SIX WEEK 5 DISCUSSION ADVANCED HEALTH AND PHYSICAL ASSESSMENT

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Colorado School of Mines *

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4100

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Nursing

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Nov 24, 2024

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docx

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1 Health and Physical Assessment Student’s Name University Affiliation Course Date

2 Health and Physical Assessment History Abdominal discomfort is a typical symptom of many disorders affecting the digestive system, including those caused by our diets and our way of life, two of the most significant risk factors. The 39-year-old client who presents with stomach pain would require a thorough examination of the client's medical history. It has been revealed that the individual is a farm laborer who admits that he used to smoke and still drinks a few bottles of alcohol weekly, all of which may be utilized to prompt more conversations with the client. He noticed an increase in pain after consuming caffeinated beverages or spicy foods. Based on what I know now, I'll suggest asking two more questions to zero in on the root cause of the sickness and arrive at an accurate prognosis (Hathroubi et al., 2018). I plan to start by inquiring about the client's efforts to quit smoking. The question is posed in the hopes that the answers may aid in the management of potential causes of the accelerated development of peptic ulcers. Lifestyle habits such as drinking coffee or alcohol excessively are key risk factors for developing peptic ulcers in the home. Having successfully employed the approach to assist the client stop smoking, the data would be used to create an evidence-based remedy to addiction that could be used to aid in the client's elimination of alcohol plus coffee consumption. I must also know how often you take Ibuprofen. The client reported applying the nonsteroidal anti-inflammatory medicine ibuprofen, the main culprit in his history of stomach ulcers as well as gastrointestinal irritation (Yim et al., 2021). The answers to these questions will be crucial in verifying the client's claim that nonsteroidal anti- inflammatory drug overuse has caused abdominal discomfort, as well as determining which part of the gastrointestinal tract the individual may have inflamed by eating spicy food and drinking

3 alcohol. These questions would be utilized to narrow down the potential triggers for stomach irritation, allowing for more targeted drug and non-drug treatment options. Physical Exam Assessment of gastrointestinal symptoms would have required abdominal probing, looking for signs of bumpy, non-tender, symmetric skin, and other anomalies. The client's principal symptoms as well as the disease's background were linked by a thorough assessment of the gastrointestinal tract. It may also be necessary to monitor other organs of the patient to exclude other potential causes of epigastric discomfort, including the lungs and heart to exclude the possibility of heart and cardiac diseases and pulmonary diseases (Jensen et al., 2019). Examining the eye, throat, chest, and nose, allowed doctors to have a good look at the individual's lungs and heart, and they found nothing out of the ordinary: no shortness of breath, no nasal cavities, no evidence of fluids inside the cardiac, and no anguish in the eye or ear that might have been caused by allergies. Diagnostic signs, such as a complete blood count, will be utilized in the case study, particularly for the confirmation of the suspected diseases. This test evaluates the wellbeing and arioso disease of the blood's imbalances, such as the hemoglobin level, white blood cell count, platelet count, and red blood cell count, each of which could be associated with differential diseases (Bittencourt et al., 2019). Any discoloration of the skin or other areas of the body that may indicate an iron shortage in the blood would be taken care of by the examination. Endoscopy, which is utilized to identify a broad range of internal organ indications, including irritation, gastrointestinal cancer, and anemia, is a necessary part of the abdominal examination process. In case the gastrointestinal inflammation endoscopy fails to yield a definitive result about the vital organs, a second blood assessment could be administered.

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4 Medical Diagnosis In order to verify the ailment to be addressed, it shall be necessary to understand the differential diagnosis by evaluating the health history of the sickness with the epigastric discomfort. Most commonly associated with Mr. Rodriguez's symptoms is peptic ulcer disease, which occurs when the stomach's barrier protection lining is eroded by factors such as excessive application of nonsteroidal anti-inflammatory drugs (NSAIDs). It could lead to ulcers, or by the helicobacter pylori bacteria, that could spread the disease to the patient's duodenum or the stomach if the person smokes, eats a lot of spicy foods, or drinks a lot of alcohol. Ibuprofen and cigarette consumption both corroborate the fears. Epigastric discomfort can be a symptom of gastritis, a lifestyle disease of the digestive tract manifested by inflammatory diseases resulting in contraction of the gut from a Helicobacter pylori infection (Yegen, 2018). Last but not least, Gastroesophageal reflux disease (GERD) should be considered. GERD is yet another lifestyle sickness caused by gastric acid that feeds back into the esophagus and irritates the upper gastrointestinal system. To properly understand gastroesophageal reflux disease (GERD), one must start in the upper digestive tract.

5 References Bittencourt, J. A., Neto, M. F., Lacerda, P. S., Bittencourt, R. C., Silva, R. C., Lobato, C. C., ... & Santos, C. B. (2019). In silico evaluation of ibuprofen and two benzoylpropionic acid derivatives with potential anti-inflammatory activity. Molecules, 24(8), 1476. https://doi.org/10.3390/molecules24081476 Hathroubi, S., Zerebinski, J., & Ottemann, K. M. (2018). Helicobacter pylori biofilm involves a multigene stress-biased response, including a structural role for flagella. MBio, 9(5), e01973-18. https://doi.org/10.1128/mBio.01973-18 Jensen, P. J., Feldman, M., LaMont, J. T., & Grover, S. (2019). Acute and chronic gastritis due to Helicobacter pylori. Up-to-date. Yegen, B. C. (2018). Lifestyle and peptic ulcer disease. Current pharmaceutical design, 24(18), 2034-2040. https://doi.org/10.1155/2020/8853298 Yim, M. H., Kim, K. H., & Lee, B. J. (2021). The number of household members as a risk factor for peptic ulcer disease. Scientific Reports, 11(1), 1-10. https://doi.org/10.1038/s41598- 021-84892-5

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