NR511 Week 1 DQ2 - Discussion Part Two
Discussion Part Two
Mary , 44-year-old Caucasian, female.
S.
CC: Patient has complaint of goop in the eye and eye being red.
HPI:
Onset: This morning (1 day)
Location: Eye
...
NR511 Week 1 DQ2 - Discussion Part Two
Discussion Part Two
Mary , 44-year-old Caucasian, female.
S.
CC: Patient has complaint of goop in the eye and eye being red.
HPI:
Onset: This morning (1 day)
Location: Eye
Duration: constant redness
Characteristics: Eye drainage
Aggravating Factors: Nothing seems to make it worse.
Relieving Factors: Nothing seems to make it better.
Treatment: Has not tried any home remedies.
Current Medications: Takes a daily multivitamin and a B complex supplement.
Allergies: NKDA.
PMHx: Denies past illness or injuries. Hospitalized times 2 for childbirth, no surgeries. Drinks
alcohol socially, denies tobacco or illicit drug use. Sleeps 6-7 hours/night.
Soc Hx: Mary is a high school graduate and works full time at a local business in the ordering
department. Mary lives with her husband, Patrick, 4 children, and her parents Katie and John
who are retired.
Fam Hx: John and Patrick smoke but not in the home. She has 2 siblings that are in good health.
Her parents Katie and John emigrated from Ireland in their 20’s and have always lived in this
area. Katie has history of HTN and hyperlipidemia. John has a history of tobacco use since age
10, HTN and hyperlipidemia. They also share their home with 2 dogs and a cat.
ROS:
Constitutional: Denies weight loss, fever, chills, weakness or fatigue.
HEENT: No reports of headache, fever, vision changes, ear pain, hearing loss, or ringing in the
ears. No reports of nasal congestion, or discharge; no report of sore throat, difficulty swallowing.
Cardiovascular/Respiratory: No reports of chest pain, palpitation, or dizziness. No reports of
wheezing, shortness of breath or cough.
Gastrointestinal: No reports anorexia, nausea, vomiting, diarrhea or abdominal pain.
Neck/Lymphatic: No reports of enlarged lymph nodes.
Allergies: No reports of asthma, hives or eczema.
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