I HUMAN CASE STUDY FOR CHRISTINE SMITH 33- YEAR-OLD REASON FOR ENCOUNTER (FLANK PAIN) LATE, Lab Reports of Integrated Case Studies

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I HUMAN CASE STUDY FOR CHRISTINE SMITH 33-

YEAR-OLD REASON FOR ENCOUNTER (FLANK

PAIN) LATEST CASE STUDY 2024-2025 WITH

VERIFIED RESEARCH AND ANALYSIS,

GUARANTEED PASS|| ASSURED PASS!!!

IHuman case study C. Smith 33y/o, reason for encounter: flank pain HPI-Christine Smith is a 33-year-old female that presents with 2 days of consistent deep aching flank pain that started out mild as she awakened and was severe by the afternoon. The pain is a 8/10 in the general region of the 12thrib on the right side posteriorly. Nausea began after breakfast 2 days ago and she has

. vomited 3 x’s. She has loss of appetite : Questions - How can I help you today? - Do you have any other symptoms or concerns we should discuss? - When did your flank pain start? - Does anything make your flank pain better or worse? - What does your flank pain feel like? - How sever (1-10) is your flank pain? - Are you taking any medications for your symptoms? - Where more precisely is your flank pain?

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• Any change in your flank pain since it began? Has there been a change in your urination frequency?
• Does your flank pain radiate someplace else? Where??
• Does your flank pain come and go?
• Are you sexually active?
• Is your urine pink or red in color?
• Tell me about the health of your grandparents, parents …?
• Do you have any allergies?
• Are your immunizations up to date?
• Are you taking any prescription medications?
• Are you taking any over-the-counter or herbal medications?
• Is your period late?
• When did your last period begin?
• When did your fever start?
• How high is your fever?
• Do you have pain/ discomfort when you urinate?
• Are you having any problems with your periods?
• Can you tell me about any current or past medical problems...?
• Any previous medical, surgical...?
• Have you ever had abdominal surgery?
• When you urinate, have you noticed any pain, burning...?
• Do you have any problems with fatigue, difficulty sleeping....?
• Do you have any problems with an itchy scalp, skin changes...?

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• Do you have any problems with headaches that don’t go away with aspirin...?
• Have you noticed any breast discharge, lumps....?
• Do you experience chest pain discomfort or pressure...? Do you experience shortness of breath, wheezing, difficulty catching your breath....?
• Do you have problems with nausea, vomiting, constipation...?
• Do you have problems with muscle or join pain, redness...?
• Have you noticed any bruising, bleeding gums...?
• Do you have problems with heat or cold intolerance, increased thirst...?
• Do you have problems with dizziness, fainting, spinning room...? Key findings

1. Recurrent bladder infections
2. Flank pain
3. Nausea/ vomiting
4. Fever 5. Tachycardia : Physical Exam

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• Fever, tachycardia, right CVA tenderness to percussion o Temp 101F o HR 114 o BP: supine 120/ o RR: 14 o Cognitive: A and OX 4 HEENT Neck: EOMI, normal visual fields, normal sclera, Normal dentition, Pupils
  • equally round and reactive to light with accommodation, Atraumatic.
  • Eyelids: no ptosis erythema or swelling. Conjunctivae: pink, no discharge.
  • Sclera: anicteric. Orbital area: no edema, redness, tenderness, or lesions noted.
  • Neck: No visible scars, deformities, or other lesions. Trachea is midline and freely
  • mobile. No asymmetry or accessory respiratory muscle use with quiet breathing.
  • Respiratory: The anterior chest on the left and right lower chest are dull to percussion.
  • The rest of the lung fields are resonant and are not hyper resonant. Chest atraumatic,
  • symmetrical; normal AP diameter. Normal respiratory effort and excursion.
  • Cardiovascular: +tachycardia. Regular rate and rhythm; no murmurs, rubs, gallops, No
  • edema or cyanosis, 2+ pulses bilaterally (radial; PT), No peripheral edema.

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• Abdomen/Gastrointestinal: Not tender to RUQ Palpation; voluntary guarding present, no
• rebound. No Murphy's sign. Reported discomfort with right flank percussion.
• Genitourinary: + right CVA tenderness to percussion.
• Neurological: Negative
• Skin/Breast: Warm, dry
• Allergic/Immunologic: None/Normal
• Lymphatic/Endocrine: No adenopathy, No regional lymphadenopathy, No localized edema
• Hematologic: No bruises or signs of abnormal bleeding, or petechial
• MSK: Negative

For a human case study involving Christine Smith, a 33-year-old woman experiencing flank pain, we can follow a structured approach to identify potential causes, diagnostic measures, and treatment options. Case Study Outline: Patient Profile:

Name: Christine Smith Age: 33 years old Chief Complaint: Flank pain History Taking: Chronology: Onset of pain: When did the pain start? Duration: How long has the pain been present? Consistency: Is the pain constant or intermittent? Pain Characteristics: Type: Sharp, dull, stabbing, or throbbing? Severity: Scale of 1 to 10? Radiation: Does the pain spread to other areas like the abdomen or groin? Associated Symptoms: Fever Nausea or vomiting Hematuria (blood in urine) Dysuria (painful urination)

Urinary frequency/urgency Recent illnesses or infections Medical History: Previous episodes of flank pain History of kidney stones or urinary tract infections (UTIs) Surgery or injury in the affected area Family history of similar symptoms or conditions Lifestyle Factors: Diet: Recent dietary changes? Hydration: Daily water intake? Physical activity: Any strenuous activity or exercise? Physical Examination: Vital signs: Check temperature, heart rate, blood pressure. Abdominal exam: Palpate for tenderness or masses. Costovertebral angle tenderness: Assess for kidney-related pain. Differential Diagnosis: Urolithiasis (Kidney Stones):

Common cause of acute flank pain. Symptoms may include hematuria and severe spasms. Pyelonephritis (Kidney Infection): Often presents with fever, chills, nausea, and flank pain. Associated with UTIs. Musculoskeletal Pain: Resulting from strain or injury. Usually localized and can be related to certain movements. Other Possible Causes: Gynecological issues (e.g., ovarian cysts) Gastrointestinal conditions (e.g., appendicitis, diverticulitis) Vascular issues (e.g., renal artery stenosis) Diagnostic Tests: Urinalysis: Detects blood, infection, or crystals. Imaging: Ultrasound or CT scan for visualizing stones or other abnormalities. Blood Tests: Complete blood count (CBC) to check for infection. Serum creatinine and blood urea nitrogen (BUN) for kidney function.

Treatment: Based on the identified cause, treatment may vary: Kidney Stones: Pain management, hydration, and possibly lithotripsy. Infections: Antibiotics for bacterial infections. Pain from other sources: Physical therapy, rest, or anti-inflammatory medications. Follow-up: Regular monitoring of symptoms. Referral to specialists if necessary (e.g., urologist, nephrologist). This outline provides a comprehensive approach for examining and diagnosing flank pain in a 33-year-old patient. Each step builds upon the previous, ensuring a thorough understanding and targeted treatment plan for the patient.