Year Male Presents Explained for Students (Easy Guide)

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Original Question

HPI: MJ is a 64-year-old male who presents to the GI AGACNP with the complaint of throbbing sensation in the center of his abdomen. The pain has been persistent for 4 days. For the past several weeks, he has had a strong pain in his lower back. He had thought this was from moving furniture. 1. List five differential diagnoses for each system (neuro, cardiac, pulmonary, GI, GU, musculoskeletal) – PMH: CABG, cluster headaches, PUD, OA, psoriasis, HLD Medications: Celecoxib 200 mg PO daily, ASA 81 mg PO daily, Clopidrogel 75 mg PO daily, Simvastatin 20 mg PO daily, MVI PO daily 2. List the diagnosis and mechanism of action for each of the medications. PE: Negative except for bruit over the aorta, palpable sensation over the epigastrium with tenderness. Vitals: 160/90, HR 85 regular, respirations 20, temp 98.1 F 3. What is the next course of action? 4. What diagnostics are needed? The patient is found to have a 6.5 cm in diameter AAA at the level of the renal arteries extending downward into the iliac arteries. 5. What is the treatment plan?

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