Unit 4 DQ: Case Study – Urgent Care

Category of DataData
Patient InformationM.L.  22y/o Hispanic female presenting for abdominal pain and diarrhea
SettingUrgent Care/Emergency Room
Chief ComplaintNot feeling well, decreased energy, abdominal discomfort after eating.
Past Medical History/Social HistoryGenerally healthy and no hospitalizations Denies smoking, alcohol, or illicit drugs use, exercises and eats a balanced meal, sexually active with condom use
Labs and Exam DataBP: 100/75, P-74, R-16, T-99, LNMP: 3 weeks ago; urine HCG- negative Alert and oriented, normal exam except right upper quadrant tenderness; abdomen is soft, bowel sounds are hypoactive, no hepatosplenomegaly. LUNGS: CTA, CV: RRR without murmurs
General Survey Data22y/o with localized abdominal pain to the right upper quadrant, nausea, and report of vomiting this morning and one diarrhea for the past 24hours
Pertinent Health HistoryNo major medical issues or hospitalizations

Answer these questions related to the case study above and post to the discussion board.  Please write in your own words (minimal direct quotes).

  1. Based on the data, what condition (possible diagnoses) do you think M.L. has acquired? Please provide a reference for your answer.
  2. Based on the possible diagnosis, what additional tests would you need to order? 
  3. Please provide a reference for your answer. Please do not duplicate a reference previously provided by a classmate on the discussion board.
  4. What findings in the following lab/diagnostic tests would be consistent with the diagnosis you suspect?
    • White Blood Cell (WBC) Count
    • Serum Electrolytes
    • What psychological, social or physical issues might you consider when assessing/caring for M.L. are indicated? 

Please do not duplicate an issue or reference previously provided by a classmate on the discussion board.  

Provide feedback to your classmates regarding their answers to EACH of the above questions, do you agree with their answers? Why or why not? Provide references that support your feedback.

All students should receive at least one response to their Discussion response. Please review the DQ before posting to ensure that another person has not already responded.

Please write in your own words, without direct quotes.

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