NURS 6512 Week 6 Assignment 2021

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HPI: JR, 47 yo WM, complains of having generalized abdominal pain that started 3 days ago. He has not taken any medications because he did not know what to take. He states the pain is a 5/10 today b... ut has been as much as 9/10 when it first started. He has been able to eat, with some nausea afterwards. Current Medications: Lisinopril 10mg, Amlodipine 5 mg, Metformin 1000mg, Lantus 10 units qhs Allergies: NKDA PMHx: HTN, Diabetes, hx of GI bleed 4 years ago Soc Hx:. Denies tobacco use; occasional etoh, married, 3 children (1 girl, 2 boys) Fam Hx: No hx of colon cancer, Father hx DMT2, HTN, Mother hx HTN, Hyperlipidemia, GERD O. VS: Temp 99.8; BP 160/86; RR 16; P 92; HT 5’10”; WT 248lbs Heart: RRR, no murmurs Lungs: CTA, chest wall symmetrical Skin: Intact without lesions, no urticaria Abd: soft, hyperactive bowel sounds, positive pain in the LLQ on palpation Diagnostics: None A . Differential Diagnoses: Left lower quadrant pain, Gastroenteritis [Show More]

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