Discussion Post-

Mrs. Deer is a 72-year-old female who presents to your office complaining of right upper quadrant pain that has been increasing in intensity over the past 2 days. She would have come sooner, but she lacked transportation and waited until her son could drive her. She states that she has not been sleeping very much because of the pain. She has been nauseous and vomited a couple of times two days ago but has only been drinking fluids. She states that she has not been around anyone else that had an upset stomach. She recalls prior to the onset of pain she had been at a church supper that included meats, refried beans, and many desserts which she sampled. She described the fried pies that she brought to the supper and ate the extras that afternoon.

Vital Signs: BP 130/80, HR 85, RR 20, Temp 99.0°F.

Discuss the following:

1) What additional subjective data are you seeking to include past medical history, social, and relevant family history?
2) What additional objective data will you be assessing for?
3) What are the differential diagnoses that you are considering?
4) What laboratory tests will help you rule out some of the differential diagnoses?
5) What radiological examinations or additional diagnostic studies would you order?
6) What treatment and specific information about the prescription that you will give this patient?
7) What are the potential complications from the treatment ordered?
8) What additional laboratory tests might you consider ordering?
9) What additional patient teaching may be needed?
10) Will you be looking for a consult?

Submission Instructions:

  • Post should be at least 500 words, formatted and cited in current APA style with support from at least 2 academic sources.

Answers

  1. Additional subjective data:
  • Past medical history: Inquire about any previous medical conditions, surgeries, or hospitalizations, particularly those related to the gastrointestinal system. Ask about any chronic conditions such as liver disease, gallbladder disease, or previous episodes of similar pain.
  • Social history: Determine Mrs. Deer’s living situation, occupation, and lifestyle factors. Assess her alcohol consumption, as excessive alcohol intake can contribute to liver and gallbladder issues. Inquire about her dietary habits, including any recent changes or consumption of high-fat foods.
  • Relevant family history: Ask about a family history of gastrointestinal disorders, particularly gallbladder disease or pancreatic disorders.
  1. Additional objective data:
  • Perform a thorough physical examination, focusing on the abdomen. Palpate the right upper quadrant for tenderness or any masses. Check for signs of jaundice or any other abnormalities.
  • Assess vital signs, including temperature, blood pressure, heart rate, and respiratory rate, to monitor for any signs of systemic illness or complications.
  1. Differential diagnoses:
  • Cholecystitis: Inflammation of the gallbladder, often caused by gallstones obstructing the bile ducts.
  • Acute pancreatitis: Inflammation of the pancreas, commonly associated with gallstones or alcohol abuse.
  • Gastritis: Inflammation of the stomach lining, which can result from the consumption of spicy or fatty foods.
  • Gastroenteritis: An infection or inflammation of the gastrointestinal tract, typically caused by a viral or bacterial infection.
  1. Laboratory tests:
  • Complete blood count (CBC): Evaluate for signs of infection or inflammation.
  • Liver function tests (LFTs): Assess liver enzymes and bilirubin levels to evaluate liver function and rule out liver diseases.
  • Amylase and lipase levels: Elevated levels may indicate pancreatic involvement.
  • Serum electrolytes and renal function tests: Assess for any electrolyte imbalances or impaired kidney function.
  1. Radiological examinations or additional diagnostic studies:
  • Abdominal ultrasound: This can help visualize the gallbladder and identify the presence of gallstones or signs of inflammation.
  • CT scan of the abdomen: If necessary, a CT scan can provide detailed images of the pancreas and surrounding structures to confirm pancreatitis or rule out other conditions.
  1. Treatment and prescription information:
  • Depending on the diagnosis, treatment may involve supportive measures such as pain management, intravenous fluids, and antiemetic medications.
  • If cholecystitis or gallstones are suspected, a referral to a general surgeon may be necessary for further evaluation and potential surgical intervention.
  1. Potential complications from treatment:
  • Complications may include infection, abscess formation, sepsis, or the need for surgical intervention in cases of severe cholecystitis or pancreatitis.
  1. Additional laboratory tests:
  • Depending on the initial results and clinical presentation, additional tests such as viral or bacterial stool cultures may be considered to identify the cause of gastroenteritis if suspected.
  1. Additional patient teaching:
  • Educate the patient on the importance of dietary modifications, such as avoiding high-fat and spicy foods, to prevent further episodes of pain.
  • Provide instructions on pain management techniques and the appropriate use of any prescribed medications.
  • Emphasize the need to seek medical attention promptly for worsening symptoms or the development of new symptoms.
  1. Consultation:
  • Depending on the severity and complexity of the case, a consultation with a gastroenterologist or a general surgeon may be warranted for further evaluation and management.

Calculate the price
Make an order in advance and get the best price
Pages (550 words)
$0.00
*Price with a welcome 15% discount applied.
Pro tip: If you want to save more money and pay the lowest price, you need to set a more extended deadline.
We know how difficult it is to be a student these days. That's why our prices are one of the most affordable on the market, and there are no hidden fees.

Instead, we offer bonuses, discounts, and free services to make your experience outstanding.
How it works
Receive a 100% original paper that will pass Turnitin from a top essay writing service
step 1
Upload your instructions
Fill out the order form and provide paper details. You can even attach screenshots or add additional instructions later. If something is not clear or missing, the writer will contact you for clarification.
Pro service tips
How to get the most out of your experience with Boom Grades
One writer throughout the entire course
If you like the writer, you can hire them again. Just copy & paste their ID on the order form ("Preferred Writer's ID" field). This way, your vocabulary will be uniform, and the writer will be aware of your needs.
The same paper from different writers
You can order essay or any other work from two different writers to choose the best one or give another version to a friend. This can be done through the add-on "Same paper from another writer."
Copy of sources used by the writer
Our college essay writers work with ScienceDirect and other databases. They can send you articles or materials used in PDF or through screenshots. Just tick the "Copy of sources" field on the order form.
Testimonials
See why 20k+ students have chosen us as their sole writing assistance provider
Check out the latest reviews and opinions submitted by real customers worldwide and make an informed decision.
Medicine
Great content.
Customer 452549, February 8th, 2022
Literature
Absolutely LOVE having help especially from the person who wrote this last one. THANK YOU
Customer 452529, November 19th, 2021
Classic English Literature
Absolutely LOVE the essay I received. I really appreciate it so much.
Customer 452529, October 25th, 2021
Exercise Science
Thank you so much for your time.
Customer 452545, December 5th, 2021
Classic English Literature
Great Work as Usual. Thank you . I received an A on the paper!
Customer 452531, November 9th, 2021
Classic English Literature
Awesome Job... you are the best!
Customer 452531, November 27th, 2021
world civilization
Thank you for the quick response
Customer 452509, June 27th, 2021
english comp
Thank you for all your hard time.
Customer 452509, June 27th, 2021
Religious studies
I recommend this service they always help. I got an A in this project thanks.
Customer 452507, October 5th, 2021
English comp
Got a 94% thank you!
Customer 452509, June 27th, 2021
Public Health
Thank you so much !!
Customer 452589, November 28th, 2023
English 101
perfect! thanks!
Customer 452543, December 1st, 2021
11,595
Customer reviews in total
96%
Current satisfaction rate
3 pages
Average paper length
37%
Customers referred by a friend
OUR GIFT TO YOU
15% OFF your first order
Use a coupon FIRST15 and enjoy expert help with any task at the most affordable price.
Claim my 15% OFF Order in Chat