During my experience in volunteering, I chose a patient for the case study assignment. The subject I chose was identified as GKM. The patient’s chief complaint upon her visit to the clinic was for a follow-up on her hypertension and for more medication for this disease. GKM is a 56-year-old Caucasian female with the date of birth on 12-14-43.
Her past medical and surgical history consisted of childhood diseases, heart and cardiovascular problems, and cancer. The childhood diseases she had were chicken pox, mumps, and scarlet fever. Regarding to her heart and cardiovascular problems, she has had high blood pressure, ankle swelling, and dizziness. She had cervical cancer as well, which was removed by a complete hysterectomy in 1987. She has not undergone any radiation or chemotherapy. She further indicated that she has had pain in her right hip and leg, and both ankles for approximately a year. She indicated that the pain and discomfort occurs immediately after she rises from a seating position. It was concluded that she has degenerative joint disease in both knees. Also, she has osteoarthritis and had fibrocystic breast disease.
Her social history is excellent. She has never smoked, consumed alcohol, and has no known drug allergies. Her occupation was working at a Walmart warehouse for several years. Her significant family history includes cervical cancer, which she personally had, and breast cancer that her mother had. Referring to her nutrition history, she is classified as obese and has been on a non-nutritional, high fat diet. She has been consuming red meats and too much saturated fat. She is also inactive. No dental history was recorded.
The history of her present i...
... middle of paper ...
... past history of bone density problems and that she was surgically post menopausal after her hysterectomy at an early age; thus, he wanted her to take estrogen supplements to reduce risks of osteoporosis and prevent recurring pain due to previously recorded osteoarthritis. Due to her ankle swelling and high blood pressure, she was kept on the diuretic, Diovan HCT. To decrease her cholesterol and triglyceride level, she was prescribed Lopid. Her social history had no significance with her assessment. Therefore, GKM’s nutritional, medical, and pharmacologic history was quite important for the medical practitioner in diagnosing his patient.
American Medical Association Dept. of Drug. Drug Evaluations. American
Medical Association : 1986.
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