Coccidioidomycosis Case Studies
Running Head: CLINICAL CASE STUDY
Clinical Case Study
History and Physical Signs & Symptoms
S.S. is a 57 year old Caucasian male on the ICU floor, who was admitted to the hospital with a diagnosis of pneumonia. After culture, the cause of the pneumonia was found to be coccidioidomycosis (Valley Fever). The patient showed presenting symptoms of a respiratory distress (SPO2 of 89%), fever (102.4°F), weight loss, productive cough, dyspnea, crackles and wheezing in lungs, pleural effusion, and malaise. S.S. has several co-morbid factors affecting his recovery: COPD, Diabetes Mellitus Type II, hypertension, chronic renal insufficiency, depression, and history of benign prostatic hyperplasia (BPH). The patient had a transurethral resection of the prostate (TURP) two years to treat the BPH. Recent surgical history includes the placement of a tracheostomy, a PICC line, and a chest tube since admitted to the hospital.
Systems Review
S.S. was oriented to person, place, and time. His communication was non-verbal due to tracheostomy placement, but used paper and pencil to communicate as needed. Pupils showed PERRLA. The patient showed muscle tone and strength within normal limits in all extremities. …show more content…
His cough was productive with thick yellow sputum. He had dyspnea and tachypnea, with a respiratoy rate ranging from 22 to 27 breathes per minute. A right chest tube in was draining on gravity with no signs of malfunction or infection. There were decreased breath sounds in the lower lobes bilaterally with coarse crackles. The patient received a chest x-ray upon admission noting opacities throughout the lungs showing pneumonia. His most recent chest X-ray exhibits improvement in the lung fields with the lack of a
Clinical Case Study
History and Physical Signs & Symptoms
S.S. is a 57 year old Caucasian male on the ICU floor, who was admitted to the hospital with a diagnosis of pneumonia. After culture, the cause of the pneumonia was found to be coccidioidomycosis (Valley Fever). The patient showed presenting symptoms of a respiratory distress (SPO2 of 89%), fever (102.4°F), weight loss, productive cough, dyspnea, crackles and wheezing in lungs, pleural effusion, and malaise. S.S. has several co-morbid factors affecting his recovery: COPD, Diabetes Mellitus Type II, hypertension, chronic renal insufficiency, depression, and history of benign prostatic hyperplasia (BPH). The patient had a transurethral resection of the prostate (TURP) two years to treat the BPH. Recent surgical history includes the placement of a tracheostomy, a PICC line, and a chest tube since admitted to the hospital.
Systems Review
S.S. was oriented to person, place, and time. His communication was non-verbal due to tracheostomy placement, but used paper and pencil to communicate as needed. Pupils showed PERRLA. The patient showed muscle tone and strength within normal limits in all extremities. …show more content…
His cough was productive with thick yellow sputum. He had dyspnea and tachypnea, with a respiratoy rate ranging from 22 to 27 breathes per minute. A right chest tube in was draining on gravity with no signs of malfunction or infection. There were decreased breath sounds in the lower lobes bilaterally with coarse crackles. The patient received a chest x-ray upon admission noting opacities throughout the lungs showing pneumonia. His most recent chest X-ray exhibits improvement in the lung fields with the lack of a