Chief Complaint “My chest feels tight.” History 19-year-old…

Chief Complaint “My chest feels tight.” History 19-year-old college student Seasonal allergies Symptoms worsen outdoors Assessment Audible wheezing RR 28 SpO₂ 96% Questions What symptom is the patient describing? What disease process is likely occurring? Why can a patient be dyspneic despite a normal SpO₂? What additional questions should be asked? Which findings are signs and which are symptoms?

Chief Complaint “I can’t sleep in my bed.” History 74-year-…

Chief Complaint “I can’t sleep in my bed.” History 74-year-old female Sleeps in recliner Uses four pillows Swollen ankles Weight gain of 12 lbs in two weeks Assessment RR 26 Bilateral lower extremity edema Mild cyanosis Questions What type of dyspnea is present? What disease comes to mind? Why does lying flat worsen symptoms? What additional findings would you expect? What questions would you ask during the interview?