TWO 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 Week 5 Discussion Student’s Name University Affiliation Course Date

2 Week 5 Discussion Medical professionals play a part in the development of treatment and healthcare prognosis by directing patient history interviews, physical examinations based on test formulations, and clinical treatment goals. Based on the medical issue of the patient's stomach discomfort, this paper aims to provide the medical foundation of an aquafer study for an individual experiencing epigastric pain (Morris et al., 2020). Mr. Rodriguez has confirmed taking the nonsteroidal anti-inflammatory medicine ibuprofen, therefore there is clearly a connection between the two that has to be investigated. Spicy food is used despite the fact that it worsens the condition. The medical staff treating the 39-year-old male agricultural worker for epigastric diseases must consider a wide range of potential causes. History and Additional Questions I will add two questions that the physician probably should have asked after reviewing the patient's stomach discomfort case notes. Q1: How often do you swallow the ibuprofen you just mentioned? Questions are based on the assumption that ibuprofen, which is a nonsteroidal anti- inflammatory drug, raises the likelihood of stomach ulcers by weakening the stomach's protective layer and making it more vulnerable to attack through the digestive acids. According to Cheung et al. (2020), these acids commonly manifest themselves in abdominal pain and are typically used for the evaluation of gastric ulcers. As such, the patient's risk for developing gastrointestinal problems due to the usage of nonsteroidal anti-inflammatory medicines (NSAIDs), which can cause stomach wall inflammation as well as subsequent abdominal pain, can be gauged by their response to this question.

3 Q2: Have you, as an agricultural worker, ever suffered from internal or external damage to the stomach? A minor injury to the lower abdomen or belly may aggravate symptoms such as nausea, pain, and vomiting with destruction to the lower abdomen organs. This, therefore, results in chronic pain, which can be connected to illnesses like a hernia. However, most medical practitioners may wrongly think that abdominal pain is part of physical injury because it is commonly associated with internal bleeding followed by the need for treatment (Yamamoto et al., 2021). A thorough physical examination will help answer this issue and rule out any underlying conditions that may have caused the injury. Domain: Physical Exam Abdominal palpation was used to detect abdominal anomalies during the client's optimum physical examination. Examining the client while they are lying down can aid in the diagnosis of abnormalities such as body masses, skin color changes, crepitus of crunching sensation, and edema indicators on the skin of the body producing bumps. In order to determine whether or not an allergic reaction is to blame for symptoms like itchy eyes, chest crackles, chest pain, and nasal congestion it is necessary to look at other areas of the body. According to Hujoel et al. (2018), any of these checks came back normal, showing no signs of cardiovascular or pulmonary disease. Whenever diagnosing diseases like anemia, blood infection, leukemia, and a weakened immune system, a CBC (complete blood count) is utilized to examine all of the blood's constituents. In addition to that, endoscopy, a sequence of X-rays taken via the gastrointestinal tract that provides a visual representation of the organs and tissues inside, is another potential diagnostic tool. The endoscopy alone will not be enough to determine what is really generating the inflammation as well as infection; further procedures, like blood work, will be necessary.

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4 Domain: Assessment (Medical Diagnosis) Using the patient's medical history as a starting point, we can deduce the underlying pathology and the contributing variables that led to the primary diagnosis that is being considered. Long-term utilization of nonsteroidal anti-inflammatory medicines and stimulation of the H pylori bacteria damages the stomach's protective layer. As a result, it results in ulcer development, making peptic ulcer disease the key differential diagnosis that needs additional investigation (Azer, 2020). The use of nonsteroidal anti-inflammatory medicines increases the client's risk of developing peptic ulcer disease. An additional factor in this analysis is GERD (Gastroesophageal reflux disease), which is strongly linked to peptic ulcer disease. However, this is a disease of the upper Gastrointestinal tract where the acidity of the bile irritates the lining of the food pipe. As a result, it causes persistent pain within the upper abdomen. In conclusion, IBS (also known as cud) is an intestinal ailment brought on by a bacterial infection that causes symptoms such as diarrhea, stomach pain, and bloating and affects a sizable fraction of the world's population. This procedure will help verify a preliminary diagnosis of peptic ulcer disease. Ultimately, the patient will require medical intervention for the epigastric anomalies to help with symptom management. Helping formulate care that keeps the patient safe from stomach-linked disorders is a primary indication for the medical provider. Nonsteroidal anti- inflammatory medicines (NSAIDs) may be to blame for the patient's abdominal pain, so they should be avoided whenever possible (Morris et al., 2020). If you suspect you have one of two diseases that are linked to stomach acidity as well as inflammation, you should get tested for both of them.

5 References Azer, S. A. (2020). Covid-19: pathophysiology, diagnosis, complications and Investigational therapeutics. New Microbes and New Infections , 37, 100738. https://doi.org/10.1016/j.nmni.2020.100738 Cheung, S., Quiwa, J. C., Pillai, A., Onwu, C., Tharayil, Z. J., & Gupta, R. (2020). Superior mesenteric artery thrombosis and acute intestinal ischemia as a consequence of covid-19 infection. American Journal of Case Reports , 21. https://doi.org/10.12659/ajcr.925753 Hujoel, I. A., Johnson, D. H., Lebwohl, B., Leffler, D., Kupfer, S., Wu, T.-T., Murray, J. A., & Rubio-Tapia, A. (2018). Tropheryma whipplei infection (whipple disease) in the usa. Digestive Diseases and Sciences , 64(1), 213–223. https://doi.org/10.1007/s10620- 018-5033-4 Morris, S. B., Schwartz, N. G., Patel, P., Abbo, L., Beauchamps, L., Balan, S., Lee, E. H., Paneth-Pollak, R., Geevarughese, A., Lash, M. K., Dorsinville, M. S., Ballen, V., Eiras, D. P., Newton-Cheh, C., Smith, E., Robinson, S., Stogsdill, P., Lim, S., Fox, S. E., & Richardson, G. (2020). Case series of multisystem inflammatory syndrome in adults associated with sars-cov-2 infection — united kingdom and united states, march–august 2020. mmwr. Morbidity and Mortality Weekly Report , 69(40). https://doi.org/10.15585/mmwr.mm6940e1 Yamamoto, Y., Furukawa, S., Watanabe, J., Kato, A., Kusumoto, K., Miyake, T., Takeshita, E., Ikeda, Y., Yamamoto, N., Okada, K., Kohara, K., Saheki, S., Saeki, Y., & Hiasa, Y. (2021). Positive association between sleep disturbance and prevalence of functional dyspepsia in japanese young people. Digestive Diseases and Sciences, 67(8), 3929–3937. https://doi.org/10.1007/s10620-021-07260-3

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