zeeec2000
Forum Junior
Topics: 21
Posts: 48
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67 male come to office with 1 week hx of increasing productive cough of small clear sputum and SOB he smoke for 40 years but stop smoking 14 month ago after doctors told him you have sever lung disease. Hi now has NO acute distress but he can not speak full sentence without taking his breath, patient BMI 20 onexam most likely show:
a) Accessory ms use
b) An audible right S3
c) Cyanosis of his extremetis
d) LL edema
e) Wide splitting S2
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| ganesha123
Forum Senior
Topics: 8
Posts: 225
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accessory muscle use.???
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| peter90036
Forum Elite
Topics: 28
Posts: 315
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so i think he's in CHF ?
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| Vietnamese
Forum Elite
Topics: 11
Posts: 275
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b- COPD---> Cor pulmonale: right heart failure---> S3
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| guangyu
Forum Elite
Topics: 29
Posts: 308
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c
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| aspire
Forum Senior
Topics: 24
Posts: 158
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wide split S2 or
audible S3
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| dr.wad
Forum Senior
Topics: 3
Posts: 335
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A
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| dr19
Forum Senior
Topics: 10
Posts: 109
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COPD---->A
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| peter90036
Forum Elite
Topics: 28
Posts: 315
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"has NO acute distress"
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| dr.wad
Forum Senior
Topics: 3
Posts: 335
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difficult speaking goes with respiratory failure >>>> in this case it is chronic.
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| samusa
Forum Newbie
Topics: 3
Posts: 17
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A - I think the person has Emphysema who are usually anorexic (low BMI) and not in acute distress (by compensating with the use of accessory ms). Inability to finish the sentence is found in most COPD's.
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