Posted: February 1st, 2022

Developing a diagnosis for the patient.

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Avita Alonso48 year old Ht 5’6, 170.0 Lb Reason for encounter: Abdominal pain My stomach has ready been hurting over the past 2 days now and I have not been able to go to work. I have vomited over the past three days now and I have not felt like eating. The pain makes me scare. No changes in bowel movement. I have bowel move once a day. I vomit whenever I have eating. No funny color or anything like that. Nothing makes it better. The vomiting is always there. I have had nausea vomiting before but not like this or abdominal pain. I have taking antacids but that did not help. The nausea is pretty much there all the time and vomiting are associated with eating or drinking anything. It does not keep me from sleeping. The abdominal pain started about 2 weeks ago. It started less much intense and got much progressively mor frequent and more painful, but I could stay go about my business, these last 2 days has been more dreadful. Eating makes the pain in my abdomen worse, I don’t know how to any better, I tried antacid but that did not do any different at all. Hurt sometimes if I take a deep breath. The pain is on the right side under my ribs. Is deeper inside. I look like it makes my right shoulder ache. Pain started at 2 and went up to 7. It goes always after a day all 2. Denies chest pain.

Assignment: i-Human Case Study:

Evaluating and Managing Genitourinary or Gastrointestinal Conditions Urinary frequency is an example of a genitourinary condition that presents problems for adults across the lifespan. It can be the result of various systemic conditions such as diabetes, urinary tract infections, enlarged prostates, kidney infections, or prostate cancer. Many of these conditions have very serious implications requiring thorough patient evaluations. When evaluating patients, it is essential to carefully assess the patient’s personal, medical, and family history prior to recommending certain physical exams and diagnostic testing, as sometimes the benefits of these exams do not outweigh the risks.

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Crystal light / Adobe StockFor this Case Study Assignment, you will analyze an i-Human simulation case study about an adult patient with a gastrointestinal condition. Based on the patient’s information, you will formulate a differential diagnosis, evaluate treatment options, and then create an appropriate treatment plan for the patient.To prepare:Review this week’s Learning Resources. Consider how to assess, diagnose, and treat patients with GI or GU conditions.
Access i-Human from this week’s Learning Resources and review this week’s i-Human case study. Based on the provided patient information, think about the health history you would need to collect from the patient.
Consider what physical exams and diagnostic tests would be appropriate to gather more information about the patient’s condition. Reflect on how the results would be used to make a diagnosis.

• Identify three to five possible conditions that may be considered in a differential diagnosis for the patient.
• Consider the patient’s diagnosis. Think about clinical guidelines that might support this diagnosis.
• Develop a treatment plan for the patient that includes health promotion and patient education strategies for patients with GI or GU conditions.

Assignment As you interact with this week’s i-Human patient, complete the assigned case study. For guidance on using i-Human, refer to the i-Human Graduate Programs Help link within the i-Human platform.  By Day 7Complete your Assignment in i-Human. Submission and Grading InformationTo submit your completed Assignment for review and grading, do the following:Renal and Genitourinary Disorders
Dr. Anna Liza D. Villena discusses renal and genitourinary disorders and what to look for as you assess your patient. (28m)
Accessible player –Downloads–Download Video w/CCDownload AudioDownload Transcripti-Human Patients. (2020a). i-Human case player [Interactive media]Strong Medicine. (2019b, January 12). An approach to polyuria [Video]. YouTube. Note: The approximate length of this media piece is 11 minutes. Hasudungan, A. (2017, February 5). Urinary tract infection – overview (signs and symptoms, pathophysiology, causes and treatment) [Video]. YouTube. Note: The approximate length of this media piece is 13 minutes. Grand Rounds in Urology. (2017, December 29). How to differentiate the causes of lower urinary tract symptoms [Video]. YouTube. Note: The approximate length of this media piece is 21 minutes.Hasudungan, A. (2016, November 6). Urinary/kidney stones – overview (signs and symptoms, risk factors, pathophysiology, treatment) [Video]. YouTube. Note: The approximate length of this media piece is 15 minutes.Strong Medicine. (2017a, September 11). Acute kidney injury (Part 1/3 – definitions and etiologies) [Video]. YouTube. Note: The approximate length of this media piece is 16 minutes.Strong Medicine. (2017b, September 12). Acute kidney injury (Part 2/3 – diagnostic evaluation) [Video]. YouTube. Note: The approximate length of this media piece is 21 minutes.Strong Medicine. (2017c, November 12). Acute kidney injury (Part 3/3 – treatment and complications) [Video]. YouTube. Note: The approximate length of this media piece is 20 minutes.Medcram – Medical Lectures Explained CLEARLY. (2018a, September 9). Acute kidney injury / Acute renal failure explained clearly – remastered [Video]. YouTube. Note: The approximate length of this media piece is 14 minutes.
Requirements: diagnoses and plans

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