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

ASSESSMENT. Use template To Prepare: · Identify an individual—an actual

ASSESSMENT. Use template To Prepare: · Identify an individual—an actual or symbolic friend—to whom you will write to advocate for civic engagement to advance health equity. · Access the Letter to a Friend: Advocacy for Health Equity template document. Review the required elements of the letter and consider how to

   The Assignment: Complete the following items and incorporate them into the final version of your Academic Success and Professional Development

   The Assignment: Complete the following items and incorporate them into the final version of your Academic Success and Professional Development Plan. With      the resources specific to the MSN or PMC specialization and the Walden      University. (n.d.). Master of Science in Nursing (MSN) or PMC, shared in      this module, write