Please fallow instruction. APA style with references.
Uses these books for references and use other references that are 5 years or less year old:
Books: Pocket Guide to APA Style, Fifth Edition Robert Perrin
Family Practice Guidelines: Third Edition
Advanced Assessment Interpreting Finding and diagnosis and formulating differential diagnosis Third edition
What is your list of appropriate differential diagnoses and why?
What is the final diagnosis and what assessment findings serve to support this?
What are the specific auscultation, palpation, and percussion findings of the lungs that are normal vs. abnormal?
Age: 69 years Sex: F
Height: 5′ 5″
Weight: 135 pounds (BMI 22.5)
Temperature: 100.1 F (oral)
Pulse: 98 bpm – regular
Blood pressure: 112/62 mmHg
Respiratory rate: 22 bpm
SpO2: 89% on room air
Allergies: to nuts
Chief complaint: Acute progression dyspnea, , wheezing on expiration wet Cough, gunky stuff sputum, pale, yellow, thick and darker, fever, trouble breathing for 3 days and right upper quadrant pain when coughing and breathing.
HPI: COPD, HTN
Past Medical History: Stomach ulcer, Appendicitis, gallbladder measles, mumps, chicken pox and rubella
Immunization: took these fallowing immunizations 5 years ago: Cholera, Yellow fever, Hepatitis, flu shot last year and pneumonia vaccine four years ago.
Rx (medications): Combivent 2 puffs 2 times a day, flovent 1 puff twice a day atenelol 50 mg, tylenol for fever
FHx (family history):Her father dies at the age of 80 years old of a heart attack. Her mother i s 93 years old a nd she has 2 children and 2 grandchildren they are all healthy.
Smoking : 1 pack a day for 45 years, but quite since 2 years ago
SHx (social history) SHx (social history) She was a high school teacher, she is retired now.
She likes music and reading. She has season tickets to the symphony to which she goes once a month with good friend of hers. She loves gardening as well. She goes to her daughter’s house where they have a big garden where she can putter about.
She doesn’t remember about her last physical.