Year Female Evaluated Assignment Help: How to Answer This Question
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Original Question
A 55 year-old female is evaluated in the hospital for a 2-day history of epigastric abdominal pain, nausea, vomiting and anorexia. The patient has no significant medical history and takes no medications. On physical examination, the temperature is 100.5 degrees F, blood pressure is 124/76 mmHg, pulse rate is 99 beats per minute and respiratory rate is 16 breaths per minute. There is scleral icterus and a slight yellowing of the skin. There is mid-epigastric and right upper quadrant tenderness. There is no palmar erythema, spider angiomata or other evidence of chronic liver disease. Lab studies as follows: Leukocyte count- 14,900/ microliter AST (aspartate aminotransferase)- 656 U/L ALT (alanine aminotransferase)- 567 U/L Total bilirubin- 5.6 mg/ dL Amylase- 1284 U/L Lipase- 6742 U/L Abdominal ultrasound shows a biliary tree with a dilated common bile duct of 12 mm and cholelithiasis but no choledocholithiasis. 1- What is the relevant objective and subjective assessment data from the case study? 2- What does this data indicate? What conclusions can you make? What is your preliminary diagnosis(es)? 3- What is the underlying pathophysiology that produce the clinical manifestations in this case study? You can use text, flowchart or outline to provide a detailed discussion. 4- Based on the pathophysiology, what clinical course and complications could you anticipate 5- What patient education and follow up is required for the case study patient?
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