Discuss the pathophysiology of your leading diagnosis

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You are taking care of a 48-year-old female that presents to the Emergency Department with abdominal pain. The pain is described as a burning in the epigastric region radiating to RUQ. It is episodic. The patient reports it occurs most often a few hours after eating. Past surgical history: C-section 34 years old. Past medical history: Chronic back pain Medications: Advil 400mg p.o. prn, Multivitamin one p.o. daily

  • List four other priority questions (subjective information) regarding her symptoms you would like to ask the patient.
  • List four physical exam findings (objective information) you are interested in knowing as it relates to the above symptoms.
  • What laboratory findings and/or imaging/procedures would you be interested in getting and why?
  • Lab findings include the following WBC is 11,500/ul, hemoglobin of 10.5 g/dcl, and platelets are 105,000/ml, liver function test normal except AST 45 u/l and ALT 60 u/l, amylase 35 and lipase 12. What are your three leading diagnosis and why? Do you want additional testing (lab, imaging)? If so, state how this would assist in your diagnosis.
  • Please state what your leading diagnosis is and why?
  • Discuss the pathophysiology of your leading diagnosis. Relate the pathophysiology to the clinical findings and manifestations associated with this disease process.

Reference no: EM133670272

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