Eldine Bertil (pronouns she/her/hers) is a 64-year-old female with a history of small cell lung cancer (SCLC), an aggressive form of lung cancer. She was diagnosed 4 months ago by her oncologist and has been on chemotherapy and radiation treatment for 3.5 months. Today, she presents to her primary care provider’s office complaining of a more frequent cough, hemoptysis, fatigue, and unintentional weight loss of 8 pounds over the past week. Review all tabs of the electronic health record. Based on the information provided, select all clinical manifestations that are potentially related to Eldine’s cancer-induced immunodeficiency. Patient Identification Progress Notes Vital Signs Laboratory Results Date/TimeProvider Progress Notes11/6/XX 1015Client complains of persistent cough, increasing in intensity over the past 3 days, (+) hemoptysis, getting worse. Client also states she has become more fatigued and has had no appetite this week with unintentional weight loss of 8lb in one week. Client diagnosed by Oncologist Dr. Short with small cell lung cancer 4 months ago, receiving chemotherapy and radiation treatment x 3.5 months. Other PMH HTN, DM2, former 1PPD smoker x 30 years (quit 5 years ago). Client appears pale, neurologically intact and AAOx4, denies nausea, vomiting, or diarrhea. Denies night sweats or headaches. Crackles auscultated in base of right lung. Cardiac auscultation demonstrates normal sinus rhythm with no rubs, murmurs, or gallops. Abdomen soft, nontender, nondistended with bowel sounds auscultated in all four quadrants. Neuromuscular system intact in all four extremities, no edema, full ROM. Routine labs completed as outpatient this morning demonstrate neutropenia. Client provided with face mask. Urgent call placed to Dr. Short re: direct admission to hospital versus sending client to Emergency Department. Date: 11/6/XXVital SignsTime BP130/88 Pulse110 Resp29 Temp101.5 °F (38.6 °C) SpO292% RA Pain0 Weight: 103 lb/kg+/(-)Time: 1015Scale:
[Verified Answer]: Eldine Bertil (pronouns she/her/hers) is a…
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