Acute Bronchitis: Subjective and Objective Examination and Assessment and Plan (Essay Sample)
This task and sample is an example of a patient case presentation that includes a subjective examination, an objective examination, and an assessment and plan. The patient in the case is a 41-year-old female presenting with symptoms of acute bronchitis and hypertension. The sample provides details of the patient's medical history, physical examination, laboratory examinations, and a proposed plan for treatment. It demonstrates how medical professionals use subjective and objective data to arrive at a diagnosis and develop a treatment plan.
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ACUTE BRONCHITIS
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Subjective Examination
Acute bronchitis is a lower respiratory tract infection which is always characterized by the inflammation of the bronchi (Aguilar et al. 2016, pp. 286). The onset is often a productive cough with sputum, chest pains, wheezing, dyspnea and other symptoms of respiratory distress. Mary, a 41-year old female presents with symptoms of persistent productive cough, difficulties in breathing and chest pains two days after the onset. She also has some left shoulder pain. The history of the presenting conditions reveal association with fever and loss of appetite. The pain has no relieving or aggravating factors. She has a positive history of smoking tobacco and alcohol drinking. She has never been involved in any surgical exposure and has no known food or drug contra-
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