49-year-old female, public accountant, from Bogotá, Colombia who consulted due to a two-day long clinical picture involving pleuritic pain in the left hemithorax, irradiated to the dorsal region, associated with sudden dyspnea, edema, and warm … This reflective essay has helped the student acknowledge the importance of reflection within practice as it allows professionals to convey thoughts of how they can improve on their practice to enhance effective delivery of care. 0000000016 00000 n 0000071507 00000 n 0000048329 00000 n This paper reports a case compatible with pulmonary thromboembolism complicated by infected pulmonary infarction. He has had pneumonia yearly for the past 3 years, and has been a 2-pack-a-day smoker for 38 years. %PDF-1.4 %���� 0000003759 00000 n Supervised by: Dr. Abla Albsoul 0000205609 00000 n Enrollment in a pulmonary rehabilitation program is strongly, 1. 0000071673 00000 n 0000091214 00000 n If you continue browsing the site, you agree to the use of cookies on this website. ### Patient 1 A 51-year old male presented with a 10-year history of progressive breathlessness on exertion, noticed initially while training a youth football team. 0 The pulmonary component is characterized by airflow limitation that is not fully reversible. Contact with noxious substances is the most common cause of COPD. COPD is commonly undiagnosed, until presentation requiring a hospital admission. Clipping is a handy way to collect important slides you want to go back to later. 0000047948 00000 n Nov. 11, 2020. (Yohannes and Hardy, 2003) There are various diseases in childhood such as pneumonia and whooping cough prior to the age of 12 year are considered to be the risk factor of bronchiectasis and bronchiolitis. Most people with COPD do not have any noticeable symptoms until they reach their late 40s or 50s.  Group Case Study: Emphysema D.Z., a 65-year-old man, is admitted to a medical floor for exacerbation of his chronic obstructive pulmonary disease (COPD; emphysema). It's usually associated with long-term exposure to harmful substances such as cigarette smoke. A bit more about Jim: Medical history: COPD, FEV1 six weeks ago was 38% of normal predicted, recent CXR shows flattened diaphragm with increased AP diameter, appendectomy age 34, broken nose and broken right arm as a child. If you continue browsing the site, you agree to the use of cookies on this website. Lung disease. 0000025964 00000 n Chest pain and hemoptysis are uncommon symptoms of COPD and raise the possibility of alternative diagnoses. Chronic obstructive pulmonary disease Just for Hearts . Dr. Danny Proffitt answered. 0000188967 00000 n This case study reports on two cases that draw attention to the importance of taking a careful occupational history. Chronic obstructive pulmonary disease (COPD) happens when the lungs and airways become damaged and inflamed. Smoking . 0O�B�`I������Ƈ�9JJ�@�BCC�-A��a�U �dYnځ5��@���DHk�9X�6� C �6��,�V�},e,Ŷw�31z�. In this report, index Case 1 compared to Case 2 had a mildly elevated D-dimer, yet both patients exhibited progressively worsening symptoms. : COPD = chronic obstructive pulmonary disease. 0000115195 00000 n 0000115830 00000 n Fatigue, weight loss, muscle loss, and anorexia are common in patients with severe and very severe COPD. To varying degrees, some or all of these processes may be present in individual patients, resulting in considerable clinical, physiologic, and pathologic heterogeneity. 0000071122 00000 n 0000132138 00000 n case presentation Chest x-ray and spirometry are the most appropriate initial diagnostic measures for a patient suspected of having COPD. Ever since we moved, I’m having a hard time breathing.” The case studies in this section highlight the need for good practice in the workplace. 0000001816 00000 n We're interested in your thoughts on another COPD case study: Jim B., a 68-year-old man here for his Phase II Pulmonary Rehabilitation intake interview. Ask doctors free. 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