NR507 WEEK2 Disc2 – Respiratory Disorders

NR507 WEEK2 Disc2 – Respiratory Disorders

NR507 WEEK2 Disc2 – Respiratory Disorders

Discussion Part Two (graded)

Tammy is a 33-year-old who presents for evaluation of a cough. She reports that about 3 weeks ago she developed a “really bad cold” with rhinorrhea. The cold seemed to go away but then she developed a profound, deep, mucus-producing cough. Now, there is no rhinorrhea or rhinitis—the primary problem is the cough. She develops these coughing fits that are prolonged, very deep, and productive of a lot of green sputum. She hasn’t had any fever but does have a scratchy throat. Tammy has tried over-the-counter cough medicines but has not had much relief. The cough keeps her awake at night and sometimes gets so bad that she gags and dry heaves.

Write a differential of at least three (3) possible diagnosis’s and explain how each may be a possible answer to the clinical presentation above. Remember, to list the differential in the order of most likely to less likely.

Based upon what you have at the top of the differential how would you treat this patient?

Suppose now, the patient has a fever of 100.4 and complains of foul smelling mucous and breath. Indeed, she complains of producing cups of mucous some days. She has some trouble breathing on moderate exertion but this is only a minor complaint to her. How does this change your differential and why?

Respiratory Disorders

Bronchitis The most common cause of the acute cough of clinical significance is bronchitis. The cough is, at the beginning, nonproductive and later it becomes productive of mucous or mucopurulent sp.

 

• Bronchitis

The most common cause of the acute cough of clinical significance is bronchitis. The cough is, at the beginning, nonproductive and later it becomes productive of mucous or mucopurulent sputum. Bronchitis is an inflammation of the lining of your bronchial tubes, which carry air to and from your lungs (Holzinger, Beck, Dini, Stöter, & Heintze, 2014). When these tubes get infected, they swell and mucus (thick fluid) forms inside them. Bronchitis often starts with the symptoms of a cold (Tammy had a “really bad cold): your nose is runny and your throat sore.

You started to get better (Tammy’s cold seemed to go away) and unexpectedly began to cough much more (Tammy developed a profound, deep, mucus-producing cough). The dry cough becomes productive of mucous or mucopurulent sputum (clear, yellow, white, or green phlegm) (Tammy’s cough produced a lot of green sputum). Cough due to bronchitis can last up to three weeks or more even after all other symptoms have subsided. Other typical symptoms are: headache, muscle aches, fatigue, no fever, although you might have a high temperature at times. Tammy’s symptoms fit the clinical presentation of bronchitis.

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NR507 WEEK2 Disc2 – Respiratory Disorders