*NURSING > EXAM > JACQUELINE RUSSELL IHUMAN: "FATIGUE" A 17 YEAR OLD IHUMAN CASE STUDY (All)

JACQUELINE RUSSELL IHUMAN: "FATIGUE" A 17 YEAR OLD IHUMAN CASE STUDY

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HPI (OLDCARTS) Jacqueline Russell is a 17-year-old female who comes in the clinic with complaints of generalized fatigue which started two months ago. Accompanying symptoms include anxiety, anhed... onia, irritability, and problems concentrating. Major life changes include recent breakup with her boyfriend and pressure in school while expected by her parents to have a scholarship. She stated that she gets enough sleep but still feel tired upon waking up. Key findings include being overweight, easily cries, unintentional 25-30 weight gain last year, history of marijuana use, Acanthosis Nigricans, and striae on abdomen and buttocks. She denies taking any medications other than Ibuprofen for menstrual cramps. She occasionally drinks beer. The patient skips breakfast but eats high calorie foods like pizza and French fries several times per week. The patient denies any suicidal ideations but stated that she wants to “disappear” and not deal with her situation. Risk factors include family history of diabetes II and obesity . Lab findings are negative for anemia, negative urine drug screen, normal T4, TSH levels, and CBC. [Show More]

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