Questions to be asked and reasons behind them
The following questions are crucial when handling the patient; what are your exercising habits and overall diet? What is the frequency of your alcohol intake? Do you smoke? Are their changes in your appetite? Are there any difficulties when breathing? The question about exercising and diet associates the current problems with the lifestyle situation of the patient. Also, concerning alcohol consumption, current appetite, and smoking, the answers give the direction to be followed depending on the likelihood of the patient to be suffering from conditions like Hypertension and other heart diseases (Frost et al., 2019). Thus, these pieces of information are crucial.
Expected Diagnostics
The diagnostics expected to be run include; electrocardiogram, electrophysiology, urinalysis, and blood tests. These tests are crucial as they help in linking their results to the potential illness that the patient is suffering from (Stergiou et al., 2018). An electrocardiogram establishes any form of irregularities in the patient’s heartbeat. Their presence will depict a problem with the heart, and this will be appropriate during diagnosis. Electrophysiology study further identifies the response of the patient’s heart, and this enhances the prediction of whether the signs depicted are as a result of heart disease (Mathew et al., 2017). Urinalysis and blood tests depict the components of the patient’s urine and blood to establish whether he has kidney disease or prostate problems.
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Major Diagnosis and Management of the Problem
The primary diagnosis, in this case, includes; kidney disease, prostate problems, and hypertension. The most likely diagnosis for this case is hypertension. Most of the elements of these conditions are in line with the signs and symptoms of the patient. For instance, heightened Blood pressure is a common characteristic of patients with the disease. Besides, the lifestyle of the patient and age puts him at a higher risk of getting the disease. Here, the patient is a man aged 49, and based on past statistics, men aged 45 years and above are at a high risk of contracting it. Also, drinking and being overweight are risk factors in this case. Markedly, to cater to this condition, there is a need to emphasize on the improvement of the patient’s lifestyle. In this case, the patient should be advised to take a balanced diet, avoid alcohol, and embark on progressive exercises.
References
Frost, A., Badesch, D., Gibbs, J. S. R., Gopalan, D., Khanna, D., Manes, A., ... & Torbicki, A. (2019). Diagnosis of pulmonary hypertension. European Respiratory Journal , 53 (1), 1801904.
Mathew, R. O., Bangalore, S., Lavelle, M. P., Pellikka, P. A., Sidhu, M. S., Boden, W. E., & Asif, A. (2017). Diagnosis and management of atherosclerotic cardiovascular disease in chronic kidney disease: a review. Kidney International , 91 (4), 797-807.
Stergiou, G., Palatini, P., Asmar, R., de la Sierra, A., Myers, M., Shennan, A., ... & Parati, G. (2018). Blood pressure measurement and hypertension diagnosis in the 2017 US guidelines: first things first. Hypertension , 71 (6), 963-965.
