*NURSING > A Level Question Paper > iHuman Gastrointestinal Case iHuman Gastrointestinal Case CC (All)
CC: RUQ abdominal pain HPI: 48-year-old Hispanic female. A&O x 4. Appears well developed, well nourished. Patient reports having intermittent upper right quadrant abdominal pain that started 2 week... s ago. Has progressively gotten worse over the last 2 days and is now constant. Describes it as a constant deep abdominal cramping, gnawing, and achiness under right ribs deep inside which radiates with pain in the right shoulder. Severity 4/10. Reports nausea and vomiting and fever for 2 days. Reports history of acid reflux. Use of antacids and Ibuprofen provides no relief for her current abdominal pain. Patient reports pain is brought on by eating food. Patient reports not drinking adequate amount of fluid because of the vomiting. History of abdominal pain a few times over the last year that has always gone away on its own, but never this severe. Patient denies dysphagia, chest pain, SOB, blood in emesis, blood in stool or blood in urine. Denies any one event or activity associated with the onset of her abdominal pain [Show More]
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