NRNP 6531 Week 7 iHuman Case Evita Alonso

Course : Walden
Contributed :
  • $20.00
  • NRNP 6531 Week 7 iHuman Case Evita Alonso

Performance Overview on case Evita Alonso

 

History Notecard on case Evita Alonso

 

Problem Statement on case Evita Alonso

EA is a 48-year-old female who presents to the clinic with colicky RUQ pain x two weeks. Pain started as intermittent but is now constant; increased in intensity over the last two days, from 2-3 on a scale of 1-10 up to 6-7 at most; currently at 3-4. Associated symptoms include nausea, vomiting (nonbilious, non-bloody), anorexia, light-colored stools, and dark urine. Pain intermittently radiates to the right shoulder, is provoked by food intake, and is non-responsive to NSAID and antacids. Patient is found to have tachycardia, orthostatic hypotension, low-grade fever, mild scleral icterus, RUQ tenderness with voluntary muscle guarding, and positive Murphy's sign on physical exam. Has a family history of biliary disease (mother).

 

Management Plan on case Evita Alonso

  • Primary Diagnosis
  • Differential Diagnosis
  • Medication
  • Supportive care
  • In case of repeat occurrence
  • Follow up/Disposition
  • Problem Statement
  • Hx card – COMPLETED
  • Health Promotion
  • References

Electronic Health Record on case Evita Alonso

  • History of Present Illness
  • Past Medical History
  • Medications
  • Allergies
  • Preventive Health
  • Family History
  • Social History
  • Review of Systems
  • Physical Exams

 

 

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