***QUESTIONS TO ANSWER BASED ON CASE STUDY ARE ATTACHED***
Post should be 500 words, in current APA style with at least 2 current academic sources.
Course Textbook:
Rhoads, J., & Petersen, S. W. (2021). Advanced health assessment and diagnostic reasoning (4th ed.). Jones & Bartlett Learning. ISBN-13: 978-1284170313 ISBN-10: 1284170314
Gastrointestinal & Endocrine
Case Study 1
Chief Complaint (CC) “I am here today due to frequent and watery bowel movements”
History of Present Illness (HPI)A 37-year-old European American female presents to your practice with “loose stools” for about three days. One event about every three hours
PMHNo contributory
PSHAppendectomy at the age of 14
Drug Hx No meds
AllergiesPenicillin
SubjectiveFever and chills, Lost appetite Flatulence No mucus or blood on stools
PEB/P 188/96; Pulse 89; RR 16; Temp 99.0; Ht 5,6; wt 110; BMI 17.8
Generalwell-developed female in no acute distress, appears slightly fatigued
HEENTAtraumatic, normocephalic, PERRLA, EOMI, arcus senilus bilaterally, conjunctiva and sclera clear, nares patent, nasopharynx clear, edentulous.
NeckSupple
LungsCTA AP&L
CardS1S2 without rub or gallop
Abdpositive bowel sounds (BS) in all four quadrants; no masses; no organomegaly noted; diffuse, mild, bilateral lower quadrant pain noted Mild diffuse tenderness.
GU Non contributory
Extno cyanosis, clubbing or edema
Integumentgood skin turgor noted, moist mucous membranes
NeuroNo obvious deformities, CN grossly intact II-XII
1. What other subjective data would you obtain?
2. What other objective findings would you look for?
3. What diagnostic exams do you want to order?
4. Name 3 differential diagnoses based on this patient presenting symptoms?
5. Give rationales for your each differential diagnosis.