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Age : 76
Presenting complaint Mr G, a 76 years old man with history of lung cancer is presented to ED
with SOB
Past medical history He was diagnosed with lung carcinoma 4 weeks ago; a relapse
He has history of SCLC 18 years ago
He also have IHD, angina, heart valve disease, hypothyroidism, high
cholesterol and prostate adenoma in 2017
No HPTN, DM
Vital signs
RR:16
SpO2 :96%
FO2:2L
BP:120/60
HR:76
Temp : 36.3
Summary This 76 years old man is presented with dyspnea accompanied by cough
producing small amount of flame.Systolic murmur radiating to both axilla
and carotid area is appreciated.My differential diagnosis would be
relapsed lung cancer, aortic stenosis and mitral regurgitation .
Patient : X
Age : 72
Presenting complaint Mr X, a 72 years old man with history of motor neuron disease is
presented to ED with dyspnea
History of presenting complaint The patient was admitted yesterday with dyspnea, tachycardia and cough
without sputum.
The dyspnea is grade 3 of mmrc score.Taking rest would make his
breathing better
He has been having problems to sleep since last 5 nights.
He also noticed hand tremor which he believed due to his alcohol
consumption
The patient is unable to speak; so we communicate by writing on paper
Past medical history For past medical history, he was diagnosed with motor neuron bulbar in
2016.He also had salivary gland surgery and PEG tube insertion in the
same year
Vital signs
RR:17
SpO2 :97%
BP:130/80
HR:119
Temp : 37.3
Summary This 72 years old man with motor neuron disease is presented with
dyspnea accompanied by cough.On examination, tachypnea, thenar
eminence wasting and less than 3 cm chest wall expansion is
appreciated.It is crucial to monitor the patient’s symptoms such as
establishing his baseline of respiratory function and can be assisted with
strategies such as positioning, relaxation & anxiety management and also
breathing technique