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Posted: October 1st, 2022
Med Math Practice related to M/S case studies
Med Math Practice related to M/S case studies
Iron Deficiency Anemia
Patho/Pharm Case Examine
Purpose for Searching for Care
“I really feel weak and drained recently.”
HEALTH HISTORY
HPI
B.S. is a 28 12 months previous white feminine who experiences a 2 month historical past of menorrhagia, intermenstrual bleeding, excessive fatigue, and weak spot. Her menstrual interval happens each 28 days. These days, she’s had 6 days of heavy move and cramping. She denies belly distension and again ache. She experiences that her power degree has not returned to regular since her final being pregnant.
PMH
G5P5T5A0. 4 pregnancies in previous 4 years. Fourth youngster delivered through SVD 4 months in the past. All deliveries had been with out problems. All kids had been born and stay wholesome.
Three 12 months historical past of osteoarthritis of the left knee. Historical past of left knee trauma in MVA at age 9. Studies that she takes ibuprofen three tabs day by day for ache. She has been taking it for two.5 years. She lately doubled her day by day dose due to rising ache with decreased reduction.
Three 12 months historical past of HTN handled with antihypertensive medicine.
No historical past of surgical procedures.
Household Historical past
Father dwelling, age 66, secure angina.
Mom dwelling, 58, osteoarthritis.
Brother, 35, dwelling with DM2 and hyperlipidemia.
Sister, 32, melancholy and hypothyroidism.
Paternal grandparents deceased, coronary heart illness.
Maternal grandparents unknown due to adoption.
Kids, aged four months, 12 months, 2-1/ years, four years, 9 years. All wholesome.
Social Historical past
Born in US to Greek immigrants.
Married, homemaker. Lives with husband of 10 years.
Denies smoking, alcohol consumption, avenue drug use.
Lacto-ovo vegetarian x 5 years.
Admits to lack of standard train program, “though the children hold me working on a regular basis.”
ROS
Craves chilly celery x three weeks
+ delicate urinary urgency with incontinence
+ delicate SOB with exertions, problem concentrating
Denies hematuria, hematemesis, hemoptysis, melena
Denies palpitations, historical past of cardiac or pulmonary illness
Medicines
OTC ibuprofen 200 mg po 6x/day prn
OTC omeprazole 20 mg po QD
HCTZ 30 mg po BID
Denies vitamin, calcium, and iron dietary supplements.
Allergic reactions
Erythromycin causes upset abdomen
ASA causes upset abdomen
PHYSICAL EXAM
Common Survey
Drained and pale trying white chubby feminine in NAD. Seems her acknowledged age. Nice, cooperative, alert & oriented x3.
Important Indicators
T = 98.zero F; P = 140 and common; RR = 17 and simple; BP = 100/40 (seated, proper arm)
HT = 5’6”
WT = 173 lbs
Vital PE Findings
Pores and skin pale, cool
Sclera bluish, conjunctiva pale
Oral mucous membranes pale
Tachycardic, systolic murmur heard greatest at RSB
Joint enlargement and restricted ROM of left knee in line with DJD.
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