COMPREHENSIVE CASE 62 YEARS iHuman case study Im peeing all the time- dissecting Urinary f, Lab Reports of Nursing

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COMPREHENSIVE CASE 62 YEARS iHuman case study In peeing all

the time- dissecting Urinary frequency in a 62- year – old male week

COMPREHENSIVE CASE 62 YEARS iHuman case study: Im peeing all the time- dissecting Urinary frequency in a 62- year – old

Male, Week 10

COMPREHENSIVE CASE 62 YEARS iHuman case study: Im peeing all the time- dissecting Urinary frequency in a 62- year – old

Male, Week 10

COMPREHENSIVE CASE 62 YEARS iHuman case study: Im peeing all the time- dissecting Urinary frequency in a 62- year – old

Male, Week 10

COMPREHENSIVE CASE 62 YEARS iHuman case study: Im peeing all the time- dissecting Urinary frequency in a 62- year – old

Male, Week 10

Hx Categories Sx= Sx= Sx= Sx= Sx= Sx= CC Provided

COMPREHENSIVE CASE 62 YEARS iHuman case study: Im peeing all the time- dissecting Urinary frequency in a 62- year – old

Male, Week 10

Problem Statement by Lester Trastoy

on case Ava Pilar

The patient presents for a few months of tiredness,shortnessof breath, fatigue, and

headaches. Reports heavy menses for 1 year. Menses last 7 - 8 days, 2 - 3 of

heavy bleeding, having to change tampon and pad every 2 - 4 hours. FMH is significant

for the father, deceased of colon cancer at age 50, and the mother with

chron's disease. Pt has no history of a colonoscopy. Today's exam showed skin

pallor, conjunctival pallor, faintly positive guaiac stool, and orthostatic hypotension 100/60.

Attempt: 3388740

Report

generated

on

PM

Europe/Madrid

Management Plan by Lester Trastoy

Electronic Health Record by Lester Trastoy on case Ava Pilar

History of Present Illness

Past Medical History

Category Data entered by Lester Trastoy

COMPREHENSIVE CASE 62 YEARS iHuman case study: Im peeing all the time- dissecting Urinary frequency in a 62- year – old

Male, Week 10

Past Medical History

Hospitalizations / Surgeries

Category Data entered by Lester Trastoy

COMPREHENSIVE CASE 62 YEARS iHuman case study: Im peeing all the time- dissecting Urinary frequency in a 62- year – old

Male, Week 10

Psychiatric

Lymphatic

lOMoAR cPSD| 10861635

lOMoAR cPSD| 10861635

Ihuman-Ava Pilar

50 y/o female

Height: 5’6” (168 cm)

Weight: 153 lbs (69.5 kg)

Reason for visit: Fatigue and shortness of breath Location: Emergency room with full imaging and laboratory capabilities Visual: Alert, slight pallor, dress in gown Note: There is a prior chart in the EHR HISTORY QUESTIONS: 24 How can I help you today? Well, I have been unusually tired recently and a bit short of breath , but I just thought I was overworking. Then today I was out working in the yard and got extremely lightheaded. I felt like I was about to pass out and I think if I hadn’t sat down, I actually might have passed out. I wasn’t doing anything strenuous…just planting some owers. Do you have any other symptoms or concerns we should discuss? Yes, more and more frequently I’ve been getting lightheaded. Oh, I also am getting headaches. I used to never get headaches, so all of this is new for me. I just thought I was out of shape and working too hard. That’s all I can think of this minute. When did you rst notice feeling short of breath? Several months ago. I thought it was just getting older. Does anything make your shortness of breath better or worse? It did get better when I sat down. It’s worse with house and yard work now. How severe is your shortness of breath? I have not been able to do routine things without getting short of breath Do you have a cough? No Do you wheeze? No Are you short of breath when laying down? No What are the events surrounding the start of your fatigue/tiredness? I rst noticed feeling tired during a round of golf several months ago. I had to stop walking after the rst none holes and nish the round with a cart. Now that had never happened to me before. Again, I just thought I was working too hard. When did your fatigue/tiredness start? Several months ago Does anything make your fatigue/tiredness better or worse? Rest, taking it easy, limiting my activities. Those all seem to help. How severe is your fatigue/tiredness? Bad enough that it’s di cult to get through my daily responsibilities Does your fatigue/tiredness improve after a good night’s rest? Not really Does your fatigue/tiredness come and go? Yes, with exertion What treatments have you had for your fatigue/tiredness? Nothing When did your lightheadness start? I guess maybe a couple of months ago but I really took notice a few days ago when I was crawling under the bed cleaning my oors and then stood up to quickly, I felt lightheaded. That episode passed fairly quickly. Then I happened again this morning before I came in. Does anything make your lightheadedness better or worse? I sometimes get lightheaded when I do housework or exercise…and then today when I was doing yard work. How long does your lightheadedness last? It’s just a few seconds. A minute or two at the most. What does the pain in your head feel like? I don’t have pain there now but when I get a headache, it is just an ache all over my head. Does anything make your headache better or worse? I usually just take some ibuprofen and that seems to help. They are worse with any exertion. How long does your headache last? A couple hours until the ibuprofen kicks in When did your headache start? Over the last few months. I don’t have one now. Do you have any awareness or warning symptoms that occur before the headache begins? No