Discussion: Rhonchi in Anterior Chest

Discussion: Rhonchi in Anterior Chest

Discussion: Rhonchi in Anterior Chest

PART 2 Physical examination: Vital Signs: Height: 6’0 Weight: 140 pounds; BMI: 19.0 BP: 156/84 P: 84 regular R: 20 HEENT: normocephalic, symmetric PERRLA, EOMI; poor dentition NECK: left neck supple; non-palpable lymph nodes; no carotid bruits. Limited ROM LUNGS: rhonchi in anterior chest bilaterally. HEART: S1 and S2 audible; regular rate and rhythm ABDOMEN: active bowel sounds all 4 quadrants; Normal contour; RUQ tenderness; liver palpable NEUROLOGIC: negative GENITOURINARY: negative MUSCULOSKELETAL: negative PSYCH: PHQ-9 is 15 SKIN: oral mucosa irritated-stomatitis Discussion Part Two: Summarize the history and results of the physical exam. Discuss the differential diagnosis and rationale for choosing the primary diagnosis. Include one evidence-based journal article that supports your rationale and include a complete treatment plan that includes medications, possible referrals, patient education, ICD 10 Codes, and plan for follow up.Rhonchi are rattling, continuous and low-pitched breath sounds that are often hear to be like snoring. Rhonchi are also called low-pitched wheezes. They are often caused by secretions in larger airways or obstructions. Rhonchi can be heard in patients with pneumonia, chronic bronchitis, cystic fibrosis or COPD (chronic obstructive pulmonary disease). Coughing will often clear rhonchi.Our basic and intermediate lung sounds courses provide lessons on rhonchi. As a starting point, use the basics course. The intermediate course provides additional information regarding early and late inspiratory rales (crackles).Rhonchi are continuous low pitched, rattling lung sounds that often resemble snoring. Obstruction or secretions in larger airways are frequent causes of rhonchi. They can be heard in patients with chronic obstructive pulmonary disease (COPD), bronchiectasis, pneumonia, chronic bronchitis, or cystic fibrosis.