Patient Profile E.G. is a 41-year-old man who presents to the…
Question Patient Profile E.G. is a 41-year-old man who presents to the… Patient ProfileE.G. is a 41-year-old man who presents to the emergency department with severe right back pain that started a couple of hours ago, right after he finished his daily run. He has a history of gastroesophageal reflux disease, for which he takes famotidine 20 mg PO once daily at bedtime. Subjective DataHas been training for a marathon and has been running at least 10 miles a day, but today was so hot that he only made it 6 miles. Shortly after his run, the pain in his right back and side started.States his pain is a level 9 on a 1-to-10 scaleStates the pain is constant, nothing makes it better, and it does not get worse with movementDenies any pain or numbness in his legsWhile training, he has been supplementing his diet with protein shakesDenies using performance-enhancing drugs Objective DataPhysical ExaminationTemperature 99.6°F, pulse 78, respirations 16, blood pressure 122/80No musculoskeletal pain or tenderness in spineRight flank tenderness to fist percussion Case Study ProgressBased on the initial clinical manifestations and examination findings, the health care provider orders a urinalysis. At first, E.G. is unable to urinate, but after drinking several glasses of water, he is able to obtain a clean-catch urine specimen. Diagnostic StudiesUrinalysisColor: Dark, pink-tinged colorOdor: AromaticProtein: NoneGlucose: NoneKetones: NoneBilirubin: NoneSpecific gravity: 1.035pH: 6.2RBCs: 11/hpfWBCs: 3/hpfCasts: None Discussion QuestionsBased on the data above, what do you suspect is occurring with E.G.? What assessment data led you to this conclusion?What additional test(s) may be ordered to confirm this diagnosis? Health Science Science Nursing MED SURGIC 123 Share QuestionEmailCopy link Comments (0)
