Executive Solution Overview
Use APA 7th Edition Format and support your work with at least 3 peer-reviewed references within 5 years of publication. Remember that you need a cover page and a reference page. All paragraphs need to be cited properly. **Please use headers.** All responses must be in a narrative format and each pa…
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Use APA 7th Edition Format and support your work with at least 3 peer-reviewed references within 5 years of publication. Remember that you need a cover page and a reference page. All paragraphs need to be cited properly. **Please use headers.** All responses must be in a narrative format and each paragraph must have at least 4 sentences. Lastly, you must have at least 2 pages of content, no greater than 4 pages, excluding cover page and reference page.
Patient With Sudden Onset of Intermittent Mid-Epigastric Pain
Past Medical History
• Anaphylactic reaction to penicillin Medications
• OTC antacids
Family History
• Noncontributory
Social History
• Occupation: Elementary school teacher (10 years)
• Nonsmoker
• Denies illicit drug use
• Consumes wine two to three times per month •
Regular exercise
Physical Examination
• Weight: 145 lbs.; blood pressure: 128/72; pulse: 80; respiration rate: 18; temperature: 98.7 °F
• General: Calm, cooperative, in no apparent distress
• Eyes: Pupils equal, round, reactive to light
• Ears: Tympanic membranes clear
• Nares: Without nasal septal deviation; pharyngeal mucosa pink and moist
• Throat: Oropharynx without edema, erythema, tonsillar enlargement, lesions
• Abdomen: Nondistended, soft, round, nontender; normoactive bowel sounds in all quadrants
Discussion Questions
1. What are the top three differential diagnoses for Patricia?
2. What diagnostic tests, if any, are required for Patricia?
3. What pharmacological, nonpharmacological, and/or nutraceutical therapies should be prescribed for Patricia?
4. The results from Patricia’s H. pylori test returned positive. What treatment should be added to her plan of care?
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