, NUR 602 Renata Chapman Case Study 2024
Renata Chapman
42-year-old female
Height 5’5 (165 cm)
Weight 149.0 lb (67.7 kg)
Chief complaint: Two right-breast lumps
Skin: warm, dry
HPI (History of present illness):
Name: Renata Chapman
Age: 42 years
Sex: F
Height: 5' 5" (165.0 cm)
Weight: 149 lb (68.0 kg) (BMI 24.8)
Temperature: 98.4 F (oral)
Pulse: 72 bpm - regular
Blood pressure: 116/68 mmHg - supine/sitting
Blood pressure: 102/62 mmHg - upon standing
Respiratory rate: 16 bpm
SpO2: 98% on room air
PMH (Pervious medical history):
Allergies: None
Oth er acti ve p roblem s :
Right-ovarian hemorrhagic cyst (spontaneously resolved): year unknown
Chronic idiopathic pancreatitis: diagnosed in her 20s
Hypothyroidism: age at time of diagnosis not recalled
Me dical , surgical , obst etri c , hospit a l i zatio ns:
OB/GYN: Menarche age 14; G2P2; first pregnancy at age 25 vaginal; second at age 32 C-section 7 years
ago, follow by a bilateral tubal ligation (BTL)
Preve ntiv e He alth :
Full childhood vaccinations
Exercise: None; sedentary
Diet: Predominantly fast foods aunt junk food per patient's account
Immuniza tio ns:
Immunizations: none in the last 7 years
Completed childhood-vaccination schedule
Medications:
Levothyroxine 25 mcg one tablet daily
Pancrelipase 15000 units two tablets before each meal and snack
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