Med Math Practice related to M\/S case studies
\nIron Deficiency Anemia<\/p>\n
Patho\/Pharm Case Study<\/p>\n
Reason for Seeking Care<\/p>\n
\u201cI feel weak and tired lately.\u201d<\/p>\n
HEALTH HISTORY<\/p>\n
HPI<\/p>\n
B.S. is a 28 year old white female who reports a 2 month history of menorrhagia, intermenstrual bleeding, extreme fatigue, and weakness. Her menstrual period occurs every 28 days. Lately, she\u2019s had 6 days of heavy flow and cramping. She denies abdominal distension and back pain. She reports that her energy level has not returned to normal since her last pregnancy.<\/p>\n
PMH<\/p>\n
G5P5T5A0. Four pregnancies in past four years. Fourth child delivered via SVD four months ago. All deliveries were without complications. All children were born and remain healthy.<\/p>\n
Three year history of osteoarthritis of the left knee. History of left knee trauma in MVA at age 9. Reports that she takes ibuprofen 3 tabs daily for pain. She has been taking it for 2.5 years. She recently doubled her daily dose due to increasing pain with decreased relief.<\/p>\n
Three year history of HTN treated with antihypertensive medication.<\/p>\n
No history of surgeries.<\/p>\n
Family History<\/p>\n
Father living, age 66, stable angina.<\/p>\n
Mother living, 58, osteoarthritis.<\/p>\n
Brother, 35, living with DM2 and hyperlipidemia.<\/p>\n
Sister, 32, depression and hypothyroidism.<\/p>\n
Paternal grandparents deceased, heart disease.<\/p>\n
Maternal grandparents unknown due to adoption.<\/p>\n
Children, aged 4 months, 12 months, 2-1\/ years, 4 years, 9 years. All healthy.<\/p>\n
Social History<\/p>\n
Born in US to Greek immigrants.<\/p>\n
Married, homemaker. Lives with husband of 10 years.<\/p>\n
Denies smoking, alcohol intake, street drug use.<\/p>\n
Lacto-ovo vegetarian x 5 years.<\/p>\n
Admits to lack of regular exercise program, \u201calthough the kids keep me running all the time.\u201d<\/p>\n
ROS<\/p>\n
Craves cold celery x 3 weeks<\/p>\n
+ mild urinary urgency with incontinence<\/p>\n
+ mild SOB with exertions, difficulty concentrating<\/p>\n
Denies hematuria, hematemesis, hemoptysis, melena<\/p>\n
Denies palpitations, history of cardiac or pulmonary disease<\/p>\n
Medications<\/p>\n
OTC ibuprofen 200 mg po 6x\/day prn<\/p>\n
OTC omeprazole 20 mg po QD<\/p>\n
HCTZ 30 mg po BID<\/p>\n
Denies vitamin, calcium, and iron supplements.<\/p>\n
Allergies<\/p>\n
Erythromycin causes upset stomach<\/p>\n
ASA causes upset stomach<\/p>\n
PHYSICAL EXAM<\/p>\n
General Survey<\/p>\n
Tired and pale looking white overweight female in NAD. Appears her stated age. Pleasant, cooperative, alert & oriented x3.<\/p>\n
Vital Signs<\/p>\n
T = 98.0 F; P = 140 and regular; RR = 17 and easy; BP = 100\/40 (seated, right arm)<\/p>\n
HT = 5\u20196\u201d<\/p>\n
WT = 173 lbs<\/p>\n
Significant PE Findings<\/p>\n
Skin pale, cool<\/p>\n
Sclera bluish, conjunctiva pale<\/p>\n
Oral mucous membranes pale<\/p>\n
Tachycardic, systolic murmur heard best at RSB<\/p>\n
Joint enlargement and limited ROM of left knee consistent with DJD.<\/p>\n","protected":false},"excerpt":{"rendered":"
Med Math Practice related to M\/S case studies Iron Deficiency Anemia Patho\/Pharm Case Study Reason for Seeking Care \u201cI feel weak and tired lately.\u201d HEALTH HISTORY HPI B.S. is a\u2026<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[6567,6560,4791,6558,6559,6562,6565,6037,6561,6557,6568,6566,6564,6563],"tags":[6591,576,6571,6572,6585,6592,6578,6581,6579,6580,6574,6575,6569,6589,635,6584,114,6587,33,31,6586,6577,6570,6573,6593,6595,6576,6594,6588,6583,6582,6590],"class_list":["post-46168","post","type-post","status-publish","format-standard","hentry","category-assessment-assignment-help","category-assessment-brief","category-assessment-brief-task-help","category-assessment-task","category-assignment-help-pro","category-assignment-help-uk","category-australia-assessments","category-essay-writer-uk","category-excellent-assignment-help","category-instant-assignment-help","category-my-assignment-help","category-new-assignment-help-australia","category-treat-assignment-help","category-write-my-essay-australia","tag-australia-assignment-help","tag-best-dissertation-writing-services","tag-business-management-essay-examples","tag-business-management-essay-topics","tag-buy-essay-online","tag-canada-homework-help","tag-custom-essay-writers-for-hire","tag-custom-essay-writers-jobs","tag-custom-essay-writers-like","tag-custom-essay-writers-online","tag-dissertation-essay-writing","tag-essay-on-human-resources","tag-essay-writer-online-essay-writing-help-service","tag-essay-writing-help-for-college-admission","tag-essay-writing-service","tag-free-essay-generator","tag-healthcare-essay-writing-service","tag-management-essay-writing-service","tag-nursing-essay-help","tag-nursing-essay-writing-service","tag-professional-essay-writing-services-uk","tag-psychology-essay-help","tag-psychology-essay-help-service","tag-reviews-of-dissertation-writing-services","tag-rewrite-your-essay-with-ease-free-sentence-rewriter","tag-student-assignment-help","tag-top-10-essay-writing-services","tag-uae-assignment-homework-help","tag-uk-essay-help","tag-us-based-essay-writing-service","tag-write-my-essay-fast-delivery-any-discipline","tag-write-my-essay-service-with-best-essay-writers"],"_links":{"self":[{"href":"https:\/\/www.essaybishops.com\/essays\/wp-json\/wp\/v2\/posts\/46168","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.essaybishops.com\/essays\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.essaybishops.com\/essays\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.essaybishops.com\/essays\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.essaybishops.com\/essays\/wp-json\/wp\/v2\/comments?post=46168"}],"version-history":[{"count":0,"href":"https:\/\/www.essaybishops.com\/essays\/wp-json\/wp\/v2\/posts\/46168\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.essaybishops.com\/essays\/wp-json\/wp\/v2\/media?parent=46168"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.essaybishops.com\/essays\/wp-json\/wp\/v2\/categories?post=46168"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.essaybishops.com\/essays\/wp-json\/wp\/v2\/tags?post=46168"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}