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NR_509_Abdominal_Pain_Documenta

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urination has had a small decrease, as well as a darker yellow color. There is no blood in her urine. Current Meds: Patient takes Accupril 10mg daily for hypertension. She does not take any over t ... he counter medication. Allergies: Patient has a latex allergy. No food, medication, or environmental allergies noted. Past Medical: Patient does have hypertension. Patient has no history of gastro issues, heartburns, or ulcers. She has not had appendicitis. She did have Cholecystectomy at 42 and a caesarean section at 40. No other major medical issues or hospitilizations. Patient is up to date on vaccines except for her seasonal flu shot. Social History: Patient eats a failry healthy diet and no fiber supplements. She drinks around 6 glasses of water a day and has no changes in thirst level. She does not drink caffeinated beverages. Patient denies any smoking or illicet drug use. She usually has around 4 drinks per month, usually white wine. She seems her doctor regularly and states that she is in good health for her age. Last colonoscopy was 10 years ago. She is generally physically active, but not recently due to the abdominal pain. She attends fitness class, gardens, and considers herself independent. She has had three pregnancies. She has a strong support system as she lives with her daughter. She is a widow. Her husband of 50 years passed away 6 years ago. She currently dates a man named Max who she is sexually active with. No vaginal intercourse, though, just oral sex. Family History: Mother: passed away at age 88 from strok. Had hypertension and Type II diabetes. Father: Passed away at age 82 and she had hypertension and high cholesterol. Maternal grandparents: history of coronary artery disease and Type II diabetes. Paternal grandparents: History of obesity, hypertension, and CVAs. Siblings: 80 year old brother with hypertension, high cholesterol, and prostate cancer. 81 year old brother with hypertension. Son: 48 and healthy. Daughter: 46 and healthy. ROS: General: Patient denies any fever or chills. She notes feeling exhausted lately. Gastro: Patient notes some bloating, increased gas, loss of appetite. She denies any nausea or vomiting. She denies any changes in weight. Genitourinary: Patient denies any pain while urinating, no incontinence, no history of UTIs, no history of gyno issues, no vaginal bleeding or abnormal discharge. Started menopause at 45. No bladder or kidney issues. This study source was downloaded by 100000816392744 from CourseHero.com on 04-22-2021 06:36:21 GMT -05:00 https://www.coursehero.com/file/36352067/NR-509-Abdominal-Pain-Documentation-Shadowpdf/ [Show More]

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