Posted: October 2nd, 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

Cause for Searching for Care

“I really feel weak and drained currently.”

HEALTH HISTORY

HPI

B.S. is a 28 yr previous white feminine who stories a 2 month historical past of menorrhagia, intermenstrual bleeding, excessive fatigue, and weak spot. Her menstrual interval happens each 28 days. Currently, she’s had 6 days of heavy circulation and cramping. She denies belly distension and again ache. She stories that her vitality stage has not returned to regular since her final being pregnant.

PMH

G5P5T5A0. 4 pregnancies in previous 4 years. Fourth baby delivered by way of SVD 4 months in the past. All deliveries have been with out problems. All youngsters have been born and stay wholesome.

Three yr historical past of osteoarthritis of the left knee. Historical past of left knee trauma in MVA at age 9. Experiences that she takes ibuprofen three tabs day by day for ache. She has been taking it for two.5 years. She not too long ago doubled her day by day dose due to rising ache with decreased reduction. The left knee has had osteoarthritis for 3 years. A 9-year-old boy’s left knee was damage in a automotive accident. She says that she takes three tablets of ibuprofen on daily basis for ache. She’s been taking it for two.5 years. She not too long ago doubled her day by day dose as a result of the ache was getting worse and the medication was serving to much less.

Three yr 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 normal train program, “though the youngsters maintain me operating on a regular basis.”

ROS

Craves chilly celery x three weeks

+ delicate urinary urgency with incontinence

+ delicate SOB with exertions, issue concentrating

Denies hematuria, hematemesis, hemoptysis, melena

Denies palpitations, historical past of cardiac or pulmonary illness

Drugs

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

Basic Survey

Drained and pale trying white obese 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 straightforward; 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 finest at RSB

Joint enlargement and restricted ROM of left knee in keeping with DJD.

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