Case Study – Shortness of Breath – Adult FemaleA 63-year-old woman undergoes to.
Case Study – Shortness of Breath – Adult Female
A 63-year-old woman undergoes total knee replacement for severe degenerative joint disease. Three days after surgery, she develops an acute onset of shortness of breath and right-sided pleuritic chest pain. She is now in moderate respiratory distress with a respiratory rate of 30/min, heart rate of 122 bpm, and blood pressure of 112/74 mm Hg. Oxygen saturation is 89% on room air. Lung examination is normal. Cardiac examination reveals tachycardia but is otherwise unremarkable. The right lower extremity is post-surgical, healing well with 1+ pitting edema, calf tenderness, erythema, and warmth; the left leg is normal. She has a positive Homan sign on the right.
1. What are your differential diagnoses?
2. What is your suspected diagnosis?
3. What is the pathophysiology of your suspected diagnosis?
4. What laboratory and imaging studies would you expect to order? What would be your findings with respect to this diagnosis?
5. What are the outcomes, including complications with a patient with this diagnosis? How would you prevent this from happening?
Text Book we are using in Class is Tkacs, Herrmann, Johnson (2021): Advanced Physiology and Pathophysiology, Essentials for Clinical Practice., Springer Publishing Company, New York, NY.
If any other references are used Include Soft Copies of all.