Respiratory Case Studies For Medical Students

Tuesday, March 22, 2022 7:23:09 AM

Respiratory Case Studies For Medical Students



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MBBS Case Presentation -- Pneumonia

Thus, Tegan must have suffered from AERD and on Tegan's part her symptomps had been influenced both by genetic and environmental factors. AERD is an acute medical condition where nadsal polyps is developed as a symptom and the patient becomes sensitive to Aspirine. From the case study, it is clear that she did not develop occupational asthma, so in her case asthma is caused due to multiple interacting genes. Some have protective effect while others contribute to the disease pathogenesis.

Each gene has its own propensity to be controlled by the environment. Response to Question 2. Asthma is a common chronic disease which causes notable disability and social load. It shows highly complex airway-obstruction disease conditions. Asthma is a common. The respiratory disease follows the reduction in perfusion and ventilation. One of the significant causes of asthma is airflow obstruction. According to Doeing and Solway , chronic inflammation of airways is recognized as one of the major causes asthma. Inflammation in asthmatic airways not only infects the bronchi and trachea but also affects the terminal bronchioles and parenchyma.

Inflammation should reach a certain limit to show the symptoms in animal body. The level of inflammation does not relate to asthma extremity but relates to airway hyperresponsiveness AHR. The enhanced airway responsiveness caused by asthma, is a noticeable physiological abnormality. It is present even when the airway is functioning normally. The medical condition of asthma is composite, with various inflammatory cells and various mediators resulting in chronic and serious inflammatory effects on the airways. This medication is an effective bronchodilator but will ultimately not address more moderate-to-severe asthma symptoms and treat the underlying disease. Her medical history includes hypertension and hyperthyroidism, and she is taking several medications, including lisinopril and methimazole.

AI is suffering from significant nasal congestion, which is preventing her from sleeping well at night, and she would like to take a nonprescription decongestant, but the label on the medication she selected says to check with a doctor or a pharmacist if individuals have high blood pressure or thyroid disease. What recommendations can you provide? A: There are an estimated 62 million occurrences of the common cold in the United States each year.

These agents can cause increases in blood pressure and may exacerbate symptoms of hyperthyroidism. To err on the side of caution, it is prudent to recommend forms of nonpharmacologic relief of congestion in this case, including nasal decongestant strips, saline or a teapot, or topical camphor- or menthol-containing preparations that may help clear inflamed nasal passages.

Q: HW, a year-old man, is looking for advice. His wife encouraged him to speak with a pharmacist, as he recently received a diagnosis of chronic obstructive pulmonary disease COPD and wants to make sure he is doing everything he can to reduce his chances of complicating or exacerbating his condition. HW has a significant medical history, including coronary artery disease post stent placement, heart failure, hypertension, and high cholesterol, along with his new diagnosis of COPD. He has an extensive medication list, which includes various pharmacologic agents for managing these conditions. HW started smoking as a teenager and quit cold turkey several years ago at the uArging of his cardiologist.

A: COPD is estimated to affect more than 16 million Americans, with older adults more likely to experience this condition than younger individuals. These include asking him to demonstrate his inhaler technique and reviewing it with him; ensuring that he is up-to-date on all indicated vaccines, based on his age and medical comorbidities; inquiring about medical follow-up appointments; and underscoring the importance of using his maintenance medications, even if he is not having trouble breathing. In addition, social support is critical to ensuring optimal health outcomes, particularly with a chronic lung disease such as COPD. Living with a chronic disease is difficult, and the risk of comorbid depression is high. Encourage HW to include his wife, other family members, or caregivers to help him manage his condition and troubleshoot with him if questions arise.

Case 4: InfluenzaQ: AT, a year-old woman, calls the pharmacy inquiring about self-care for influenzalike symptoms. She works as an elementary school teacher and reports a sudden onset of chills, fatigue, general malaise, and muscle pains that caused her to be sent home out of fear that she had the flu, even though she had received her influenza vaccine. Upon arriving home, AT took her temperature and confirmed a fever of She reports no significant medical history and says she takes no chronic medications other than occasional nonprescription medicines for mild conditions. AT has a cadre of cold and cough preparations at home, along with some pain relievers, but she wants to know what will best alleviate her symptoms and help her recover as quickly as possible.

What recommendations or eAducation on self-care for managing flulike symptoms can you offer? A: Symptoms associated with the influenza virus can vary and range from mild to severe. Nonetheless, it isimportant to educate her about proper self-care to promote recovery and reduce her chances of spreading the illness. First and foremost, encourage AT to stay home and avoid contact with others as much as possible, unless she needs medical care. She may consider seeking medical evaluation for confirmation of influenza and treatment with prescription medications to reduce symptom duration. For the influenza season in the United States, 4 antiviral medications oral baloxavir and oseltamivir, inhaled zanamivir, and intravenous peramivir are approved and recommended to treat influenza.

Beyond consideration for antiviral therapy, supportive care interventions should be used.

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