NR603 Week 5 Part 1 Predictor

NR603 Week 5 Part 1 Predictor.Week 5 predictor ass Dr Martin and Class, Chief Complaint – upper abdominal pain and feeling sick Demographics - 40 yo Caucasian female PMHx – Hypothyroidism, seasonal allergies (worse in fall) PSHx – appendicitis as a teen, C-section x 2, Home Meds Levothyroxine 100mcg PO daily - compliant Loratadine 10 mg PO prn Tylenol 1000mg PO prn (taking BID x 7 days) Allergies - PCN (unknown reaction, as a child), bees, strawberries Immunizations – received all childhood vaccines, receives annual influenza vaccine, tdap 2018 after laceration repair, did not receive vaccines prior to South America trip, unsure of hepatitis B vaccine status Lifestyle • • • • • • • employed in sales with daily local travel, eats at restaurants with clients several times/week traveled to South America for 2 weeks about a month ago recently divorced, 1 new sex partners, sexual interest men former smoker – 4 years in early 20’s ½ PPD ETOH 2 glasses wine/night, 2 time/week out with friends and drinks 5+ drinks denies any illicit drug use Usually participates in exercise classes 3/wk but has not gone in 2 weeks b/c pain is worse with jumping and quick movements. HPI – 10 days ago URQ abdominal pain with fatigue, decreased appetite, body aches and nausea. Noticed very dark urine and slightly yellow eyes 2 days ago. Pain is constant and not related to food intake. Has been taking Tylenol 1000mg BID for 5 days, to help with body aches, it has not improved. Pain is a deep dull ache, 6/10 that is worse with any jarring movements.