Wednesday, May 6, 2020

Cardiovascular for Fever and Chest Pain- myassignmenthelp.com

Question: Discuss about theCardiovascular for Fever and Chest Pain. Answer: Questions For how long have you been experiencing palpations, fever and chest pain? Does any member of your family suffer from chest problems? Did you take any medication at the onset of these symptoms? Diagnosis Recommend a chest X-ray- to find out the underlying cause of chest pain, whether there could be infections in the upper and lower respiratory system (Shakeel, 2015). Hospital admission- this will enable the patient to be evaluated for the possible causes of the presenting symptoms, and if possible be put on antibiotics coverage. CXR can also be requested specially to determine whether the patients are suffering from community acquired pneumonia. This CXR needs to be repeated for between 24 to 48 hours upon hospital admission. Sputum test is also recommended to find out whether the patient has bacterial infection or not; a case in which if the bacterial test is negative then there are enough reasons to suspect viral infections. Diagnostic studies Nasopharyngeal tests Diagnostic imaging of the chest Physical exam and results The culture of the nasal, throat and mouth washes and swabs are important to ascertain the actual cause of the infections presenting with these symptoms. Enzyme immune assays- these include antibody and antigen titers to determine the viral loads in the chest in the body system. Three differentials The presenting chest pain, fever and malaise could be due to myocardial infarction, pulmonary infections and gastrointestinal problems. Life threatening diagnosis In the event that this could be a pulmonary viral infection, say pneumonia, then this is a dangerous condition because there is no cure for viral infections (Ann, 2017). Treatment If Robert is suffering from viral infection, the doctor will prescribe antivirals like oseltamivir and peramivir which prevent viral spread in the body. The patient and his family will also be educated on how to prevent transmission to other family members by observing top level hygiene and avoiding close contact during medication. References Ann, M., (2017). Upper respiratory tract infection work up. Medscape. Retrieved from https://emedicine.medscape.com/article/302460-workup Shakeel, A., (2015). Viral pneumonia imaging. Medscape. Retrieved from https://emedicine.medscape.com/article/360254-overview

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