Patient With Sudden Onset of Intermittent Mid-Epigastric Pain|Essay guru

Posted: January 27th, 2023

ASSIGNMENT # 2 CASE STUDY

Use APA 7th Edition Format and support your work with at least 3 peer-reviewed references within 5 years of publication. Remember that you need a cover page and a reference page. All paragraphs need to be cited properly. Please use headers.  All responses must be in a narrative format and each paragraph must have at least 4 sentences. Lastly, you must have at least 2 pages of content, no greater than 3 pages, excluding cover page and reference page.

Patient With Sudden Onset of Intermittent Mid-Epigastric Pain

PR is a 35-year-old female who presents with a sudden onset of intermittent mid-epigastric pain that started 4 weeks ago. Pain is 6/10 on the pain scale and described as burning that worsens after she eats Mexican food and when she is lying down. She has never experienced this before. PR reports that she has been taking over the counter (OTC) antacids that seemed to help at first, but now they provide no relief. She reports associated regurgitation and feeling of fullness all the time and this morning she had a sore throat.

Past Medical History

• Anaphylactic reaction to penicillin Medications

• OTC antacids

Family History

• Noncontributory

Social History

• Occupation: Elementary school teacher (10 years)

• Nonsmoker

• Denies illicit drug use

• Consumes wine two to three times per month •

Regular exercise

Physical Examination

• Weight: 145 lbs.; blood pressure: 128/72; pulse: 80; respiration rate: 18; temperature: 98.7 °F

• General: Calm, cooperative, in no apparent distress

• Eyes: Pupils equal, round, reactive to light

• Ears: Tympanic membranes clear

• Nares: Without nasal septal deviation; pharyngeal mucosa pink and moist

• Throat: Oropharynx without edema, erythema, tonsillar enlargement, lesions

• Abdomen: Nondistended, soft, round, nontender; normoactive bowel sounds in all quadrants

Discussion Questions

1. What are the top three differential diagnoses for PR?

2. What diagnostic tests, if any, are required for PR?

3. What pharmacological, nonpharmacological, and/or nutraceutical therapies should be prescribed for PR?

4. The results from PR’s H. pylori test returned positive. What treatment should be added to her plan of care?

2 PAGES FOR ASSIGNMENT # 2

NO PLAGIARISM,ACCEPTED MORE THAN 10 %

CHECK PROPER GRAMMAR AND APA 7TH EDITION

DUE DATE 1/27/2023

SOLUTION

This patient’s symptoms suggest a possible diagnosis of gastroesophageal reflux disease (GERD), which is characterized by the reflux of stomach acid into the esophagus. This can cause burning pain in the mid-epigastric region and can be exacerbated by certain foods, such as spicy or fatty foods, as well as by lying down. Additional symptoms such as heartburn, regurgitation, and difficulty swallowing may also be present.

A thorough physical examination, including a review of the patient’s medical history and any potential risk factors, as well as diagnostic tests such as an endoscopy or pH monitoring study, may be needed to confirm the diagnosis and rule out other possible causes of the patient’s symptoms.