iHuman Case Study: Jacob Abraham's Burning Chest Discomfort, Exams of Nursing

Download iHuman Case Study: Jacob Abraham's Burning Chest Discomfort and more Exams Nursing in PDF only on Docsity! QUESTIONS AND ANSWERS iHuman Case Study: Jacob Abraham's Burning Chest Discomfort TESTED AND CONFIRMED A+ ANSWERS Ihuman Jacob Abraham 58y/o Reason for encounter: Burning chest discomfort :Questions 1. How can I help you today a. “Ive been having some chest discomfort.” 2. Do you have any other symptoms or concerns we should discuss? 3. When did the pain in your chest start 4. Is your chest pain precipitated by exercise 5. Does anything make the pain in your chest better or worse 6. Where more precisely is the pain in your chest 7. How severe (1-10) is the pain in your chest a. 4-5/10 8. Does the pain in your chest radiate someplace else? a. Moves up into neck (pointing to adams apple) 9. Have you had the pain in your chest before? 10. Any change in your chest pain since it began 11. How long does your chest pain last a. Last 30 minutes 12. How often does this chest pain occur 13. Do you drink alcohol? If so what do you drink and how many drinks per day? a. 1 drink post dinner, not Qnight. 14. Can you tell me about your diet? What do you normally eat? 15. Do you have any problems with fatigue, difficulty sleeping, unintentional weight loss or gain 16. Do you experience shortness of breath, wheezing, difficulty catching your breath 17. Do you have problems with nausea vomiting constipation diarrhea coffee grounds in your vomit 18. Has drinking alcohol ever cause you problems? 19. Have you ever felt you needed to cut down on your drinking? 20. Have you ever been annoyed at anyone for suggesting that you cut back in your alcohol consumption? 21. Do you need an alcoholic drink first thing in the morning? 22. When and what did you last drink? 23. Do you presently have heartburn, a food or acid taste in your mouth? 24. Do you have a history of heartburn? 25. Do you have any problems with nervousness, depression, lack of interest, sadness… 26. Do you have difficulty breathing 27. Has anyone suggested that you should reduce the amount of alcohol you drink :::MISSING in PMH 1 in Etiology 1 Diagnosis: GERD 1of2 Index of Exercises If you were thinking of aortic dissection, and then you were to find that his measured systolic blood pressures in both arms differed by 30mm Hg, this diagnostic hypothesis would become © Much less likely O Less likely O Neither more nor less likely © More likely O Much more likely correct, found- > " VS » Ss as the cause of his chest pain and shortness of oon is lt base, his agnostic hypothesis would — correct, found-  :Problem Statement J.A. is a 58 y/o male presenting with a burning chest discomfort. Rating pain 4-5/10, with pain that radiates into the neck (around the Adam's apple), lasting 30 minutes. Denies taking medication for discomfort, denies medical hx. Confirms poor eating habits, obesity, alcohol use 3 drinks/wk, and lack of .exercise :Madalyn :Katie :I put barium swallow, cardiac catheterization, cardiac stress test, CBC, CMP, coronary angiogram cath, ) endoscopy, H pylori antibiodies, H pylori stool antigen, stomach biopsy, and pancreas biopsy not (recommended Correct, found - Correct, found - Case attempts for 266570 Jacob Abraham V6.1 PC for Baylor University GN - 202205 NUR 5153: Primary Care Practicum ‘Ammer slat te: 2022-26-09 Mon 01 00 COT, aun sme 2072-08-91 Wied 22:80 COT Diacisimar: Scones are atect to Change by your itucat Meet Meet papas Ue Pape og Dox | Arena Reaueed ‘Tota Anemet Ret Aton ee Ros en up en con + Comohint RRR Moet (me once