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A 66 year old male presents to your office complaining of shortness of breath for the past five days which has gotten progressively worse. His shortness of breath is worse when lying down and with exertion. He complains of a cough, especially at night. He also reports increased swelling in both legs bilaterally and mild substernal chest pressure.
The patient has a history of diabetes, hypertension, and a prior myocardial infarction. His vital signs are: BP 208/102, HR 116, RR 28, T 98.4, 94% oxygen saturation. On exam you note rales in the lung bases bilaterally as well as 1+ pitting edema in the lower extremities bilaterally. The patient is sitting up and in no acute respiratory distress.
Provide the most likely diagnosis based on the HPI and PE. In addition, provide your interpretation of the cues found in the assessment. List at least 3 possible differential diagnoses and justify your rationale. Develop therapeutic plan options based on quality, evidence-based clinical guidelines. pls provide reference within the last 5 years.
Could you refer to Order ID: MAH160814_16840_33120 for all the previous uploaded files? Thanks. Question: Develop a ‘whole-of-organisation' communication strategy for an international event to be conducted in City X involving multiple nationalitie..
Use your textbook readings or the above articles/video to support your description. Describe and relate to current and past water flow patterns of South Florida
What did you notice about the times of Sunrise/sunset during the project? What did you notice about the locations of Sunrise/sunset?
Further, through genotyping he identifies which goats carry the horned allele and culls 40% of the heterozygotes. The remaining goats breed randomly.
What everyday changes, if any, might you make to increase the amount of energy expended in your day-to-day activities? What types and amounts of exercise would work best for you? Can you perform these activities year-round? If not, suggest alternativ..
What are the challenges for biomedical image segmentation? Give one example of ways by which current systems avoid the problem of automatic segmentation.
write a 2-page paper applying the Model of Stressors, Stress, Discuss how you would design a program for stress prevention and management for your organization.
You have been given the task of setting up a molecular diagnostics laboratory to provide pharmacogentic testing.
Does anyone you know have a problem with asthma or cardiovascular disease that gives you concern about air pollution levels near where they live?
Identify the generation of yourself and your chosen grandparent (or similar elder) based on the terminology from Pew Research Center (2015) and similar resources.
Describe the chemical composition and vertical structure of the atmosphere, including the "layers" and how and why one layer is diffentiated from those adjacent to it. Then, describe what physical conditions allow for vertical movement of air, and wh..
Define the distribution channels used and Discuss the product in terms of synchronous vs asynchronous time utility trade-offs
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