Mason & Calvin Case Studies

Mason & Calvin Case Studies

Mason is a 55-year-old homeless man who you are seeing today for the first time. He is a smoker and states that he has frequent colds and a routine morning cough. He used to be short of breath just walking up hills, but he now has difficulty breathing with everyday activities and is having trouble finding food because he cannot walk very far. He just wants medicine to help him survive on the streets. On examination, you find him using his accessory muscles to breathe. His vital signs are 99°, 100 beats per minute, 28 respirations/min., and blood pressure 140/90. Breath sounds are distant with end-expiratory wheezes. He has a slight barrel chest and neck vein distention.

Mason & Calvin Case Studies

Calvin is a 36-year-old lawyer who is coming in today for a worsening cough over the past four days. He has had some yellow sputum sporadically throughout the day; he says he has felt hot but has not taken his temperature. He has a history of asthma and has been using his Proventil inhaler every 2 to 3 hours for the past 3 to 4 days. He has no other medication. He says that other than the cough, he feels a little fatigued, and he notices that his energy level is less when he plays hockey with his men’s league twice a week.  His SaO2 is 96%, HR 102, and BP 144/82. He has bilateral wheezes posteriorly on inspiration, worse at the base.

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Mason & Calvin Case Studies

Mason is a 55-year-old homeless man who you are seeing today for the first time. He is a smoker and states that he has frequent colds and a routine morning cough. He used to be short of breath just walking up hills, but he now has difficulty breathing with everyday activities and is having trouble finding food because he cannot walk very far. He just wants medicine to help him survive on the streets. On examination, you find him using his accessory muscles to breathe. His vital signs are 99°, 100 beats per minute, 28 respirations/min., and blood pressure 140/90. Breath sounds are distant with end-expiratory wheezes. He has a slight barrel chest and neck vein distention.

Calvin is a 36-year-old lawyer who is coming in today for a worsening cough over the past four days. He has had some yellow sputum sporadically throughout the day; he says he has felt hot but has not taken his temperature. He has a history of asthma and has been using his Proventil inhaler every 2 to 3 hours for the past 3 to 4 days. He has no other medication. He says that other than the cough, he feels a little fatigued, and he notices that his energy level is less when he plays hockey with his men’s league twice a week.  His SaO2 is 96%, HR 102, and BP 144/82. He has bilateral wheezes posteriorly on inspiration, worse at the base.