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AH-110 Medical Terminology Online Assignment #4 20 pts. Part I: 11 pts The chart below contains eleven (11) phrases that can be reworded with a medical term that you learned in module 9. Each phrase is identified with an underline. Determine the medical term and write your answers in the space provided. Current Complaint: A 43-year old female was brought to the Emergency Dept. by her family. She complained of painful and labored breathing (1), rapid breathing (2), and fever. Symptoms began 3 days ago, but have become much worse during the past 12 hours. Past History: Patient is a mother of three and a business executive. She has had no surgeries or previous serious illnesses. Signs and Symptoms: Temperature is 103 degrees F, respiratory rate is 20 breaths/min, blood pressure is 165/98. and heart rate is 90 beats/min. A blood test to measure the levels of oxygen in the blood (3) indicates a marked low level of oxygen in the blood (4). The process of listening to body sounds (5) of the lungs revealed abnormal crackling sounds (6) over the left lower chest. She is producing large amounts of pus-filled (7) mucus coughed up from the respiratory tract (8) and a chest x-ray (9) shows a large cloudy patch in the lower lobe of the left lung. Diagnosis: Left lower lobe inflammatory condition of the lungs caused by bacterial infection (10). Treatment: Patient was started on intravenous antibiotics. She also required a tube placed through the mouth to create an airway (11) for 3 days. 1. _________dyspnea_____________________ 2. _________tachypnea______________________ 3. ________arterial blood gases_______________________ 4. ________hypoxemia_______________________ 5. ________auscultation_______________________ 6. ________rales______________________ 7. ________purulent_______________________ 8. _________expectoration______________________ 9. _________Radiography______________________ 10. _______________________________ 11. _______________________________ Part II: 9 pts Medical Record Analysis Below is an item from a patient’s medical record. Read it carefully, make sure you understand all the medical terms used, and then answer the questions that follow. Rev 12/16 1 Pulmonology Consultation Report Reason for Consultation: Evaluation of increasingly severe asthma. History of Present Illness: Patient is a 10-year-old male who first presented to the Emergency Dept. with dyspnea, coughing, and wheezing at 7 years of age. Paroxysmal attacks are increasing in frequency and there do not appear to be any precipitating factors such as exercise. No other family members are asthmatics. Results of Physical Exam: Patient is currently in the ED with a paroxysmal attack with a marked dyspnea, cyanosis around the lips, prolonged expiration and a hacking cough producing thick, nonpurulent sputum. Thoracic auscultation with a stethoscope revealed rhonchi throughout bilateral lung fields. Chest x-ray shows poor pulmonary expansion, with hypoxemia revealed by ABG. A STAT pulmonary function test reveals moderately severe airway obstruction during expiration. This patient responded to oxygen therapy, bronchodilators and IV steroids, and he is beginning to cough less and breath with less effort. Assessment: Acute asthma attack with severe airway obstruction. There is no evidence of pulmonary infection. In view of increasing severity and frequency of attacks all his medications should be reevaluated for effectiveness and all attempts to identify precipitating factors should be made. Recommendations: Patient is to continue to use Albuterol for relief of bronchospasms and steroids to reduce general inflammation. Instructions for taking medications and controlling severity of asthma attacks were carefully reviewed with the patient and his family. A referral to an allergist was made to evaluate this young man for presence of environmental allergies. Please answer the following questions: 12. What does the medical term paroxysmal mean? (0.5 pt) 13. What do the following abbreviations stand for? (3 pts) a. IV Rev 12/16 2 b. STAT c. ABG 14. The patient was discharged and sent home with two medications. Name each medication and then explain the purpose of each of these medications. (2 pts) 15. Regarding this young man’s asthma, what important information is unknown to the consulting pulmonologist? What does this physician recommend for after discharge from the ED to address this problem? (2 pts) 16. Describe the characteristics related to this patient’s cough in your own words. (1/2 pt) 17. Which of the following is not one of the symptoms seen in the Emergency Dept? (1pt) a. crackling lung sounds b. bluish skin c. difficulty breathing d. extended breathing out time Rev 12/16 3