Situation 1: You respond to a report

Situation 1: You respond to a report of “difficulty breathing” in a residential neighborhood. The patient is a 68-year-old female who complains of weakness and shortness of breath that have increased gradually over the previous three days. She denies any history of heart or lung disease. Her only past history has been severe osteoarthritis, for which she has been taking “a lot of aspirin.” The patient is awake and alert, and she responds to questions appropriately. Vital signs are pulse 114 strong, regular; respirations 22 regular, unlabored; blood pressure 116/86. Her skin is pale, warm, and dry. Pupils are equal and react briskly to light. Breath sounds are present and equal bilaterally with no adventitious sounds. The abdomen is soft and non-tender. On the basis of the evidence, what problem do you believe this patient is having? Why? What other problems might she be having? What other questions might help you in your diagnosis? What treatment should be given to this patient? Why is this patient’s lack of medical problems particularly important?

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