EPIGASTRIC PAIN portal上腹部疼痛门.lhup.pptxVIP

  1. 1、原创力文档(book118)网站文档一经付费(服务费),不意味着购买了该文档的版权,仅供个人/单位学习、研究之用,不得用于商业用途,未经授权,严禁复制、发行、汇编、翻译或者网络传播等,侵权必究。。
  2. 2、本站所有内容均由合作方或网友上传,本站不对文档的完整性、权威性及其观点立场正确性做任何保证或承诺!文档内容仅供研究参考,付费前请自行鉴别。如您付费,意味着您自己接受本站规则且自行承担风险,本站不退款、不进行额外附加服务;查看《如何避免下载的几个坑》。如果您已付费下载过本站文档,您可以点击 这里二次下载
  3. 3、如文档侵犯商业秘密、侵犯著作权、侵犯人身权等,请点击“版权申诉”(推荐),也可以打举报电话:400-050-0827(电话支持时间:9:00-18:30)。
  4. 4、该文档为VIP文档,如果想要下载,成为VIP会员后,下载免费。
  5. 5、成为VIP后,下载本文档将扣除1次下载权益。下载后,不支持退款、换文档。如有疑问请联系我们
  6. 6、成为VIP后,您将拥有八大权益,权益包括:VIP文档下载权益、阅读免打扰、文档格式转换、高级专利检索、专属身份标志、高级客服、多端互通、版权登记。
  7. 7、VIP文档为合作方或网友上传,每下载1次, 网站将根据用户上传文档的质量评分、类型等,对文档贡献者给予高额补贴、流量扶持。如果你也想贡献VIP文档。上传文档
查看更多
EPIGASTRIC PAIN ER CASE REPORT PATRICK J. NAGLE CASE REPORT A 79 y/o female Caucasian presented to the ED with a friend complaining of severe, sharp epigastric pain that radiated into her chest, back, and pelvic region. She has been having the pain for about 2 months, but it has progressively been getting worse since that time. Initially the pain was rated at a 2 or 3 out of 10, but within the past week has become a constant sharp pain rated between 8 and 10 out of 10. She now has a lot of difficulty eating because the pain is so severe. Pt thought she was constipated so she took some over-the-counter Colace thinking it would help. This was the only method of relief the pt attempted and it was unsuccessful. CASE REPORT, CONT… The pt denies having any fever, chills, night sweats, abnormal weight loss/gain, malaise, lymphadenopathy, difficulties or painful swallowing, N/V/D, blood in her mucus or stools, change in color or caliber of bowel movements, difficulties or changes in urination, wheezing, cough, SOB, SOB on exertion, chest tightness or pressure, palpitations, PND, orthopnea, fainting, dizziness, swelling of feet, or abnormal bleeding and bruising. PMH Pt is known to have allergies to iodine resulting in kidney failure. PMH revealed documentation of Type II DM, HTN, hypercholesterolemia, CHF, stroke, MI, CAD, CABG x 3 - 2 months ago, AAA repair - 2 years ago, complete left mastectomy 7 years ago, GERD, removal of her gallbladder and appendectomy – over 20 years ago. Both sides of the patient’s family has a history of DM, HTN, dyslipidemia, and breast cancer is known on her side of the family. She has not been exposed/used tobacco, alcohol, or illicit drugs. PHYSICAL EXAM Pt appears to be in moderate to severe discomfort with severe, sharp pain throughout the epigastric region of her stomach that radiated into the chest, back, and pelvic area. Abdominal aorta auscultated with no sounds indicating a possible leak. Normoactive bowel sounds with clicks and gurgl

您可能关注的文档

文档评论(0)

chenchend + 关注
实名认证
文档贡献者

该用户很懒,什么也没介绍

1亿VIP精品文档

相关文档