Home>Homework Answsers>Nursing homework helpHomeworknursingdiscussionCASE STUDY #2Chief Complaint:“I have pain in my belly”History of Present Illness (HPI):A 25-year-old female presents to the emergency room (ER) with complaints of severe abdominal pain for 2 weeks . The pain is sharp and crampy It hurts if I run, sit down hard, or if I have sexPMH:Patient deniesDrug Hx:Birth controlAllergies:NKASubjective:Nausea and vomiting, Last menstrual period 5 days ago, New sexual partner about 2 months ago, No condoms, he hates them No pain, blood or difficulty with urinationObjective Data:PE:B/P 138/90; temperature 99°F; (RR) 20; (HR) 110, regular; oxygen saturation (PO2) 96%; pain 5/10General:acute distress and severe painHEENT:Atraumatic, normocephalic, PERRLA, EOMI, conjunctiva and sclera clear; nares patent, nasopharynx clear, good dentition. Piercing in her right nostril and lower lip.Lungs:CTA AP&LCard:S1S2 without rub or gallopAbd:INSPECTION: no masses or thrills noted; no discoloration and skin is warm to; no tattoos or piercings; abdomen is nondistended and round• AUSCULTATION: bowel sounds (BS) are normal in all four quadrants, no bruits noted• PALPATION: on palpation, abdomen is tender to touch in four quadrants; tenderness noted on light palpation, deep palpation reveals no masses, spleen and liver unremarkable• PERCUSSION: tympany heard in all quadrants, no dullness noted in abdominal areaGU:• EXTERNAL: mature hair distribution; no external lesions on labia• INTROITUS: slight green-gray discharge, no lesions• VAGINAL: normal rugae; moderate amount of green discharge on vaginal walls• CERVIX: nulliparous os with small amount of purulent discharge from os with positive cervical motion tenderness (CMT)• UTERUS: ante-flexed, normal size, shape, and position• ADNEXA: bilateral tenderness with fullness; both ovaries without masses• RECTAL: deferred• VAGINAL DISCHARGE: green in colorExt:no cyanosis, clubbing or edemaIntegument:intact without lesions masses or rashesNeuro:No obvious deficits and CN grossly intact II-XIIThen answer the following questions:What other subjective data would you obtain?What other objective findings would you look for?What diagnostic exams do you want to order?Name 3 differential diagnoses based on this patient presenting symptoms?Give rationales for your each differential diagnosis.-Your initial post should be at least 500 words, formatted and cited in current APA style with support from at least 2 academic sources.5 years ago18.11.202020Report issueAnswer(1)Prof James Kelvin4.7(74)5.0(2)ChatPurchase the answer to view itNUR504-GastrointestinalEndocrine.docx5 years agoplagiarism checkPurchase $20Bids(96)Tutor Cyrus KenWIZARD_KIMQuickly answerNightingaleabdul_rehman_Quality AssignmentsDr. Michelle_KMAmanda Smithwizard kimDr. Alitzel_JoeDiscount AssignDr Michelle Mayabrilliant answersBrainy BrianTutor RisperDiscount AnsCreative GeekElprofessoriMichelle OwensMichelle GoodManother Questions(10)Accounting work for WAQAS1ACA ONLYBUS 310 Week 6 Discussion 1 and 2Construction techniqueCritical infrastructureBUACC3702Fill the table1. Which of the following is not a known cause of childhood anxiety? 2. Which of the following is the most common treatment for childhood anxiety disorders?Chapter 22: Multiple choice questionsneeed argument essay from this in 9 hoursCalculus
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