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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Dyspnea And Recurrent Cough In A Heart Patient?

Hello i have a made up make (im in nursing school) and i need to find a diagnosis. he is 60 yr old, with hx of hypertension and heart failure, he has complaint of dyspnea. States he needs to sleep with 4 pillows at night, states he gained 6 lbs in 2 days. Also complains he is fatigue all the time, and has large amount of pink-frothy sputum with coughing. He is having difficulty expressing his wished because he is so short of breathe and coughs every time he speaks; cough has audible wheeze, skin is pale, and purple colored around his mouth. BP: 110/50, P:110/ a min, RR:32/ min, SAO2:86% temp:96.5, Weigth:240.Resp assessment: he has rapid breathing, crackles all lobes, but especially in bases bilaterally, shortness of breath, coughing with episodes of paroxysmal periods of dyspnea, orthopedia, and audible wheezes heard within the lungs in all lobes with auscultation.Cardio assessment: dizziness, weakness, grunt-snores sounds especially heard #4 and #5 intercostal areas. complains of tightness midsternal, pain level 5/10.what would you suggest as a diagnosis?
Thu, 26 Sep 2019
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General & Family Physician 's  Response
Hi,

It seems that he is likely having congestive cardiac failure with signs of left ventricular failure leading to pulmonary edema. Such patients with this much low saturation and pinkish froth in sputum needs to be managed indoor in a health facility. He may need non invasive ventilation support or intravenous diuretics. Oxygen support in propped up position will be needed.

Hope I have answered your query. Let me know if I can assist you further.

Wishing you a speedy recovery.

Regards,
Dr. Saddiq Ulabidin, General & Family Physician
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What Causes Dyspnea And Recurrent Cough In A Heart Patient?

Hi, It seems that he is likely having congestive cardiac failure with signs of left ventricular failure leading to pulmonary edema. Such patients with this much low saturation and pinkish froth in sputum needs to be managed indoor in a health facility. He may need non invasive ventilation support or intravenous diuretics. Oxygen support in propped up position will be needed. Hope I have answered your query. Let me know if I can assist you further. Wishing you a speedy recovery. Regards, Dr. Saddiq Ulabidin, General & Family Physician