Respiratory

Respiratory

Initial Post: Both bronchiolitis and bronchiectasis present with a cough and dyspnea. Describe the pathophysiologic process of both bronchiolitis and bronchiectasis. Compare and contrast the two processes.

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Identify a cardiac or respiratory issue and outline the key steps necessary to include for prevention and health promotion.

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Case Study:
An 18 year old college student reports a history of episodic attacks of shortness of breath, dry cough, and wheezing for the last 5 years. These symptoms usually occur during a change of weather or whenever she “catches a cold”. Symptoms also reported to worsen during night and early morning. Accompanying symptoms of recurrent sneezing, runny nose, and itchy eyes.
The patient reports she was prescribed some inhaler medications by her practitioner two years ago for use as needed. She stopped the meds as she was concerned over inhaler dependence. Intermittently she takes cough syrup during “attacks” with some help.
PMH: No diagnosed chronic illnesses
SH: College student, single, lives with parents. Father is smoker in the home, use dry wood in the home in fireplace
ROS:
Constitutional: Denies fever, denies weight loss
Respiratory: Denies hemoptysis, reports mostly dry cough
Cardiovascular: Tightness in chest at times
ENT: Denies ear pain, mild rhinorrhea

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