Hello there! Want a discount? Grab 5% OFFon your first order!
originalresearchpapers.com logo
Hello there! Want a discount? Grab 5% OFF on your first order!
originalresearchpapers.com logo

 Patient With Sudden Onset of Intermittent Mid-Epigastric Pain PR is a 35-year-old female who presents with a sudden onset of intermittent

 Patient With Sudden Onset of Intermittent Mid-Epigastric Pain

PR is a 35-year-old female who presents with a sudden onset of intermittent mid-epigastric pain that started 4 weeks ago. Pain is 6/10 on the pain scale and described as burning that worsens after she eats Mexican food and when she is lying down. She has never experienced this before. PR reports that she has been taking over the counter (OTC) antacids that seemed to help at first, but now they provide no relief. She reports associated regurgitation and feeling of fullness all the time and this morning she had a sore throat. 

Past Medical History 

• Anaphylactic reaction to penicillin Medications 

• OTC antacids 

Family History 

• Noncontributory 

Social History 

• Occupation: Elementary school teacher (10 years) 

• Nonsmoker 

• Denies illicit drug use 

• Consumes wine two to three times per month •

 Regular exercise 

Physical Examination 

• Weight: 145 lbs.; blood pressure: 128/72; pulse: 80; respiration rate: 18; temperature: 98.7 °F 

• General: Calm, cooperative, in no apparent distress 

• Eyes: Pupils equal, round, reactive to light 

• Ears: Tympanic membranes clear 

• Nares: Without nasal septal deviation; pharyngeal mucosa pink and moist 

• Throat: Oropharynx without edema, erythema, tonsillar enlargement, lesions 

• Abdomen: Nondistended, soft, round, nontender; normoactive bowel sounds in all quadrants 

Discussion Questions 

1. What are the top three differential diagnoses for PR? 

2. What diagnostic tests, if any, are required for PR? 

3. What pharmacological, nonpharmacological, and/or nutraceutical therapies should be prescribed for PR?

 4. The results from PR’s H. pylori test returned positive. What treatment should be added to her plan of care?


Share This Post

Email
WhatsApp
Facebook
Twitter
LinkedIn
Pinterest
Reddit

Order a Similar Paper and get 15% Discount on your First Order

Related Questions

“Variant characteristics of culture” include nationality, race, age, color, religious affiliation, educational status, socioeconomic status,

“Variant characteristics of culture” include nationality, race, age, color, religious affiliation, educational status, socioeconomic status, occupation, military experience, political beliefs, urban versus rural residence, enclave identity, marital status, parental status, sexual orientation, gender issues, physical characteristics, immigration status, and length of time away from the country of origin. Reflect on

smart goals, work on setting goals for yourself using the SMART method. list a minimum of five professional goals that you would like to

smart goals,  work on setting goals for yourself using the SMART method. list a minimum of five professional goals that you would like to accomplish during the clinical experience in this term. For each goal, you must provide an explanation of how the goal is representative of each of the SMART characteristics: Specific, Measurable, Attainable, Realistic,

Describe the roles and responsibilities of the APRN when prescribing medication. Describe the method used to determine what drug therapy to

Describe the roles and responsibilities of the APRN when prescribing medication. Describe the method used to determine what drug therapy to prescribe? Discuss responsibilities for patient education and teaching based on the prescribed therapy.  Discuss Schedule drugs and prescribing restrictions for each scheduled drug.  2 academic sources cited  Arcangelo, P.

United States Preventive Service Taskforce (USPSTF)Following the guidelines of the United

United States Preventive Service Taskforce (USPSTF) Following the guidelines of the United States Preventive Service Taskforce (USPSTF), discuss and describe the screening recommendations for the following: · Cervical cancer · Breast cancer · Osteoporosis · Colorectal cancer · Lung cancer · Ovarian cancer · Intimate partner violence (IPV). Submission Instructions:

You deserve a bonus!

Subscribe and get regular bonuses and discounts.