Systems Analysis and Development
February 15, 2020
IHP 450 Milestone Three Short Paper Guidelines and Rubric
February 15, 2020

CHIEF COMPLAINT: “I have been having dark stool and stomach pain for 3 days.”

CASE STUDY

==============

CHIEF COMPLAINT: “I have been having dark stool and stomach pain for 3 days.”

HISTORY OF PRESENT ILLNESS: Mr. Marsh is a 32 year old who has been
recently promoted to junior partner at a prestigious law firm. He is
proud of his accomplishments at such a young age, and after being with
the firm for a short time. He admits to feeling pressure and stress due
to this new stage. He’s been having stomach pain for about a month, but
it has worsened over the past few days. He reports that his stool has a
dark, black appearance as well. Because of his hectic schedule, he does
not really eat much, but when he does eat, he has a burning pain after
meals. He takes medications for pain relief.

Prior to this visit, Mr. Marsh is healthy. His past medical history
was for a tonsillectomy & adenoidectomy at age 10. Denies smoking,
drinking or recreational drug use. He has annual check-ups as scheduled.

PHYSICAL EXAMINATION: AAOx 3. Well groomed, well nourished white
male. Vital signs: BP 110/80 mmHg, HR 100/bpm right arm sitting,
RR-18/bpm, T 98.6

HEENT/SKIN: Head is normocephalic. PERRLA. Tympanic membrane pearly
gray. Patent nares. No bulging turbinates. Neck supple, trachea midline.
Pallor of face. Mucous membranes moist, intact.

CARDIOVASCULAR: Lungs are clear to auscultation and percussion. S1,
S2. No murmurs, bruit or thrills. Peripheral pulses are present but are
rapid and weak.

ABDOMEN/RECTUM: To be completed by the nurse.

Rectal examination revealed black, tarry stool.

LABORATORY TESTS: Hemoglobin 9gm/dL, Hematocrit 27%, MCV 90. WBC
13,000/mm. PT/PTT – normal. BUN 12 mg/dL, Creatinine 0. 8 mg/dL.
EKG-normal sinus rhythm, Chest x-ray -normal. X-ray of abdomen (kidney,
ureter, bladder-KUB) is unremarkable.

  1. What are signs and symptoms of anemia?
  2. What is rebound tenderness? Guarding?
  3. What do the vital signs reveal?
  4. What would your abdominal assessment reveal? (Think IAPP)

a.Inspection-

b. Auscultation-

c. Percussion-

d. Palpation-

5.What medication could have contributed to his symptoms?

6. What is the diagnosis?

7. What medication regimen would be ordered for treatment?

==================

DISCUSSION

==================

Please write 1 paragraph for each of the following (total 3 paragraphs) and each paragraph shall be no more than 6 sentences.

*** Minus 1 point for extra long paragraphs or over 9 sentences.

(Make sure to post in the assignment & discussion tabs)

1. What is the difference between osteoporosis, osteopenia & osteomalacia?

2. Name 3 treatments for osteoporosis.

3. For what reason would a wrench need to be readily accesible for a patient on an orthopedic unit?

4. What is the proper order/sequence to assess the GI system?

5. Name one medication that affects the oral cavity (i.e. gums).

 

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CHIEF COMPLAINT: “I have been having dark stool and stomach pain for 3 days.” was first posted on February 15, 2020 at 9:49 am.
©2019 "My Nursing Experts". Use of this feed is for personal non-commercial use only. If you are not reading this article in your feed reader, then the site is guilty of copyright infringement. Please contact me at ukbestwriting@gmail.com

 

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Systems Analysis and Development
February 15, 2020
IHP 450 Milestone Three Short Paper Guidelines and Rubric
February 15, 2020

CHIEF COMPLAINT: “I have been having dark stool and stomach pain for 3 days.”

CASE STUDY

==============

CHIEF COMPLAINT: “I have been having dark stool and stomach pain for 3 days.”

HISTORY OF PRESENT ILLNESS: Mr. Marsh is a 32 year old who has been
recently promoted to junior partner at a prestigious law firm. He is
proud of his accomplishments at such a young age, and after being with
the firm for a short time. He admits to feeling pressure and stress due
to this new stage. He’s been having stomach pain for about a month, but
it has worsened over the past few days. He reports that his stool has a
dark, black appearance as well. Because of his hectic schedule, he does
not really eat much, but when he does eat, he has a burning pain after
meals. He takes medications for pain relief.

Prior to this visit, Mr. Marsh is healthy. His past medical history
was for a tonsillectomy & adenoidectomy at age 10. Denies smoking,
drinking or recreational drug use. He has annual check-ups as scheduled.

PHYSICAL EXAMINATION: AAOx 3. Well groomed, well nourished white
male. Vital signs: BP 110/80 mmHg, HR 100/bpm right arm sitting,
RR-18/bpm, T 98.6

HEENT/SKIN: Head is normocephalic. PERRLA. Tympanic membrane pearly
gray. Patent nares. No bulging turbinates. Neck supple, trachea midline.
Pallor of face. Mucous membranes moist, intact.

CARDIOVASCULAR: Lungs are clear to auscultation and percussion. S1,
S2. No murmurs, bruit or thrills. Peripheral pulses are present but are
rapid and weak.

ABDOMEN/RECTUM: To be completed by the nurse.

Rectal examination revealed black, tarry stool.

LABORATORY TESTS: Hemoglobin 9gm/dL, Hematocrit 27%, MCV 90. WBC
13,000/mm. PT/PTT – normal. BUN 12 mg/dL, Creatinine 0. 8 mg/dL.
EKG-normal sinus rhythm, Chest x-ray -normal. X-ray of abdomen (kidney,
ureter, bladder-KUB) is unremarkable.

  1. What are signs and symptoms of anemia?
  2. What is rebound tenderness? Guarding?
  3. What do the vital signs reveal?
  4. What would your abdominal assessment reveal? (Think IAPP)

a.Inspection-

b. Auscultation-

c. Percussion-

d. Palpation-

5.What medication could have contributed to his symptoms?

6. What is the diagnosis?

7. What medication regimen would be ordered for treatment?

==================

DISCUSSION

==================

Please write 1 paragraph for each of the following (total 3 paragraphs) and each paragraph shall be no more than 6 sentences.

*** Minus 1 point for extra long paragraphs or over 9 sentences.

(Make sure to post in the assignment & discussion tabs)

1. What is the difference between osteoporosis, osteopenia & osteomalacia?

2. Name 3 treatments for osteoporosis.

3. For what reason would a wrench need to be readily accesible for a patient on an orthopedic unit?

4. What is the proper order/sequence to assess the GI system?

5. Name one medication that affects the oral cavity (i.e. gums).

 

Looking for a Similar Assignment? Order now and Get 10% Discount! Use Coupon Code “Newclient”


CHIEF COMPLAINT: “I have been having dark stool and stomach pain for 3 days.” was first posted on February 15, 2020 at 9:49 am.
©2019 "My Nursing Experts". Use of this feed is for personal non-commercial use only. If you are not reading this article in your feed reader, then the site is guilty of copyright infringement. Please contact me at ukbestwriting@gmail.com

 

"Are you looking for this answer? We can Help click Order Now"