Hello, I have a patient case scenario
Hello, I have a patient case scenario where I have to identify appropriate diagnostics, treatment modalities (pharmacologic and non-pharmacologic modalities) and differential diagnoses. Can you assist me in identifying the priorities for the following prompt? Your patient is a 80 y.o. male who comes to you for a routine visit still reporting fatigue and a dry cough all summer and after a mild sore throat and cold 2 months ago. The patient reports having quit smoking 5 years ago after smoking 30 years, ½ ppd. The patient reports using an albuterol inhaler more than usual without relief. Other medications include: Synthroid 112mcg p.o. q AM; Metoprolol XL 25 mg tab p.o. q AM; Metformin HCL ER 500 mg p.o. BID; Pravastatin 20 mg p.o. q HS and a variety of OTC vitamins. 1.) What areas should the provider focus on, with regards to the ROS/physical exam? 2.) What diagnostics should the provider order for this patient scenario? 3.) What are three differential diagnoses that are applicable for this patient? SCIENCE HEALTH SCIENCE NURSING FNP 596
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