NSG 2317 Lecture Notes - Lecture 5: Paroxysmal Nocturnal Dyspnoea, Upper Respiratory Tract Infection, Sternal Angle
12 Oct 2016
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Document Summary
A 65yo male patient with a history of heart disease complains of being awakened from sleep with shortness of breath . Don"t get caught up on what colour it is (green vs. yellow) in terms of viral vs. bacterial except for red which indicates blood. Asthma characteristic with coughing at night because catecholamines dip the lowest. Bronchitis characteristic with coughing in the middle of the night: hemoptysis coughing up blood, dyspnea a subjective claim of being short of breath. Paroxysmal nocturnal dyspnea: wheeze an expiratory sound, chest pain with breathing could either be very serious or not at all. Might be an inflammation of the pleurae and pain is localized, sharp, jabbing, where layers are rubbing together: allergies. Acute rhinitis seasonal allergies, asthma, atopic dermatitis exzema; manifest in different areas but are effectively the same reactions (genetic; if one parent has, 40% chance of child: activity tolerance, use of medications, saba.
