Differential Analysis
The patient, Dianne Steinberg, experiences loss of appetite, fatigue, fever, shaking, and chills. She has a consistent cough that worsens when lying down. Her sputum is pale yellow and thickens and darkens with time. She does not cough blood but experience chest pains with deep breath or cough on the right side. The stabbing chest pain is on a high of 6/10. She however doesn’t experience night sweats and doesn’t report of a weight loss
Differential diagnosis
Bronchitis, acute
It is an inflammation of the bronchial tubes. It causes cough, dark or yellow mucus, chest pains. The diagnosis is arrived at from the exams as the patient experiences tachypnea, wheezing cough, shortness of breath and pleuritic chest pains.
Asthma
A lung condition that makes it hard to breathe. The diagnosis is arrived at as the patient, from the tests, portray a high white blood cell count than the normal average count. Also the patient experiences difficulty in breathing, tachypnea and hypoxemia. There is also an increase and left shift of neutrophils. The exams also point to the patient’s use of accessory muscle during breathing.
Influenza
The exams point to the patient’s use of accessory muscle during breathing. She also experiences fatigue, fever and chills and also coughs.
Pneumonia, community-acquired
Affects the lungs and can cause coughing, trouble breathing, fever, chills, persistent chest pain and wheezing. The diagnosis is arrive at following the shortness of breath, tachypnea, hypoxemia and pleuritic chest pain the patient experiences. There is also increased tactile fremitus overlying right mid and lower lung fields upon repetition ninety nine.
Tuberculosis
The disease infects the lungs. It results in bad cough with blood stains, consistent chest pains, fever, chills and fatigue. The TB diagnosis was arrived at as from the exams conducted. Coarse crackles over right upper, mid, and lower lung fields. From the Xray done, the left lung field over exposed or infiltrates upper mid and lower lobes. In addition to pleuritic chest pains, the patient experiences diaphoresis.
Emphysema
Emphysema is a chronic lung condition. It results in shortness of breath, wheezing and chronic cough. The patient reports to fatigue, shortness of breath, hypoxemia and depiction of an elevated white blood cell count. Also she exhibits dullness to percussion on right mid and lower hemithorax posteriorly. Adding to her smoking background, the diagnosis of Emphysema is conclusive.
References
BROWN, E. A. (1951). The differential diagnosis of cough in tuberculosis and bronchial asthma. Annals Of Allergy, 9(6), 760-768.
Fotiadis, D. I. (2016). Handbook of Research on Trends in the Diagnosis and Treatment of Chronic Conditions. Hershey, PA: Medical Information Science Reference.
Kaysin, A., & Viera, A. J. (2016). Community-acquired pneumonia in adults: diagnosis and management. American Family Physician, (9). 698.
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