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Health Ass Week 7 Initial Post.doc

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S. CC: “I have a fever and have been vomiting for the past two days after eating shellfish from a new restaurant.” HPI: Patient is a 20- year – old Caucasian female who presents to the clin ... ic with a 2-day old complaint of nausea, vomiting, and fever. Her symptoms are associated with consuming shellfish two days ago at a new restaurant. Patient denies any diarrhea. Patient has not taken any medications. Symptoms have not worsened over the duration of illness. Verbalizes no appetite since symptoms started. Denies headache, visual disturbances, diaphoresis or dizziness. Location: abdominal region Onset: 2 days ago Character: facial pressure around cheek bones and eyes Associated signs and symptoms: abdominal pain, decreased appetite, nausea, fever Timing: varies throughout the day and night Exacerbating/ relieving factors: symptoms worsen when attempt to drink or eat / nothing seems to relieve symptoms Severity: 5/10 pain scale Current Medications: Zyrtec 10 mg daily; Tylenol prn for headaches/fever. Allergies: Codeine PMHx: Patient reports history of Bronchitis and seasonal allergies. Denies gall bladder or liver disease, denies Hx of GERD, Pancreatitis, Kidney stones, Urinary tract infections, Diverticulitis, Inflammatory Bowel Disease, or Pelvic Infection Childhood Illness: Scarlett Fever Past Surgical History (PSH): None. [Show More]

Last updated: 3 years ago

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