COPD

Chronic obstructive pulmonary disease (COPD)

year-old male -- pt known to me -- recently admitted to the ward with Non-STEMI & LVF.

Discharged five days ago.

Was found collapsed in his house by his niece. Duration not known.

Could not get up from the floor, no chest pain/SOB. No dysuria/constipation -- ? Incontinence

Pt was discharged with a package of care last week.

Detailed history not available as the pt is confused and not answering any questions.

Rationale To Justify Choice Of The Aspect Of Care

Shortness of breath is an almost universal symptom in cor pulmonale. Incidents of leg edema, atypical chest pain, dyspnea on exertion, exercise-produced peripheral cyanosis, prior respiratory failure, and extreme daytime somnolence are all chronological clues suggestive of the presence of cor pulmonale. Chest pain could be connected to right ventricular ischemia. Cough and complaints of uncomplicated fatigability are common (Ghosh, et al. 1998)....
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