Miss Washington is a 71 y/o female who presents with a new leg ulcer that appeared after a fall 1 week ago. The patient is coughing and wheezing. She tells you that “I’m feeling terrible.” Vital signs appear stable with no fever.

Diagnostic Reasoning Assignment Student's Name Institution Course Code: Course Name Professor's Name Submission Date Patient’s Chief Complaint Based on the provided scenario, the patient’s chief complaint should be understood as the fundamental reason for her to seek medical attention. Miss Washington's primary concern is that she “feels terrible” following an accident a week ago that resulted in the development of a fresh leg ulcer. Physical Exams and Diagnostic Tests The doctor must exercise critical thinking and decision-making skills during diagnostic tests and physical assessments to collect patient information. Wound assessment will entail physically evaluating and observing the pain; a careful neurovascular examination of the entire limb is mandatory (Nagle et al., 2023). Similarly, I can evaluate Miss Washington's respiratory and circulatory systems using a physical auscultation examination, as Moran-Mendoza et al. (2021) suggest. Asthma or chronic obstructive pulmonary disease (COPD) may be indicated by wheezing, while crackles may indicate pneumonia or fluid accumulation. Diagnostic tests (chest X-rays) may be performed to further assess Miss Washington's coughing and wheezing and to help diagnose pneumonia. In addition, a complete blood count (CBC) might be performed as part of a medical checkup to assess general health and spot conditions like anemia, which could disclose an underlying infection causing the patient's symptoms or the patient's general health state (Agnello et al., 2021). Making a Diagnosis The information-gathering methods may be utilized at various intervals, and diagnostic data can be acquired in diverse sequences. The ongoing information collection, integration, and analysis process entails hypothesis formulation and the revision of prior probability as further informat...