Based on her previous records she has had a long history of diabetes and her major chiefcomplaint is severe internment claudication that occurs in the calf. She indicates that her leg discomfort is very painful and…
Therefore, this indicates that she is at a higher risk of getting a peripheral vascular related disease.
Her state of health was well until 9pm the night she reported to the hospital. She describes that her pain began on her lower leg when she was moving her furniture in her living room. She took some pain killers but when the pain further persisted, her husband decided to bring her in for a check-up. She denied any form of dizziness, nausea, vomiting and diaphoresis.
On her physical examination, her appearance is that of a slightly slim white woman lying on the bed with an indication of severe pain in her toes.She is complaining of havingvery severe leg cramps. Based on the assumptions of the symptoms indicated by the patient, diagnostic procedures for peripheral vascular diseases are carried out. An angiogram is conducted on the veins and arteries in order to detect any form of blockage of the vessels. The Doppler technique is also conducted so as to measure the access of the flow of blood. The final test conducted is that of the treadmill exercise where by the patient is required to walk on the treadmill in order to monitor her pulse rate (Weber, Kelly & Sprengle, 2014).
On inspection of the thorax and lungs there is an indication of bibasilar rales. The diaphragm moves slightly well during respiration, percussion there are signs of dullness and no rhonchi, rubs and wheezes. The x-ray taken also shows the effect of the tobacco use that the patient is inhaling into her system as dullness is seen in the chest region.
On inspection of the heart and neck vessel, the cardiac examination indicates that there are no hives or thrills. The rhythm is regular with an extra heartbeat. The normal s1/s2 is narrowly split. There is a positive s4 gallop. 2/4 systolic injection murmur is being heard at the left sternal border with no radiation. The pulses can be noted for the sharp carotid upstrokes. The pulmonary vessel in ...
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