concept map

Patient PresentationA 68-year-old woman presents to the ED with dyspnea, a 6-day history of fever, myalgia, fatigue and cough. She denies recent foreign travel or contact with anyone who has been sick. Her illness began as a dry throat and mild cough, which became productive with green-yellow sputum. She denies shortness of breath or chest pain, but her cough is difficult to control and is causing her much distress.Past Medical HistoryThe patient has medically-controlled hypertension. She recently received the seasonal flu and pneumococcal (PPSV23) vaccines as recommended by her primary care physician.Past Surgical History
Tonsillectomy as a childMedicationsHydrochlorothiazide 25mg dailyAllergiesNKDASocial HistoryShe denies any history of smoking, alcohol use, or illicit drug use. She lives with her husband who has severe COPD. She volunteers at her local church.
Vitals 100.4 (38 C) HR: 92 bpm RR= 20 and shallow O2 Sat 91-% on Room AirGeneralThe patient appears in mild distress due to cough.HEENT Slight pharyngeal erythema, no exudates  No rhinorrhea No nasal polyps No sinus tenderness to palpation
LungsClear to auscultation, without wheezing or rhonchiHeartTachycardic, without murmurs or rubsSkinNo cyanosis, normal capillary refillInitial ED ManagementLow-flow oxygen via nasal canula (at 2 liters/minute) provided. An overlying surgical mask was placed for droplet infection precautions. Follow-Up VitalsPatients o2 Saturation increased to 95% and respiratory rate decreased to 16.

I need neurological partand cardiovascular, and more detailed