Case Study 2A 40 year-old female presents to the office with the c.docx

Case Study 2A 40 year-old female presents to the office with the c.docx

• 1.
  Case Study 2 A40 year-old female presents to the office with the chief complaint of diarrhea. She has been having recurrent episodes of abdominal pain, diarrhea, and rectal bleeding . She has lost 9 pounds in the last month. She takes no medications, but is allergic to penicillin. She describes her life as stressful, but manageable. The physical exam reveals a pale middle- aged female in no acute distress. Her weight is 140 pounds (down from 154 at her last visit over a year ago), blood pressure of 94/60 sitting and 86/50 (orthostatic positive). standing, heart rate of 96 and regular without postural changes, respiratory rate of 18, and O2 saturation 99%. Further physical examination reveals: Skin: w/d, no acute lesions or rashes Eyes: sclera clear, conj pale Ears: no acute changes Nose: no erythema or sinus tenderness Mouth: membranes pale, some slight painful ulcerations , right buccal mucosa, tongue beefy red, teeth good repair ( signs and symptoms of Vitamin B12 deficiency anemia) Neck: supple, no thyroid enlargement or tenderness, no lymphadenopathy Cardio: S1 S2 regular, no S3 S4 or murmur
• 2.
  Lungs: CTA w/orales, wheezes, or rhonchi Abdomen: scaphoid, BS hyperactive (due to diarrhea), generalized tenderness , rectal +occult blood Post APA format 1. an explanation of the differential diagnosis ( Crohn disease ) for the patient in the case study that you selected. 2. Describe the role the patient history and physical exam (information from above) played in the diagnosis (of Crohn disease ) 3. Then, suggest potential treatment options based on your patient diagnosis ( Crohn disease ). important information highlighted above