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A Medical Case Study on Flank Pain and Urinary Tract Infection, Quizzes of Nursing

A medical case study of a 33-year-old female patient who presents with worsening flank pain, fever, nausea, and vomiting. a detailed history of the patient's symptoms, physical examination findings, and a problem statement. The document also discusses the diagnosis of pyelonephritis, the most common bacterial organism associated with urinary tract infections, and the treatment options for pyelonephritis.

Typology: Quizzes

2023/2024

Available from 11/10/2023

ExamOracle
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i-HUMAN CASE STUDY: C SMITH 33 YEARS OLD
REASON FOR ENCOUNTER FLANK PAIN | REAL
QUESTIONS AND ANSWERS
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i-HUMAN CASE STUDY: C SMITH 33 YEARS OLD

REASON FOR ENCOUNTER FLANK PAIN | REAL

QUESTIONS AND ANSWERS

IHuman C. Smith 33y/o, reason for encounter: flank pain HPI-Christine Smith is a 33 year old female that presents with 2 days of consistentdeep aching flank pain that started out mild as she awakened and was severe by theafternoon. The pain is a 8/10 in the general region of the 12thrib on the right sideposteriorly. Nausea began after breakfast 2 days ago and she has .vomited 3 x’s. Shehas loss of appetite :Questions

  • (^) How can I help you today
  • (^) Do you have any other symtpoms or concerns we should discuss
  • (^) When did your flank pain start
  • (^) Does anything make your flank pain better or worse
  • What does your flank pain feel like
  • (^) How sever (1-10) is your flank pain
  • (^) Are you taking any medications for your symtpoms
  • (^) Where more precisely is your flank pain
  • (^) Any change in your flank pain since it began
  • (^) Has there been a change in your urination frequency
  • (^) Does your flank pain radiate somepalace else? Where?
  • (^) Does your flank pain come and go
  • (^) Are you sexually active
  • Is your urine pink or red in color
  • (^) Tell me about the health of your grandparents, parents …
  • (^) Do you havve any allergies
  • (^) Are your immunizations up to date
  • (^) Are you taking any prescription medications
  • (^) Are you taking any over-the-counter or herbal medications
  • (^) Is your period late
  • When did your last period begin
  • (^) When did your fever start
  • (^) How high is your fever
  • (^) Do you have pain/ discomfort when you urinate
  • (^) Are you having any problems with your periods
  • (^) Can you tell me about any current or past medical problems...
  • (^) Any previous medical, surgical....
  • (^) Have you ever had abdominal surgyer
  • (^) When you urinate, have you noticed any pain, burning...
  • (^) Do you have any problems with gatigue, difficulty sleeping....
  • (^) Do you have any problems with an itchy scalp, skin changes...
  • (^) Do you have any problems with headaches that don’t go away with aspirin...
  • (^) Have you noticed any breast discharge, lumps....
  • (^) Do you experience chest pain discomfort or pressure...
  • (^) Do you experience shortness of breath, wheezing, difficulty catching your breath....
  • (^) Do you have problems with nausea, vomiting, constipation...
  • (^) Do you have problems with muscle or join pain, redness...
  • (^) The rest of the lung fields are resonant and are not hyper resonant. Chest atraumatic,
  • (^) symmetrical; normal AP diameter. Normal respiratory effort and excursion.
  • (^) Cardiovascular: +tachycardia. Regular rate and rhythm; no murmurs, rubs, gallops, No
  • (^) edema or cyanosis, 2+ pulses bilaterally (radial; PT), No peripheral edema.
  • (^) Abdomen/Gastrointestinal: Not tender to RUQ Palpation; voluntary guarding present, no
  • (^) rebound. No Murphy's sign. Reported discomfort with right flank percussion.
  • (^) Genitourinary: + right CVA tenderness to percussion.
  • (^) Neurological: Negative
  • (^) Skin/Breast: Warm, dry
  • (^) Allergic/Immunologic: None/Normal
  • (^) Lymphatic/Endocrine: No adenopathy, No regional lymphadenopathy, No localized
  • (^) edema
  • (^) Hematologic: No bruises or signs of abnormal bleeding, or petechiae
  • (^) MSK: Negative