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Why did the patient had reflux symptoms? Explain the anatomy and diagnosis.

Why did the patient had reflux symptoms? Explain the anatomy and diagnosis.

Phlebotomy Essentials
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
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Why did the patient had reflux symptoms? Explain the anatomy and diagnosis.

Case: A 28/ female sought consult in a primary care clinic because of a 3 day history of fever (max temperature 38.2 degrees Celsius), sweating and productive, yellowish sputum. (+) pleuritic chest pain in the left axilla (-) episodes of breathlessness · Employee at the mall, regularly commutes, exposed to second hand smoke Fond of eating food at fastfood, does not take any vitamins/supplements Lack sleep most of the time Occasional alcoholic beverage drinker (2-3 bottles/beer during weekends), occasional smoker (2-3 sticks/day since she was 18 y/o)
Transcribed Image Text:Case: A 28/ female sought consult in a primary care clinic because of a 3 day history of fever (max temperature 38.2 degrees Celsius), sweating and productive, yellowish sputum. (+) pleuritic chest pain in the left axilla (-) episodes of breathlessness · Employee at the mall, regularly commutes, exposed to second hand smoke Fond of eating food at fastfood, does not take any vitamins/supplements Lack sleep most of the time Occasional alcoholic beverage drinker (2-3 bottles/beer during weekends), occasional smoker (2-3 sticks/day since she was 18 y/o)
• One month prior to the consult, patient presented with one month history of epigastric pain, described as burning, association with dry cough, and occasional belching, and sensation of regurgitation perceived as 'bitter after-taste' The pain worsens after eating and when she is lying flat. ● ● Patient also presented with postprandial fullness. She also wakes up with abdominal pain and would have hoarse voice the following day. The patient noted that symptoms become partially relived by adjusting from a lying to a sitting position and by using KremilS. Patient is an employee at the mall and does not eat on time and would often eat at the nearby canteen or to the vendors outside her work to save money. ● Fond of drinking soft drinks 2 sakto bottles/day and 3-in-1 coffee (3 or more sachets/day) Patient was given Omeprazole 40 mg/capsule ● 30 minutes per breakfast which afforded relief of symptoms.
Transcribed Image Text:• One month prior to the consult, patient presented with one month history of epigastric pain, described as burning, association with dry cough, and occasional belching, and sensation of regurgitation perceived as 'bitter after-taste' The pain worsens after eating and when she is lying flat. ● ● Patient also presented with postprandial fullness. She also wakes up with abdominal pain and would have hoarse voice the following day. The patient noted that symptoms become partially relived by adjusting from a lying to a sitting position and by using KremilS. Patient is an employee at the mall and does not eat on time and would often eat at the nearby canteen or to the vendors outside her work to save money. ● Fond of drinking soft drinks 2 sakto bottles/day and 3-in-1 coffee (3 or more sachets/day) Patient was given Omeprazole 40 mg/capsule ● 30 minutes per breakfast which afforded relief of symptoms.
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