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A 53-year-old man is admitted from the emergency room with shortness of breath (SOB). He had never had this problem until about 2 weeks prior to admission(PTA) when he began to notice difficulty breathing when climbing stairs. Last week, he began to have SOB when walking less than one block, and last night, he awoke from sleep and had to get up to “get some air.” He denied any fever, cough, hemoptysis, chest pain or discomfort, back pain, urinary abnormalities, abdominal pain, or ankle swelling. The patient has visited the Emergency Department many times over the last 15 years. He has had a history of hypertension for 10 years, and Type II DM was diagnosed two years ago. He has been prescribed various medications to help control his hypertension and diabetes, but he has been non-compliant, and states cannot afford to pay for them. He is currently unemployed, lives in a homeless shelter, has no health insurance and rarely keeps his clinic appointments in the Primary Care Center. He smokes and drinks alcohol regularly, but he can’t quantify the amount or duration of each.
SCIENCE
HEALTH SCIENCE
NURSING
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