Case Study Year Explained for Students (Easy Guide)
This question tests key academic concepts commonly covered in coursework.
What This Question Is About
This question relates to case study year and requires a structured academic response.
How to Approach This Question
Start by identifying the main issue, then apply relevant academic frameworks.
Key Explanation
This topic involves case study year. A strong answer should include explanation, application, and examples.
Original Question
Case Study: A 67-year-old black female presented to the primary care clinic reporting chest pain. Past medical history includes cardiac murmur, hypertension, diabetes, and high cholesterol. Allergies to lisinopril with reaction as angioedema. Denies fever, chills, dysuria or extremity pain, or swelling. Denies increased thirst, urination, or excessive hunger. Checks blood glucose at once daily which is usually less than 150. Reports chest pain started last night, did not improve with antiacid but have been using ibuprofen 600 mg over the last week around the clock for her arthritis. Did not notice if pain increases with palpation or movement or after eating or on an empty stomach. Denies heavy lifting or trauma. Denies nausea, vomiting, melena, or BRBPR. Describes pain as the pressure in the chest but the patient is pointing to the epigastric area. Denies anxiety or depression. GAD -7 score of 1. Denies tobacco use, illicit drug use, or alcohol use. A retired librarian lives with her daughter and her family. Family medical history: mother deceased had diabetes, HTN, CAD, and father had afib, HFrEF, and CABG x 3. The patient’s daughter is diabetic. VS: 140/78, 108 BPM, 16 RR, 95% RA, Fingerstick glucose 129, BMI 38.1. The obese female appears stated their age. Alert and oriented to person, place, time, and situation. Normocephalic, PERRLA, peripheral pulses present B/L +2, respirations even, unlabored, breath sounds clear, equal throughout. Normoactive bowel sounds in all 4 quadrants, no bruits, no hepatosplenomegaly, abdomen soft, non-distended, no fluid shifts. EOM intact follows commands and moves all extremities w/o difficulty. Heart sounds auscultated irregular with holosystolic murmur heard best at the apex that radiates to axilla. Home medications include aspirin 81 mg PO daily, amlodipine 10 mg PO daily, metformin 1,000 mg BID PO, and atorvastatin 20 mg PO daily. EKG impression was afib with RVR. On examination no guarding, negative Rovsing’s, Psoas, Obturator, Murphy’s, or McBurney’s signs. Labs are as follows… Image transcription text 13. 9 132 95 22 5.7 379 4.8 21 1.4 127 41.7 Troponin < 0.03, CK 22, Amylase 44, Lipase 99, AST 50, ALT 65, Tbili 0.4, Albumin 4.8, eGFR 78 INR 1.0, PTT 25 Urinalysis pending Urinalysis pending This is an unfolding case study that the class will be utilizing for the next couple of units. Questions Based on the information provided at this time what are your differential diagnoses. Describe what the different "signs" indicate and how to perform the examination? What are the risk factors for cholelithiasis? What are health promotion, disease prevention, anticipatory guidance, counseling, and disease management can you provide that fall within your scope of practice? Pose two open-ended questions for your peers to respond to regarding questions you may have experienced researching the topic or required unit material.
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