patient scenario

Topics: Blood pressure, Blood, Hypertension Pages: 4 (912 words) Published: September 23, 2014
Patient scenario

The patient Mr. Smith was diagnosed with prostate cancer 5 years ago. It seemed as if his condition was worsening so he visited his physician who performed a physical examination on him. A physical examination has many components they include observing the signs of a disease by checking for signals like change in skin pigment or alertness. Then there is checking vital signs such as blood pressure, heart rate and temperature by comparing your results to a standard. Next step the stethoscope is used to listen to the lungs, bowel movement and the heart that process is called auscultation. The procedure called palpitation is using fingers and applying pressure to check for abnormalities in the organs. Lastly there is percussion which isn’t used very much it involves tapping on the chest checking to see if the lungs are in good shape.

Mr. Smith now needs his blood pressure checked that includes an instrument called a sphygmomanometer which has a cuff that’s placed on the arm and pumps up to cut off blood circulation. Then the cuff slowly deflates and the doctor uses the stethoscope to listen as the blood moving through arteries. Reading the blood pressure isn’t really that hard to do you just need to know that the numerator represents the systolic number which is a murmur heard when the heart contracts. The diastolic blood pressure number indicates the pressure in the arteries when the heart rests between beats. Only thing significant about these two numbers is that systolic should always be higher. Mr. Smith’s blood pressure is 160/100 which is considered pretty high. It is compared to a standard that is 120/80, it is best to stay between that number and 140/90.

Based on the information provided Mr. Smith had several tests done including potassium in blood, Hemoglobin, Hematocrit, Platelet count check, Bicarbonate, Potassium in urine, Blood glucose, serum Aldosterone, 24 hr urinary aldosterone, rennin, ACTH and a test for cortisol....
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