Lower Abdominal Pain
Patient: Patient is a 30-year-old female presenting with lower abdominal pain, beginning approximately 48-hour previous to her exam. Over the last few days, her pain has increased, and she reports vaginal bleeding that is scanty. She did have a normal menstrual period that ending two-weeks prior, and she indicates this was normal and lasted about 4 days. She is Gravida 2, Para -0, Miscarriage -- 2, and has been attempting to conceive with her husband. In addition, she denies dysuria or urinary frequency.
Vaginal bleeding after sex; inflammation of cervix from friction during sex, usually harmless and clear up quickly. It is possible that the issue could be something more serious (cervical dysplasia or cancer), but more likely inadequate lubrication or foreplay, possibly injury to the uterine lining. Vaginitis is another possible cause, all of which require a vaginal examination (Mayo Clinic, 2014).
Pseydocyesis (False pregnancy)....
This is based on psychological issues of trying to conceive, previous period, and vaginal bleeding. This could be something as simple as vaginal irritation from excessive intercourse, it could also be a false pregnancy or other irritation of the vaginal linings (Daines).
2) We do not know the patient's weight or BMI. In addition, exercise level and nutirional assessment have not been performed. Therefore, Amenorrhea secondary to athletics, anorexia or bulimia are possible conclusions. Considering this particular patient's age and gender (a female adolescent), extreme weight loss and/or cachectic state is one of the causes of amenorrhea (Dains, et al., 2012)
3. Polycystic Ovary Syndrome -- one of the most common causes of amenorrhea -- approximately 20% of cases of secondary or primary amenorrhea attributed to PCOS. This is a condition in which there are various imbalances of the female sex hormones, leading to menstrual changes, potential cysts, or other irritations (Adams, 2002.
4. Amenorrhea secondary to hypothyroidism. Once pregnancy is ruled out, the next indicated step would be to check TSH and prolactin levels for hypothyroidism and hyperprolactinemia as the indications for these as the etiology are high (Adams, 2002)
5. Amenorrhea secondary to hyperprolactinemia. An imbalance of high levels of prolactin in the blood that can not only change issues within lactation, but also hormonal imbalances in the reproductive system that may result in bleeding or discomfort (Master-Hunter, 2006).
Assessment Issues/Diagnostic testing:
1) Serum HCG: First, any sort of pregnancy must be ruled out using laboratory testing (primary, secondary…
Nurses and Abdominal Pain Patient Care The people that make up a medical setting contribute immensely and provide the professional care they know to patients who visit the place, whether it's a clinic or a hospital. When the patient first walks in, he or she will meet the desk clerk and other people who will help her get settled in. However, none are the most important when it comes to first
Acute Abdominal Pain -- Assessment Nurses are very often the first medical aid providers that most patients see. In today's interprofessional healthcare set up, a nurse's approach in collecting a patient's history and diagnosing if the pain is acute or non-acute would assuredly help in providing the patient with appropriate treatment. It is therefore primary that nurses be fully equipped to diagnose the various ailments and start on the care to
Spine-health.com/topics/conserv/pilates/pilates01.html) Just adding this simple group of exercises to what you already do for fitness, or as an entirely new fitness regimen will develop a strong balanced set of core muscles that will be much more resistant to lower back stress and strain, and will likely improve or even eliminate lower back pain. Case Study: Jack Jack (age 49) presented for chronic lower back pain that had been reoccurring over the past several
Assessing the Abdomen Abdominal pain has proven to be a major issue facing emergency room doctors since the diagnosis process is relatively complex. Meisel (2011) contends that doctors in emergency rooms do not fancy diagnosing and treating abdominal pain because it entails dealing with bodily fluids, complex internal examinations, and a wide range of diagnostic tests and therapies. This comes at a time when abdominal pain is one of the major
Patient: 66-Year-Old Black / African-American Female With Complaint of Sudden Onset of Mid Upper Epigastric Pain Pertinent PMH During the initial medical exam, it is critical to gauge the severity of the pain. The healthcare practitioner should inquire as to the presence of previous medical conditions such as colitis, Crohn's disease, and IBS which could be the cause of the sudden onset. In the instance of abdominal pain, the provider should determine
Pain Management in Post-Operative Patients Pain suffered patients undergoing surgery. The severity pain vary patient. It nurse caring patient postoperative phase manages patient's pain. Questions arise pain assessment, nurses estimation mismanagement patient pain, modes administration medical orders pain management suitable. Pain Management in Post-Operative Patients Effective pain control in post-operative patients is essential in ensuring patient's quick recovery, earlier mobilization and lower cost and higher patient satisfaction. The immune system of patients who