Question

In: Nursing

A 34-year-old male patient presents to the ER with severe flank pain. He has just returned...

A 34-year-old male patient presents to the ER with severe flank pain. He has just returned from being on a trek through Nepal for the past month. A skin pinch test has very slow rebound of the skin. The patient complains of thirst and difficulty in urinating. a. What is the most likely diagnosis of the patient? b. Explain the pathophysiology of the condition listed in (a) c. How would this condition be treated? d. What is your first priority for the nursing care of this patient? Why?

Solutions

Expert Solution


Related Solutions

A 50 year old male presents to the ER complaining of severe pain in his left...
A 50 year old male presents to the ER complaining of severe pain in his left toe. The pain was sudden in onset and he describes the pain as sharp and non radiating. He is having difficulty bearing weight on his foot. His past medical history is significant for essential hypertension which is well controlled with an Ace inhibitor. Examination is significant for an inflamed first metatarsal phalangeal joint. In passing, he states that he enjoys a good meal, like...
A 50-year-old male patient arrives in the emergency department complaining of severe chest pain. He is...
A 50-year-old male patient arrives in the emergency department complaining of severe chest pain. He is taken to the cardiac cath lab for a coronary angiogram and left ventriculogram. The cardiologist discovers a lesion in the left main coronary artery branch and orders an immediate CABG. 1. What does the acronym CABG stand for? 2. Why does the location of this lesion make it more dangerous than lesions in other locations? 3. Could the cardiologist perform an angioplasty to repair...
Urinary Calculi H.C., a 45-year-old man, comes into the ED with severe right flank pain. He...
Urinary Calculi H.C., a 45-year-old man, comes into the ED with severe right flank pain. He states that the pain just started this morning. He also noticed that his urine is pink-tinged. What questions would you ask H.C.? 1. 2. 3. H.C. is restless and asks if he can get up and walk, but he requires assistance to do so.   Urinary Calculi Manifestations What other manifestations of urinary calculi would you assess for? H.C. undergoes a CT scan, which reveals...
A 66 year-old male presents to the local ER at 6 AM. The patient reports that...
A 66 year-old male presents to the local ER at 6 AM. The patient reports that he has been having severe chest pain since last night before he went to bed. The patient says that he just simply thought that he was having a “bad case of indigestion and gas” after eating a bunch of fatty foods while watching the football with his friends last night. He says he took Pepto Bismol to help ease the pain. The patient says...
INDICATIONS FOR SURGERY: A 34-year-old female presents with severe abdominal pain. After examination was completed and...
INDICATIONS FOR SURGERY: A 34-year-old female presents with severe abdominal pain. After examination was completed and ultrasound results were reviewed, it was determined that patient had an ectopic pregnancy and surgical intervention was needed. PROCEDURE: Patient was taken to the operating room, and after general anesthesia was induced, she was prepped and draped in the usual sterile fashion. Examination was performed after anesthesia, which showed a normal-sized, nontender uterus, a left adnexal mass, and a fullness in the vagina, all...
A 58-year old male presents with a complaint of severe chest pain over the past hour....
A 58-year old male presents with a complaint of severe chest pain over the past hour. He did not call 911 “because I don’t have the money for an ambulance.” Discuss what questions you would ask the patient, what physical exam elements you would include, and what further testing you would want to have performed. In SOAP format, list: Pertinent positive and negative information Differential and working diagnosis Treatment plan, including: pharmacotherapy with complementary and OTC therapy, diagnostics (labs and...
A 45-year-old male presents with a chief complaint of pain in the abdominal area. The patient...
A 45-year-old male presents with a chief complaint of pain in the abdominal area. The patient had pain with palpation of the abdomen and standard x-rays were negative. What other types of radiographic, diagnostic studies can be performed? What are the advantages of these studies over standard x-rays and is one study best?
A 50-year-old male presents to the community clinic. He has just relocated to the area and...
A 50-year-old male presents to the community clinic. He has just relocated to the area and has no primary provider. He is a long distance truck driver and requires a physical examination to maintain his continued employment. Physical examination demonstrates a BMI of 33, blood pressure of 180/90 mm Hg, diminished femoral pulses and bilateral varicose veins with nonpitting edema in both ankles. He has a 30-year history of smoking two packs of cigarettes per day. Initial Discussion Post: What...
A 60 year old obese female has come into the ER due to severe RUQ pain...
A 60 year old obese female has come into the ER due to severe RUQ pain for the past two hours. Patient also reports increasing nausea but denies emesis. Patient states she has been told she has cholelithiasis by her family physician following a milder episode of this pain two years ago. In addition to server pain, patient displays a moderate degree of scleral jaundice. Abdominal ultrasound identified acute cholecystectomy to remove the gallbladder and all gallstones. She recovered without...
A 54-year-old male patient arrives in the emergency department complaining of severe chest pain that radiates...
A 54-year-old male patient arrives in the emergency department complaining of severe chest pain that radiates to his mid-back along with dyspnea. He is morbidly obese, has smoked two packs of cigarettes a day for the past 20 years, and has two immediate family members who have died of heart disease. 1. What does the ED physician suspect is causing the patient’s symptoms? 2. What tests should the ED physician order? 3. Will surgical intervention be necessary, and if so,...
ADVERTISEMENT
ADVERTISEMENT
ADVERTISEMENT