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Trochanter is fracture of right femur - Coggle Diagram
Trochanter is fracture of right femur
Triggers and cues:
-on HTN treatment for 10 years
-started gaining weight since 5 years
-less interested
-snores
-no energy
-falls asleep in front TV
Hypothesis generation:
-obesity
-aging
-Renal issues
-RCO
-hypoxia
-hypothyroidism
-airway obstruction
-change in lifestyle
Enquirer plan:
-family history
-personal history
-meds history
-phy exam
-ECG
-chest Xray
-holter monitoring
-Doppler ultrasound
-CBC
-urine analysis
-renal tests
-PCG
-urea and electrolytes
-TSH
-lipid profile
-fasting blood glucose level
Hypothesis organization:
-hypertension
-LV hypertrophy
-diabetes
-metabolism issues
-hypothermia
-CAD
hyperlipidemia
-CVD
-sleep apnea
-airway tumor
Patient data:
-smokes 25 cig/day
-snoring increases
-antihypertensive meds
-lethargic
-BP increasing
-weight gain
-JVP 2cm
-increase stress
-father died from 2 MI
-brother had hyperlipidemia
-sister died from stroke
-neuro normal but inattentive
-arteriovenous nipping
-optic fundi
-soft heart sound
results:
-trace of protein in urine
-cholesterol and LDL is high
-LV hypertrophy
-premature ventricular contraction
Diagnostic decision:
ventricular hypertrophy due to uncontrolled hypertension
Sara alsuliman