What are your differentials and main impression

Reference no: EM133411003

CASE: A 23 year old male visited the clinic with complaints of an upper abdominal pain, heartburn, nausea and occasional vomiting. He also had an episode of loose bowel movement. He was in usual state of health 5 days back when he started having epigastric pain. Pain aggravated at night after taking large meal. He took naproxen to relieve the pain for 2 days, but without significant effect, hence consult. His father had a family history of peptic ulcer disease. He was fond of fried and spicy food. He denied cigarette smoking and alcoholic beverage drinking.

General examination

Weight: 58kg

Height: 5feet 8inches

BMI: 19.44kg/m2

Temperature: 36.6°C

BP: 120/70mmHg

Laboratory

Hemoglobin (13.5g/dl)

Negative occult blood in stools

Guide questions

1. What are your differentials and main impression? Explain why.

2. What other diagnostic tests must be done to confirm your impression? Discuss the principles.

3. Describe the characteristic features of the etiologic agent.

4. Discuss the pathophysiology of the disease.

5. Give the pharmacologic and non-pharmacologic management for this case.

Reference no: EM133411003

Questions Cloud

What we may be losing as a society : what we may be losing as a society (art, novel ideas, relationships, deeper understanding of humanity, etc.)

What are the salient features of the cases : What are the salient features of the cases? What is your diagnosis of this case? Discuss the pathophysiology/pathogenesis of the disease.

Explain the point of view of the two thinkers : Politics and society are obviously related, but they are not and should not be the same thing. Why?

Discuss transcendentalism after reading emersons nature : Discuss what you have understood about transcendentalism after reading Emerson's "Nature"?

What are your differentials and main impression : What are your differentials and main impression? Explain why. What other diagnostic tests must be done to confirm your impression? Discuss the principles.

Determine if it is poverty or neglect : What caregiver factors would you be assessing in Neglect of Household Sanitation to determine if it is POVERTY or NEGLECT?

What is the role of secrecy in womens relationships : According to Rhine, What is the role of secrecy in womens relationships? What is the connection between secrecy and HIV?

How would the hope of a future free from these problems make : Do you feel like the information you learned will help solve any health issues for the next generation and beyond? Where do you see the biggest need for this

Developing the metaphor of the hudson river : In this passage Steinbeck starts by developing the metaphor of the Hudson river as a (dilapidated) car, and then makes the car into "the new hearth."

User Account

All Pages