FNP NR511 Week 2 Snapps Cheryl Case Study Graded A 2024

SUMMARIZE Using a patient seen in the practicum setting, summarize the H&P into an organized and concise format. CC Pain in bladder HPI statement using OLDCARTS data CC: M.B. is a female who presents to clinic with c/o pain in bladder. Onset: 4 days ago Location: suprapubic area, Left flank pain Duration: constant, lasting from a few to fifteen min, but has been increasing in frequency and severity in the past few days. Characteristics: dysuria, of pain is described as a burning sensation at the urinary meatus upon urination which is aggravated during urination and reported as severity of 8/10 but relieved within minutes of cessation of urinary stream. Character of abd pain in suprapubic area is described as pressure and dull ache with severity of 6/10 which is aggravated by bladder distention and external abd pressure and relieved by bladder emptying. Aggravation: movement, walking Relieving: Ibuprofen 600 mg as needed Treatment: Took Cipro 250 mg twice daily for 3 days, no relief Pertinent ROS Constitutional: Denies fever, chills, or body aches. Denies night sweats Respiratory & Cardiovascular: Denies SOB, cough, wheezing, palpitations, CP, murmur present Gastrointestinal: Pos for abd pain, denies nausea/vomiting, denies upper quadrant pain, pos left flank pain, denies back pain, denies anorexia, denies diarrhea or constipation. Genitourinary: Pos pain upon urination; Reports urgency, frequency. Denies vaginal discharge, odor, itching,. Hematology/Lymphatics: No swollen lymph glands Neurologic: Denies HA, vertigo, syncope, confusion, Endocrine: fatigue