Case Study A 75-year-old man with a…<\/p>\n
Patient:<\/p>\n
Name: John Smith
\nAge: 75
\nGender: Male
\nRace: White
\nOccupation: Retired
\nMedical history: Hypertension, diabetes, environmental allergies, colon polyps
\nMedications: Lisinopril, metformin XR, aspirin, loratadine<\/p>\n
Chief complaint:<\/p>\n
Persistent dry hacking cough that does not improve with over-the-counter treatment<\/p>\n
History of present illness:<\/p>\n
The patient is a 75-year-old man with a history of hypertension, diabetes, environmental allergies, and colon polyps who presents to the office with a complaint of a persistent dry hacking cough that has been present for 3 months. The cough is worse at night and does not improve with over-the-counter treatment with antitussives and allergy medications. The patient denies any other symptoms, such as fever, shortness of breath, or chest pain.<\/p>\n
Past medical history:<\/p>\n
Hypertension
\nDiabetes
\nEnvironmental allergies
\nColon polyps<\/p>\n
Social history:<\/p>\n
The patient is retired and lives with his wife.
\nHe is a former smoker, but he quit smoking 20 years ago.
\nHe drinks alcohol socially.
\nHe does not use any illicit drugs.<\/p>\n
Physical examination:<\/p>\n
The patient is a well-developed, well-nourished male in no acute distress.
\nHis vital signs are as follows:
\nTemperature: 98.6\u00b0F
\nBlood pressure: 145\/70 mmHg
\nPulse: 80 beats per minute
\nRespirations: 16 breaths per minute
\nOxygen saturation: 98% on room air
\nThe patient’s head, eyes, ears, nose, and throat are unremarkable.
\nHis neck is supple without lymphadenopathy.
\nHis lungs are clear to auscultation bilaterally.
\nHis heart is tachycardic but regular.
\nHis abdomen is soft, non-tender, and non-distended.
\nHis extremities are warm and well-perfused.<\/p>\n
Laboratory studies:<\/p>\n
White blood cell count: 12,000 cells\/\u00b5L
\nHemoglobin: 14 g\/dL
\nHematocrit: 42%
\nPlatelet count: 250,000 cells\/\u00b5L
\nSodium: 140 mEq\/L
\nPotassium: 4.0 mEq\/L
\nChloride: 100 mEq\/L
\nBicarbonate: 24 mEq\/L
\nBlood urea nitrogen: 15 mg\/dL
\nCreatinine: 1.0 mg\/dL
\nGlucose: 100 mg\/dL
\nChest X-ray: Normal<\/p>\n
Diagnosis:<\/p>\n
ACE inhibitor-induced cough<\/p>\n
Treatment plan:<\/p>\n
Discontinue lisinopril.
\nStart a different class of medication to treat hypertension.
\nUse over-the-counter cough suppressants and expectorants.
\nDrink plenty of fluids.
\nAvoid smoking and secondhand smoke.<\/p>\n
Prognosis:<\/p>\n
The patient’s prognosis is good with appropriate treatment. The cough should resolve within a few weeks of discontinuing the ACE inhibitor.<\/p>\n","protected":false},"excerpt":{"rendered":"
Case Study A 75-year-old man with a… Patient: Name: John Smith Age: 75 Gender: Male Race: White Occupation: Retired Medical history: Hypertension, diabetes, environmental allergies, colon polyps Medications: Lisinopril, metformin XR, aspirin, loratadine Chief complaint: Persistent dry hacking cough that does not improve with over-the-counter treatment History of present illness: The patient is a 75-year-old […]<\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[210,215,212,220,219,209,222,213,211,214,45,218,216,221,208,217],"tags":[232,229,230,224,228,236,233,235,226,234,225,227,223,231],"class_list":["post-674","post","type-post","status-publish","format-standard","hentry","category-1-assignment-help-online-service-for-students-in-the-usa","category-ai-plagiarism-free-essay-writing-tool","category-australian-best-tutors","category-best-trans-tutors","category-buy-essay-uk","category-can-someone-write-my-assignment-for-me","category-cheap-dissertation-writer","category-do-my-essay-assignment","category-help-me-write-my-dissertation","category-help-with-writing-an-essay","category-homework-for-you","category-help-write-my-paper-ai-free","category-online-essay-writers","category-phd-essays","category-write-my-assignment-help-for-college-students","category-write-my-essay-for-me","tag-apa-citation-format-assignment","tag-assignment-help-by-uks-no-1-writing-service","tag-assignment-writers-australia-college-student","tag-assignment-writers-canada-university-cost","tag-assignment-writers-china-english-free-ai","tag-buy-essay-usa","tag-help-write-a-page-assignment","tag-i-need-someone-to-do-my-assignment-within-hours","tag-in-page-paper-write-an-essay","tag-need-to-write-an-essay","tag-professional-assignment-writers-usa","tag-uae-1-cheap-assignment-writing-service","tag-write-a-word-essay","tag-write-pages"],"_links":{"self":[{"href":"https:\/\/www.colapapers.com\/essays\/wp-json\/wp\/v2\/posts\/674","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.colapapers.com\/essays\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.colapapers.com\/essays\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.colapapers.com\/essays\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/www.colapapers.com\/essays\/wp-json\/wp\/v2\/comments?post=674"}],"version-history":[{"count":0,"href":"https:\/\/www.colapapers.com\/essays\/wp-json\/wp\/v2\/posts\/674\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.colapapers.com\/essays\/wp-json\/wp\/v2\/media?parent=674"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.colapapers.com\/essays\/wp-json\/wp\/v2\/categories?post=674"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.colapapers.com\/essays\/wp-json\/wp\/v2\/tags?post=674"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}