*NURSING > iHuman Case Studies > Walden UniversityNURS 6560Week 3 IHuman Interview. (All)

Walden UniversityNURS 6560Week 3 IHuman Interview.

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Week 3 I-Human – Edwin Jackson 1. How can I help you today? Yesterday, I threw up what looks like coffee or dirt. This morning I threw up again, but this time with bright red blood in it too. That ... got me scared. 2. Any other symptoms or concerns we should discuss? I haven’t been able to hold anything down since this started. 3. Do you have any pain anywhere? If so, Where? No. 4. When did your nausea/vomiting start? My nausea started a couple of days ago. The vomiting started yesterday. 5. When was the last time you vomited blood or coffee grounds? Just before I came here. 6. How many episodes of vomiting blood or coffee grounds did you have? Well 6 or 7 yesterday and a couple a more today with the coffee grounds. Then today I saw blood too. That’s when I thought I should come here. 7. How much blood did you see in your vomit (a teaspoon, cup, quart)? I don’t know. I’m not good at estimating stuff like that, I don’t think it was a quart though. 8. What are the events surrounding the start of your nausea/vomiting? Nothing really happened. It just started. 9. Does anything make your nausea/vomiting better or worse? Eating and drinking makes the nausea worse, and I vomit shortly after that. 10. Do you have any pain or other symptoms associated with your nausea/vomiting? No pain. 11. Have you had nausea and vomiting like this before? Never! 12. How quickly does your nausea and vomiting come on? Pretty fast. I don’t want to be too far from a bathroom. 13. Is there any pattern to your nausea and vomiting? I don’t really know. I do throw up if I try to eat anything. Shortly after that. Would you call that a pattern? 14. Is anyone in your family also suffering with nausea and vomiting? No. 15. What treatments have you had for your nausea and vomiting? Nothing. I mean I haven’t tried anything to settle my stomach. I hope you can help me. I feel horrible. 16. Tell me about any current or past medical problems? Well, I’ve had high blood pressure for seven years. I think it is under control though. I have a bad liver from drinking too much. 17. Have you had any recent acute or chronic infection? No. 18. Have you had a recent endoscopy, colonoscopy, or biopsy? No. I’ve never had an endoscopy. I had that biopsy 2 years when they told me I have a bad liver. Was that it? 19. Have you ever had a colonoscopy? It was recommended when I turned 50. But I never got around to doing it. 20. Have you been treated for blood clots? (have a history of thrombolytic or anticoagulation therapy)? No. 21. Any previous medical, surgical, or dental procedures? I had a stomach scan and biopsy two years ago. That’s what confirmed my bad liver. Also had my appendix taken out in my 20’s. 22. Have you ever had CT scans? I do not remember if I had one when they took out my appendix, that was a long time back. 23. Have you ever been hospitalized? I had my appendix taken out when I was 20. I spent a couple days in the hospital. 24. Have you had any significant traumatic injuries or accidents? No. [Show More]

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