Patient Identifiers. Patient case: Pulmonary Edema C . E . B . 6 7 – year – old Female African – American Chief Complaint Non – stop cough with difficulty in breathing that worsens when lying down History of Present Illness 1 month prior to consultation, the patient was noted to have frequent non – radiating epigastric pains, nausea and vomiting and numbness of lower extremities described as tingling sensation . No medications taken, no consultation was done. 1 week prior to consultation, still with the above symptoms, the patient was noted to have exertional dyspnea, 2 pillow orthopnea, occipital headache 7 / 1 0 in pain scale, and productive cough associated with noticeable bipedal edema. Her caregiver took her blood pressure with a reading of 1 6 0 / 1 0 0 mmHg . She took her maintenance medication: amlodipine 1 0 mg once a day and repeated BP measurement after 1 2 hours however still elevated to 1 5 5 / 1 0 0 mmHg . There was no associated chest pain / heaviness , nasal discharge, fever, and body malaise. No other medications taken. No consultation was done. 3 days prior to consultation, the patient had a more progressive productive and distressing cough with no associated hemoptysis, progression of difficulty of breathing from previously 2 pillow orthopnea to 4 pillow orthopnea. Bipedal edema progressed until the knee. Still with the above symptoms, now with Nausea and vomiting amounting to 2 cups per bout of previously ingested food. Still no consultation was done and no medications were taken. Due to persistence of symptoms, patient consulted in the Emergency department of our institution Past Medical History Hypertension – uncontrolled ( 2 0 1 8 ) Amlodipine 1 0 mg Once a day – non compliant Diabetes: Type II , ( 2 0 1 8 ) Metformin 5 0 0 mg / tab 1 tab 2 x a day – non – compliant Review of Systems ( + ) wearing of eyeglasses. 1 . Give all the possible Clinical lab ( routine tests, work up tests, confirmatory tests ) for the case. Correlate all the lab test to be used to the case. Explain in full detail the purpose and significance all the lab test that is to be used in the case. What are the implications of the lab test? What are the normal values? Why use those specific lab test?
[Verified Answer]: Patient Identifiers. Patient case: Pulmonary E
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