A 50-year old, slightly obese individual presents to your clinic with the followingsymptoms: severe abdominal pain, especially in the left side. However thepatient also complains the pain radiates to the right side. They have nauseaand have been vomiting for the past several days. Upon examination, you findabdominal tenderness and constipation. The patient is of Asian descent, hasbeen a smoker for the past 20 years, reports frequent alcohol use(>7drinks/week) and takes aspirin on a daily basis (nonsteroidal anti-inflammatory drug).Will age, weight, lifestyle and ethnicity play a role in your diagnosis?

Abdominal pain may be a sign/ symptom, it may be related to serious or serious medical issues. There…

Answered: A 50-year old, slightly obese…

Phlebotomy Essentials

6th Edition

ISBN:9781451194524

Author:Ruth McCall, Cathee M. Tankersley MT(ASCP)

Publisher:Ruth McCall, Cathee M. Tankersley MT(ASCP)

Chapter1: Phlebotomy: Past And Present And The Healthcare Setting

Section: Chapter Questions

Problem 1SRQ

See similar textbooks

Similar questions

Consider the following case study: Shaylee is a 24-year-old female. She is a member of the millennial generation who relies heavily on technology for many things, including healthcare. She comes into the clinic complaining of gastrointestinal distress. She also says that she is often constipated, gets diarrhea easily, and has noticed blood in her stool on several occasions. Shaylee has visited several websites and is certain that she has inflammatory bowel disease (IBS). Her mother also suffers from IBS, and WebMD stated that IBS runs in the family. You explain to Shaylee that to officially diagnose her with IBS and to ensure she gets the appropriate treatment, she must undergo several diagnostic tests. Shaylee refuses the tests explaining that she does not have good health insurance and cannot afford them. She insists that she has done her research on IBS and becomes agitated when you state that you cannot confirm the diagnosis without testing. Shaylee emphatically states that she…
Your patient reports that she has a lack of appetite and hypersomnia. What other factors will you assess? What is your initial impression or concern, based on this limited information? What findings would concern you most? What referrals might you consider?
Food stays in the stomach for 3-7 hours
A 32 yr old female presented to your office complaining of abdominal pain. She states this pain started yesterday and increased over the course of a couple of hours. It is mostly in the epigastric region and does radiate at times to the RUQ. She states it has been constant since then. Currently rates it at a 7/10. She has never had pain like this before. Denies any vomiting but does complain of nausea. She denies any diarrhea or constipation. Denies any documented fevers but has felt a little chilled this am. Denies any abdominal bloating. She does state she drinks a glass of wine each evening. Denies any tobacco use or street drug use. Current labs WBC 13.2 Hgb 14.0 Hct 38.9 Plt 250 Na 142K 4.0BUN 26CR 1.2Total bilirubin 2.5 mg/dl AST 289 ALT 302Alk Phos 358 What does the AST/ALT ratio indicate for this patient What if your AST/ALT ratio were >1. What would that suggest?
Indrani Singh is a 52 yo woman who has been admitted to the emergency department. For the last couple of days, she has been vomiting small amounts, and has had abdominal pain that has become more severe in the last 8 hours. She expresses surprise at her vomiting because she has eaten and drunk very little. She has not had a bowel movement in 2 days. Her medical history shows abdominal surgery for a hysterectomy twelve months ago, on a background of severe endometriosis. Collect cues Vital signs: RR: 14 bpm SpO2: 99% BP: 110/60 mmHg (MAP 77 mmHg) HR: 118 bpm Temp: 37 oC Pain assessment: P = upon movement and at rest Q = aching with occasional stabbing pain R = peri umbilical (central abdomen) S=8/10 T = Constant for last 48 hours Abdominal assessment: Inspection – distension, midline scar Auscultation – absent bowel sounds Palpation – general tenderness and guarding Percussion – gas-induced tympany Fluid status assessment: Weak pulses Pale and cool…
A 32 yr old female presented to your office complaining of abdominal pain. She states this pain started yesterday and increased over the course of a couple of hours. It is mostly in the epigastric region and does radiate at times to the RUQ. She states it has been constant since then. Currently rates it at a 7/10. She has never had pain like this before. Denies any vomiting but does complain of nausea. She denies any diarrhea or constipation. Denies any documented fevers but has felt a little chilled this am. Denies any abdominal bloating. She does state she drinks a glass of wine each evening. Denies any tobacco use or street drug use. Current labs WBC 13.2 Hgb 14.0 Hct 38.9 Plt 250 Na 142K 4.0BUN 26CR 1.2Total bilirubin 2.5 mg/dl AST 289 ALT 302Alk Phos 358 List 3 differential diagnoses for this patient and give the rationale for each one. Use the most likely differential for the gallbladder, liver and pancreas--3 diagnoses total. What additional lab tests would you order and…
What condition does this patient likely have?
Can you help me to resolve this case study? Class is Advance Food System Management Dietetic Major

Recommended textbooks for you

Phlebotomy Essentials

Nursing

ISBN:

9781451194524

Author:

Ruth McCall, Cathee M. Tankersley MT(ASCP)

Publisher:

JONES+BARTLETT PUBLISHERS, INC.

Gould's Pathophysiology for the Health Profession…

Nursing

ISBN:

9780323414425

Author:

Robert J Hubert BS

Publisher:

Saunders

Fundamentals Of Nursing

Nursing

ISBN:

9781496362179

Author:

Taylor, Carol (carol R.), LYNN, Pamela (pamela Barbara), Bartlett, Jennifer L.

Publisher:

Wolters Kluwer,

Phlebotomy Essentials

Nursing

ISBN:

9781451194524

Author:

Ruth McCall, Cathee M. Tankersley MT(ASCP)

Publisher:

JONES+BARTLETT PUBLISHERS, INC.

Gould's Pathophysiology for the Health Profession…

Nursing

ISBN:

9780323414425

Author:

Robert J Hubert BS

Publisher:

Saunders

Fundamentals Of Nursing

Nursing

ISBN:

9781496362179

Author:

Taylor, Carol (carol R.), LYNN, Pamela (pamela Barbara), Bartlett, Jennifer L.

Publisher:

Wolters Kluwer,

Fundamentals of Nursing, 9e

Nursing

ISBN:

9780323327404

Author:

Patricia A. Potter RN MSN PhD FAAN, Anne Griffin Perry RN EdD FAAN, Patricia Stockert RN BSN MS PhD, Amy Hall RN BSN MS PhD CNE

Publisher:

Elsevier Science

Study Guide for Gould's Pathophysiology for the H…

Nursing

ISBN:

9780323414142

Author:

Hubert BS, Robert J; VanMeter PhD, Karin C.

Publisher:

Saunders

Issues and Ethics in the Helping Professions (Min…

Nursing

ISBN:

9781337406291

Author:

Gerald Corey, Marianne Schneider Corey, Cindy Corey

Publisher:

Cengage Learning

SEE MORE TEXTBOOKS