to four times per day as needed

Methotrexate, 7.5 mg weekly

Atenolol, 25 mg daily

Hydrocodone/acetaminophen, 5 mg/500 mg every 6 hours as needed for pain

Physical Examination

Height: 71 inches; weight: 160 lbs.; BMI: 22.3; blood pressure: 162/60; pulse: 84; respiration rate: 16; temperature: 98.6 ¼/p>

Well-developed, well-nourished elderly male in no distress; pale

Lungs: bibasilar rales

Heart: regular rate and rhythm, grade 3/6 systolic murmur, audible S3; positive carotid bruit on the left

Abdomen: no masses, nontender

Rectal: prostate 3+ enlarged, hemoccult negative brown stool

Extremities: marked ulnar deviation of MCP and IP joints in both hands

Labs and Imaging

Hemoglobin: 8.9 g/dL

Mean corpuscular volume (MCV): 80 fL

White blood cell count: 10.7 à109/L

Platelets: 250,000/L

Reticulocyte count: 0.8%

Ferritin: 415 mcg/L

Electrocardiogram: no acute findings; some evidence of left ventricular hypertrophy

Explanation & Answer:

2 pages

User generated content is uploaded by users for the purposes of learning and should be used following Studypool’s honor code & terms of service.

Have a similar assignment? "Place an order for your assignment and have exceptional work written by our team of experts, guaranteeing you A results."

Order Solution Now

Our Service Charter


1. Professional & Expert Writers: Eminence Papers only hires the best. Our writers are specially selected and recruited, after which they undergo further training to perfect their skills for specialization purposes. Moreover, our writers are holders of masters and Ph.D. degrees. They have impressive academic records, besides being native English speakers.

2. Top Quality Papers: Our customers are always guaranteed of papers that exceed their expectations. All our writers have +5 years of experience. This implies that all papers are written by individuals who are experts in their fields. In addition, the quality team reviews all the papers before sending them to the customers.

3. Plagiarism-Free Papers: All papers provided by Eminence Papers are written from scratch. Appropriate referencing and citation of key information are followed. Plagiarism checkers are used by the Quality assurance team and our editors just to double-check that there are no instances of plagiarism.

4. Timely Delivery: Time wasted is equivalent to a failed dedication and commitment. Eminence Papers are known for the timely delivery of any pending customer orders. Customers are well informed of the progress of their papers to ensure they keep track of what the writer is providing before the final draft is sent for grading.

5. Affordable Prices: Our prices are fairly structured to fit in all groups. Any customer willing to place their assignments with us can do so at very affordable prices. In addition, our customers enjoy regular discounts and bonuses.

6. 24/7 Customer Support: At Eminence Papers, we have put in place a team of experts who answer all customer inquiries promptly. The best part is the ever-availability of the team. Customers can make inquiries anytime.

We Can Write It for You! Enjoy 20% OFF on This Order. Use Code SAVE20

Stuck with your Assignment?

Enjoy 20% OFF Today
Use code SAVE20