Is the patient on inhaled steroids that could cause hoarseness?
i. Increased urinatation? On PE, you see that the RR is 23 bpm and a bit labored, but there is distant BBS with scattered wheezing and rhonchi over both lungs. There seems to be a pleural rub over the RLL. The Sp02 is 88% on room air. 40. List diagnostic procedures you would recommend to further assess this patient. a. Pulmonary function studies with bronchodilators, include a flow/volume loop 41. List therapeutic procedures you would recommend at this point. a. Place patient on enough 02 to get the Sp02 to 90-92% b. Give a Beta II agonist and reassess the BBS, VS and even FEV1 or PEFR c. Before we can consider CPT/PD for the secretions, we need to look for effusions associated with the pleural rub On chest film, you note that there is a flattened diaphragm with a 4 cm mass in the right middle lobe. Beyond the mass there seems to be an area of consolidation and atelectasis. There seems to be plural thickening and a small effusion in the right. 42. List diagnostic procedures you would r
