Exam (elaborations) NURSING 6560_ WEEK 7 IHUMAN CASE STUDY, Questions and 100% CORRECT Answers, Study Guide Solutions Guaranteed A+: Latest 2023:2024

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NURSING 6560_ WEEK 7 IHUMAN CASE STUDY, Questions

and 100% CORRECT Answers, Study Guide Solutions

CC: Diarrhea

HPI: The patient is a 42 year-old male who has a history of borderline HLD, who arrives to the

ED with complaints of diarrhea, lightheadedness, “cottonmouth,” fever, poor appetite,

diaphoresis, malaise, and crampy abdominal pain for the past three days after arriving home

from a business trip in Chicago. Physical exam demonstrated poor skin turgor, tachycardia,

orthostatic hypotension, dry mucous membranes, and a positive guaiac with rectal exam.

Leukocytosis present. Stool culture positive for salmonella enteritidis. C-diff test negative. Stool

gram stain depicted gram negative bacilli. Fecal leukocytes >10,000. Colon biopsy cancelled

due to identification of infectious etiology.

The patient denies any nausea, vomiting,chest pain, or sob.

Onset: RIght before the diarrhea started about three days ago after a business trip to Chicago.

Had a decreased appetite after, but attributed it to overeating.

Location: Abdomen

Duration: Constant

Characteristics: Sharp crampy pain

Associated signs and symptoms: poor appetite, lightheadedness, fever, diaphoresis, and

malaise.

Timing:Three days ago

Exacerbating/ relieving factors: Pain is exacerbated when the episodes of diarrhea occur.

Decreased pain after diarrhea.

Current Medications: Kaopectate

Allergies: NKDA

PMHx: Chicken pox, borderline HLD

Soc Hx: Married with two children. Drinks one glass of red wine 3-4 days a week. He does not

drink or use any recreational drugs.

Fam Hx: Father has HTN. Mother has no issues.Unaware of grandparents history

General: Appears diaphoretic and in discomfort

HEENT: Headache present. Lightheaded. No double vision, or eye trauma. No recent hearing

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