1: 35-year-old man with a history of anxiety and chronic marijuana use, and a history of chronic back pain. No current medications or other history but he has been consistently complaining of back pain since joining the Thursday night league volleyball team. Single, lives alone, and works at a fast food restaurant. Heterosexual and consistent use of protection (barrier).
List three differential diagnoses with explanation
1. Muscle or ligament strain as a resulth of awkward movement while playing
2. Bulging or ruptured disc as nerve may be oressed because of ruptured disc
3. Anxiety disorder as Excessive and chronic anxiety is a potent root cause for back pain
1: 35-year-old man with a history of anxiety and chronic marijuana use, and a history of...
A 28-year-old woman with opioid use disorder; uses IV heroin; has PTSD; no other medical problems or medications. She currently is single, lives with several roommates, and has a history of legal problems (with some jail time). Sexually active with men and women; inconsistent use of protection. What are 3 differential diagnoses, based on the patient's symptoms shortness of breath, chest pain, flank pain, and fever?
Keith Johnson is a 65-year-old male with a history of chronic heart failure, HTN, high cholesterol, coronary artery disease (CAD) and Diabetes Mellitus II. He has a 42-year history of smoking 1 pack of cigarettes per day, quit 3 years ago. He is a retired truck driver who lives in a retirement community. He was brought into the emergency department (ED) by a friend after complaining of a massive headache, 10 out of 10, which felt like a “tight headband”...
Mr. McGregor is a 79 year old man with a history of diabetes, hypertension, and is now found to have coronary heart disease. He is 69”, weighs 210 lbs. Labs include: LDL 150 mg/dL, HDL 30 mg/dL, and Hgb A1c 7.9. After discussion with the patient about his diet, he mentions that he eats at a fast food restaurant daily for lunch, with meals including hamburger, French fries and a Coke. He can’t move around very much because of arthritis...
Case Study 22-1 ts A 62-year-old man with a history of chronic obstructive pulmonary disease (coPD) presen to the emergency department (ED) with a chief complaint of worsening shortness o (SOB) over a 2-day history; the SOB came on following a recent upper respiratory infect In the ED, his oxygen saturation is 86% on room air. He is complaining of severe dyspnea, only speaking in short sentences, and appears very fatigued. His vital signs are as follow s: RR: 28...
Post-op Pain Management: Day of Surgery (1/2) History of Present Problem: Sheila Dalton is a 52-year-old woman who has a history of chronic low back pain and COPD. She had a posterior spinal fusion of L4-S1 today. She had an estimated blood loss (EBL) of 675 mL during surgery and received 2500 mL of Lactated Ringers (LR). Pain is currently controlled at 2/10 and increases with movement. She was started on a hydromorphone patient-controlled analgesia (PCA) with IV bolus of 0.1 mg...
Armella Ottinger, a 77-year-old African American woman, was widowed almost 10 months ago. She presents with severe anxiety and panic symptoms that have persisted since the death of her husband. She also reports having some short-term memory loss and sometimes waking up at night feeling confused. Armella was married for 58 years. She is currently living alone in the four-bedroom house where she lived with her husband and raised their five children. All of her children live far away, although...
Melissa White is a 67-year-old female with ischemic cardiomyopathy and a history of chronic heart failure, HTN, high cholesterol and coronary artery disease (CAD). She is a past smoker that quit 5 years ago after her husband died of emphysema in 2007. She is a retired school teacher who cares for her ailing 90-year-old mother at home. Her neighbor brought her to an emergency department because she was complaining of shortness or breath, fatigue and swelling in her ankles and...
Scenario 1 A 38-year-old female patient with a history of corticosteroid use for her autoimmune disorder, presents to the office with a cc of hip pain following a slip and fall the previous week. Examination reveals edema and hematoma in the right lateral femoral region with pain with palpation and manipulation. The doctor orders radiographic testing of the region and blood work. The blood work comes back with the following results: Chloride: 100 mEq/L Potassium: 4.6 mEq/L Sodium: 138 mEq/L...
Practice Differential Diagnosis Assignment Mr. Eric Parker is a 35 year old African American male, is a regular patient of an urban primary care clinic. His last check up [2 years ago], was normal, including cholesterol of 170 mg/dL. He is married with three school age children and is employed as a division sales representative for a national computer network. In addition, he is an avid runner and fisher man. CC: “My stomach has been aching and burning, off and...
Ed is a 65-year-old Caucasian man with a significant cardiovascular history. He is being treated with amlodipine 10 mg by mouth daily for his stage 1 hypertension and atorvastatin 80 mg by mouth daily for his dyslipidemia. He has reported to his primary care provider with complaints of shortness of breath (SOB) x 1 month. His last medical appointment was a year ago. Review of Systems Subjective Data General: Easily fatigued with normal, everyday activity Skin: Denies rashes, lesions or...