Her mother currently has high blood pressure and her father has nothing significant going right now. Just about a few days ago Pamela showed symptoms of abdominal pain and projectile vomiting that had her husband worried about her and took her straight to the emergency room. Her pancreatic enzymes were elevated‚ her abdominal ultrasound and CT of the abdomen showed inflammation of her pancreas. She was then admitted for further evaluation. Introduction Pancreatitis
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Manzon‚ Dr. Ocampo‚ Dr. Concepcion I. CHIEF COMPLAINT - General body weakness - Drowsiness - Pain on knees II. NURSING HISTORY The patient‚ MNM‚ has hypertension for 21 years‚ he’s not taking any medications until year 2008 when he was prescribed Nifedipine and Carvedilol. He also has gouty attacks for 14 years now and he is taking Allopurinol. Four days PTC‚ patient verbalizes pain on his knees. He was then also noticed by his wife to be drowsy at all time and has melena in which
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The patient is a 36 year old male who came to the hospital because of an episode of hematemesis. The patient stated that for the past few days he had had anorexia and epigastric pain‚ which was worse if he tried to eat. An NG tube was placed and drained a small amount of bright red blood‚ as well as some coffee-ground material. Hemoccult test showed dark‚ tarry stool and positive for occult blood. 1. Where do you suspect the patient is bleeding from? 2. What are some of the possible conditions
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Pain and Tool Development Pain is defined as “an unpleasant sensory and emotional experience associated with actual or potential tissue damage or described in terms of such damage” (International Association for the Study of Pain (IASP)‚ 1986). However twentieth century theories support the rationale that “Pain is a multidimensional phenomenon and includes the patient’s emotions‚ behaviours and functionality both physically and mentally in response to the pain” (Osborn et al‚ 2009 Pg.335). The
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expected pain in reference to her neuropathic pain. The expected pain is considered as a latent cognitive construct distilled from accumulative negative pain experiences collected over the course of illness. The construct is defined “as patient predictions about future pain and consequences of their conditions”‚ (Janzen et al. 2006) and is believed to be responsible for prolonging the experience of chronic pain.(Main et al. 2010) Chronic pain studies have shown that patients who expect pain to get
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Patient Desire Desires 0 pain‚ will accept 1-2 on 0-10 pain scale. Has incision pain of 2-3 between drsg changes‚ which is controlled by two Percocet‚ has a 6 during changes. Scenario K.C. 43 y.o. female 280 lb‚ I&D of renal abscess 2nd post op day. Being d/c’d home where daughter will do drsg changes. What is Pain? According to (Lewis‚ 2011) The International Association for the Study of Pain (IASP) defines pain as “an unpleasant sensory and emotional experience associated with actual or
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03/12/---- REASON FOR CONSULTATION: Please evaluate acute abdominal pain for possible surgical intervention. I am asked to see this 62-year-old Caucasian female‚ who was admitted with abdominal pain‚ nausea‚ and vomiting. No melena or hematemesis. Pain is in the right epigastrium and right upper quadrant. She has a prior history of similar bouts but not as bad. She was evaluated in the ER and an obstruction series and abdominal sonogram were ordered by her PCP‚ Dr. Shaker. X-rays showed calcification
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tract‚ from the mouth to the anus. Ulcerative colitis is limited to the colon‚ also called the large intestine. Crohn’s disease is an inflammatory bowel disease (IBD). It causes inflammation of the lining of your digestive tract‚ which can lead to abdominal pain‚ severe diarrhea‚ fatigue‚ weight loss and malnutrition. Inflammation caused by Crohn’s disease can involve different areas of the digestive tract in different people. The inflammation caused by Crohn’s disease often spreads deep into the layers
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most of the people who had my same surgery experienced a mild degree of pain and burning sensation‚ and some did not at all‚ instead my experience was really hurting. I think that this has to do with the theory of gate control as the theory integrates psychology into the traditional biomedical model of pain. Indeed‚ I can recognize some other components than the biological ones that play a major role in my excruciating pain. After coming home from the outpatient procedure‚ I had to stay in my
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Chief Complaint: “I am having abdominal pain” History of Present Illness Miss F is 23 year old Hispanic female who presents today complaining of sharp‚ epigastric abdominal pain of 3-4 months duration. The pain has not changed or worsened acutely;. The pain is located in the epigastric region and left upper quadrant of the abdomen. It does not radiate. The pain is relatively constant throughout the day and night but does vary in severity. She rates the pain as 5/10 and remains the same. She
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