Jenny Schneider's Physical Exam Results
The physical examination reveals:
- A thin, Caucasian female who looks older than her chronological age. The patient demonstrates marked dyspnea, but does not appear cyanotic. She sits forward in a hunched position. The patient is unable to blow out a lighted match placed 6 to 12 inches away from her.
- Chest:
- Quiet respiratory sounds. (Click here to listen to some examples of lung sounds .
- Increased resonance
- Prolonged expirations.
- Increased anterior-posterior chest dimension (barrel chest)
- Accessory muscle use
- Abdomen: soft, nontender
- Neurological exam: normal
- Extremities: No finger-clubbing
Questions:
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- Your name:
- Email address:
- 1. Are any of Ms. Schneider's vital signs outside normal limits? If so, what are they and what might they indicate?
- 2. Now look at the observations from an examination of her chest. Do you see any significant information? What is it and why might it be important?
- 3. What does the match test indicate?
- 4. What disorder do you suspect?
- Asthma
- Bronchitis
- Emphysema
- Pulmonary embolism
- 5. What laboratory tests would confirm your assessment? Don't forget to predict the results of your tests!
Next step: Lab Tests »