NURS 6560 Week seven IHUMAN case study on diarrhea/ 2021

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CC: Diarrhea HPI: The patient is a 42 year-old male who has a history of borderline HLD, who arrives to the ED with complaints of diarrhea, lightheadedness, “cottonmouth,” fever, poor appetite, ... diaphoresis, malaise, and crampy abdominal pain for the past three days after arriving home from a business trip in Chicago. Physical exam demonstrated poor skin turgor, tachycardia, orthostatic hypotension, dry mucous membranes, and a positive guaiac with rectal exam. Leukocytosis present. Stool culture positive for salmonella enteritidis. C-diff test negative. Stool gram stain depicted gram negative bacilli. Fecal leukocytes >10,000. Colon biopsy cancelled due to identification of infectious etiology. The patient denies any nausea, vomiting,chest pain, or sob. Onset: RIght before the diarrhea started about three days ago after a business trip to Chicago. Had a decreased appetite after, but attributed it to overeating. Location: Abdomen Duration: Constant Characteristics: Sharp crampy pain Associated signs and symptoms: poor appetite, lightheadedness, fever, diaphoresis, and malaise. Timing:Three days ago Exacerbating/ relieving factors: Pain is exacerbated when the episodes of diarrhea occur. Decreased pain after diarrhea. Current Medications: Kaopectate Allergies: NKDA PMHx: Chicken pox, borderline HLD Soc Hx: Married with two children. Drinks one glass of red wine 3-4 days a week. He does not drink or use any recreational drugs. Fam Hx: Father has HTN. Mother has no issues.Unaware of grandparents history General: Appears diaphoretic and in discomfort HEENT: Headache present. Lightheaded. No double vision, or eye trauma. No recent hearing [Show More]

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