The patient is a 16-year-old high school student who is referred to "through not any gastrointestinal problems. Vomiting occurs as a result of the nausea. This has been going for about 3 1/2 years." This story is complex and complicated. When the patient turned about 12 she started having nausea and vomiting, which began about 4 days before her period. Her menses were regular until about 6 months ago. Because of the premenstrual vomiting she went on Tigan, Elixir, and Donnatal. This was tried for about 3 months and did not help. Then she was tried on low doses of birth control pills on a regular basis. This also did not help much and she was then switched to Torecan and Pepcid. Apparently over the last 6 months her periods have become more irregular. In addition, she has had vomiting almost everyday. She says that she vomits up "phlegm" and sometimes vomits yellow bile which tastes bitter. She says that she always feels full and does not want to eat. She has not lost any weight. She vomits in addition, if she eats spicy food. This also results in heart burn by which s...
HPI: MR is a 70 y.o. male patient who presents to ER with constant, dull and RUQ abdominal pain onset yesterday that irradiate to the back of right shoulder. Client also c/o nauseas, vomiting and black stool x2 this morning. He reports that currently resides in an ALF; they called the ambulance after his second episodes of black stool. Pt reports he drank Pepto-Bismol yesterday evening without relief. Pt states that he never experienced similar symptoms in the past. Denies any CP, emesis, hematochezia or any other associated symptoms at this time. Client was found with past history gallbladder problems years ago.
What is the purpose of each of the medications the patient is on? Why is this patient receiving them?
She had a two week history of feeling generally unwell, complaining of tiredness and lethargy. She had no other significant symptoms. Her past history includes well controlled asthma and anxiety. She was a smoker of 20 cigarettes per day. She was taking amitriptyline, Symbicort (budesonide and formoterol inhaler). She had no significant family history of medical illness and had no clinical findings on examination. Blood tests showed corrected calcium of 4.22mmol/L (NR 2.20 -2.60) with suppressed paired PTH of 1.45pmol/L (NR1.60- 6.9). Her renal function was initially impaired, but normalized with rehydration. Her liver function tests, full blood count, vitamin D, myeloma screen and serum ACE levels were all within normal limits. Ultra sound scan (USS) of kidneys, USS of parathyroid and computerized tomography (CT) of thorax, abdomen and pelvis were all reported as normal with no cause found for her
Cabaltica, R, Lange C, Lange J. AAFP.org. American Academy of Family Physicians. September 1, 2000. < http://www.aafp.org/afp/20000901/1035.html>
Since one of the prominent concerns she has is related to health, she needs to be reassured by a physician that these symptoms are not dangerous, along with being aware about the fact that she misinterprets these symptoms and these symptoms can be created if she persistently focus on the certain parts of her body.
VR is a vibrant, beautiful, fun loving 17 year old. She is witty, creative and has a deep passion for dance. Over the last couple of years however, there are many times when she becomes so sad that it is difficult for her to function. She will go to sleep immediately after school and still have a hard time getting up in the morning. My parents have received numerous phone calls from her teachers advising us that she will fall asleep in class and this is after having slept 12 hours the prior night. During these times of sadness, VR refuses to talk with her friends. In fact, she refuses to talk to anyone or do any of the activities she so thoroughly enjoys. VR also has times when she is extremely full of energy and nothing stops her. Although this doesn’t happen as often, this excess energy is much more extreme than normal adolescent behavior. When she experiences these bouts of excess energy, VR talks non-stop. She talks so fast that people have a hard time comprehending what she is saying. It is during these episodes that she will go nights without any sleep and still function normally. In addition to days of complete sadness or excessive energy she also has to deal with erratic menstrual cycles. During these times, she gets extremely bad headaches, throws up, and bleeds qui...
J.P., a 58 year old female, presents to the Emergency Room on March 18th. She has a past medical history of cervical cancer, atheroembolism of the left lower extremity, fistula of the vagina, peripheral vascular disease, neuropathy, glaucoma, GERD, depression, hypertension, chronic kidney disease, and sickle cell anemia. She complains of right lower extremity pain accompanied by fatigue, a decreased appetite, increased work of breathing, burning urination, and decreased urine output for three days. Upon admission, a complete physical assessment was performed along with a blood and metabolic panel. The assessment revealed many positive and negative findings.
If symptoms are mild then they may not require specific treatment as the symptoms can clear up by itself. Certain foods may trigger diarrhoea and bloating. They should be given lifestyle and dietary advice. They should be advised to drink plenty of fluids and eat small amounts of food throughout the day. Patients should avoid high fibre foods such as bran, beans and nuts. They may also limit their intake of milk products if they are lactose intolerant. Finally they should avoi...
In this article, you are informed about a disease that is occurring more often in our society. It is commonly referred to as “heartburn” but is more appropriately named acid reflux disease or gastroesophageal reflux disease (GERD). Most people suffer from this disease, but think nothing of it. Perhaps they have felt it after a big meal, lying down after eating, during pregnancy, or even when bending over. Most people feel that GERD occurs after eating spicy foods, when in fact the major cause of GERD is fatty foods and the quantity of foods eaten.
This can be attributed to excess vomiting, overuse of diuretics, adrenal disease, a large loss of potassium or sodium in a short amount of time, antacids, accidental ingestion of bicarbonate, laxatives, and alcohol abuse (Khan, Cherney, 2017).
Crohn’s disease is something that I want to know more about so I can help a victim of it. I feel that the next time Stephanie has a bad exp...
These medical treatments include oral or IV fluids for dehydration and antiemetic drugs for nausea (Leifer, 2011). A combination of Unisome (doxylamine) and Vitamin B6 is effective against nausea and vomiting (Burd, 2015). If the woman cannot eat enough to get the nutrients for herself and for her baby, then total parenteral nutrition is administered to supply her and the baby with the nutrients that they need.
Mr. GB is a 78 year old white male admitted to Bay Pines VAMC on 6/18/96. for " atypical chest pain and hemoptysis". V/S BP 114/51, P 84, R 24, T 97.4. He seems alert and oriented x 3 and cheerful. Bowel sounds present x 4. Pt. has a red area on his coccyx. Silvadene treatments have been started. Pt. Has a fungal lung infection with a pleural suction drainage tube inserted in his chest . Pt is extremely thin with poor skin turgor with a diagnosis of cachexia ( wasting) secondary to malnutrition and infection. Patient is no known allergies to drugs but is allergic to aerosol sprays disinfectants and dust.. Advanced directives on chart. Code status DNR. Primary physician Dr. R, Thoracic surgeon Dr. L. Psychology Dr.W. There is PT, OT Dietary and Infectious Disease consults when necessary. He lives with his wife who he has been married to for 56 years. His son and his daughter come to visit him. He does not smoke. He wears dentures but did not bring them. He dose not use a hearing aid but he does have a hearing deficit.
The patient has also been suffering from frequent fevers in the past two months. He has also suffered from frequent headaches but has always taken painkillers (Bloland & Williams, 2003, p. 58). On fevers, the patient has frequently visited a local health clinic that has never done any diagnosis but has given medication, which reduces the fever.
Over the next couple of months, my family and I saw a change in Becky. She was losing lots of weight and we questioned her and she just claimed she was on a diet, so we thought nothing of it. We also noticed another change in Becky, she not only lost about 30 pounds in a couple of months, but every time we talked to her she had this look on her face that she was about to fall asleep, or at least pass out. She then proceeded to claim that she was tired, so again, there was nothing we could do.