Answer Each Question Pertaining to Discharge Summary of William Edison: The patient has chronic kidney disease. Chronic is a "non-analytical" term. Define the meaning of chronic in this context. 1. 2. In the chief oomplaint, it states that the patient had dyspnea after climbing one flight. Explain what this means? 3. The patient complained of pyrosis after heavy meals. Define this term.

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**Answer Each Question Pertaining to Discharge Summary of William Edison:**

1. **The patient has chronic kidney disease. Chronic is a "non-analytical" term. Define the meaning of chronic in this context.**

2. **In the chief complaint, it states that the patient had dyspnea after climbing one flight. Explain what this means?**

3. **The patient complained of pyrosis after heavy meals. Define this term.**

4. **The patient had his gallbladder removed, which lies in the RUQ. List an organ that lies within the following abdominopelvic quadrants:**

Note: The text provided does not contain any graphs or diagrams to explain.
Transcribed Image Text:**Answer Each Question Pertaining to Discharge Summary of William Edison:** 1. **The patient has chronic kidney disease. Chronic is a "non-analytical" term. Define the meaning of chronic in this context.** 2. **In the chief complaint, it states that the patient had dyspnea after climbing one flight. Explain what this means?** 3. **The patient complained of pyrosis after heavy meals. Define this term.** 4. **The patient had his gallbladder removed, which lies in the RUQ. List an organ that lies within the following abdominopelvic quadrants:** Note: The text provided does not contain any graphs or diagrams to explain.
**Case Study: Gastrointestinal and Cardiovascular Conditions**

**Admitted:** 11/1/19  
**Discharged:** 11/12/19  

### Chief Complaint:
This 66-year-old male was admitted for nausea, vomiting, and anorexia of three days duration. The patient also complained of recent right upper quadrant (RUQ) pain and pyrosis after heavy meals. This is the second hospital admission for this patient, who has a known history of chronic kidney disease, hypertension, osteoarthritis, asthma, gastroesophageal reflux disease (GERD), peptic ulcer disease (PUD) with prior hemorrhage, and bilateral total knee replacement. Prior to admission, the patient had been drinking heavily as he had in the past and had tremors prior to admission. He sleeps on two pillows and has dyspnea after climbing one flight of stairs. He denied recent colds, upper respiratory infections, hematemesis, or diarrhea. The patient complained of some urinary frequency and urgency. There was a rash noted on the forearms, which the patient had been treating with Benadryl cream.

### Physical Examination:
The patient was in some distress on examination. Examination of the head revealed pupils and eye movements to be within normal limits. The chest was clear and the heart rate was normal. The blood pressure was elevated at 200/120. Temperature was slightly elevated at 100.6°F. Pulse was 72, and respirations were 16. Examination of the abdomen revealed some distention with pain in the RUQ. The rectal examination revealed an enlarged prostate of two to three times the normal size. Occult blood was negative. The rest of the exam was within normal limits.

### Laboratory Studies:
Admission blood tests revealed an elevated white blood cell count as well as an elevated serum bilirubin. Urinalysis showed albuminuria, the presence of bacteria, too numerous to count (TNTC) white cells and pus. Sonography and HIDA scan revealed cholelithiasis. Prostate-specific antigen (PSA) was 19.8.

### Impression:
- Cholelithiasis/cholecystitis.
- Enlarged prostate with elevated PSA, possible benign prostatic hyperplasia (BPH), rule out tumor.
- Consider esophagogastroduodenoscopy (EGD) due to history of GERD and PUD.

### Hospital Course:
The patient was diagnosed with cholelithiasis/cholecyst
Transcribed Image Text:**Case Study: Gastrointestinal and Cardiovascular Conditions** **Admitted:** 11/1/19 **Discharged:** 11/12/19 ### Chief Complaint: This 66-year-old male was admitted for nausea, vomiting, and anorexia of three days duration. The patient also complained of recent right upper quadrant (RUQ) pain and pyrosis after heavy meals. This is the second hospital admission for this patient, who has a known history of chronic kidney disease, hypertension, osteoarthritis, asthma, gastroesophageal reflux disease (GERD), peptic ulcer disease (PUD) with prior hemorrhage, and bilateral total knee replacement. Prior to admission, the patient had been drinking heavily as he had in the past and had tremors prior to admission. He sleeps on two pillows and has dyspnea after climbing one flight of stairs. He denied recent colds, upper respiratory infections, hematemesis, or diarrhea. The patient complained of some urinary frequency and urgency. There was a rash noted on the forearms, which the patient had been treating with Benadryl cream. ### Physical Examination: The patient was in some distress on examination. Examination of the head revealed pupils and eye movements to be within normal limits. The chest was clear and the heart rate was normal. The blood pressure was elevated at 200/120. Temperature was slightly elevated at 100.6°F. Pulse was 72, and respirations were 16. Examination of the abdomen revealed some distention with pain in the RUQ. The rectal examination revealed an enlarged prostate of two to three times the normal size. Occult blood was negative. The rest of the exam was within normal limits. ### Laboratory Studies: Admission blood tests revealed an elevated white blood cell count as well as an elevated serum bilirubin. Urinalysis showed albuminuria, the presence of bacteria, too numerous to count (TNTC) white cells and pus. Sonography and HIDA scan revealed cholelithiasis. Prostate-specific antigen (PSA) was 19.8. ### Impression: - Cholelithiasis/cholecystitis. - Enlarged prostate with elevated PSA, possible benign prostatic hyperplasia (BPH), rule out tumor. - Consider esophagogastroduodenoscopy (EGD) due to history of GERD and PUD. ### Hospital Course: The patient was diagnosed with cholelithiasis/cholecyst
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