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The Case of the Coughing Housewife

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The Case of the Coughing Housewife
Homework, up to 30 points. Read clinical case. Provide the definitions for terms in bold on the second page. Save file on your hard drive as “your_name.doc”, NOT as docx or any other format!
Submit it as assignment similar as you would send an attachment via e-mail.
Jessica, a fifty-nine year old mother of four, moved from a ranch in Colorado to Los Angeles, after the death of her husband, to be closer to her oldest son and his family. She has been in Los Angeles for 18 months and has noticed that she is experiencing shortness of breath which has worsened over the last six months, and sleep apnea. For the last week, she has been coughing and bringing up yellow mucus. She also noticed edema in her ankles so she decided to visit a physician about her condition.
Jessica's family and medical history include a negative history of asthma or allergies, lack of occupational or home exposure to asbestos, a previous smoking history (one package of cigarettes per day between the ages of 16 and 52), episodes of bronchitis and bronchopneumonitis, treated with antibiotics on an outpatient basis, and a positive history of pancreatitis (father at 52) and meningomyelitis (brother at 56). Jessica has no history of serious illness, including heart disease, and her weight is within five pounds of her "desired" weight. She usually coughs in the morning to "clear her throat", but there is usually only a small amount of white mucus.
Her nurse practitioner conducts a general physical examination with the following results. Jessica's skin is normal (no rashes or cyanosis) and her nervous system is functioning normally. Her body temperature was 98.4°F while her pulse was regular at 95 beats per minute with an occasional premature beat. Jessica's blood pressure was within normal limits, however her jugular veins were slightly distended. Her respiratory

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