HCS 214 Week 4 Gastrointestinal System–Analyzing a Progress Note | eBooks | Education

HCS 214 Week 4 Gastrointestinal System–Analyzing a Progress Note

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HCS 214 Week 4 Gastrointestinal System–Analyzing a Progress Note

https://uopcourses.com/category/hcs-214/

 

HCS 214 Week 4 Gastrointestinal System–Analyzing a Progress Note

 

Complete the University of Phoenix Material: Gastrointestinal System-Analyzing a Progress Note

Click the Assignment Files tab to submit your assignment.

Gastrointestinal System – Analyzing a Progress Note

Part 1

 

Using the following progress note, define the highlighted terms within the chart provided. 

 

This patient was assessed by an Urgent Care physician.

 

Progress Note

 

40 y. o. female presents with a 3 day history of stabbing pain and cramping in the lowerabdomen. Patient complains of anorexia, vomiting, and diarrhea with fever. She feels week and dehydrated. Patient notes having this before one year prior. She had acolonoscopy and endoscopy at the time and was diagnosed with diverticulitis along with GERD.

 

Past Medical History: Diverticulitis, GERDCholecystitis in 2011.

 

Meds: Nexium 20mg every day

 

Allergies: Sulfa, PCN

 

Assessment: Vital Signs: T 101 degrees, P 110, R 18, B/P 144/92, occult blood test negative.

 

GEN: Appear to be in acute distress, dehydrated, bowel sounds hyperactive x4, tenderness to left and right lower quadrant with guarding.

 

Impression: Acute Diverticulitis of the colon, possible gastritis

 

Discussed with patient and planning transfer to University Hospital for direct admission.

 

 

 

 

    1. Bolling, CNP

 

 

 

 

*Do not forget to include the sources for your definitions.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

HCS 214 Week 4 Gastrointestinal System–Analyzing a Progress Note https://uopcourses.com/category/hcs-214/ HCS 214 Week 4 Gastrointestinal System–Analyzing a Progress Note Complete the University of Phoenix Material: Gastrointesti
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