Preview

Pancreatitis Medical Report

Satisfactory Essays
Open Document
Open Document
250 Words
Grammar
Grammar
Plagiarism
Plagiarism
Writing
Writing
Score
Score
Pancreatitis Medical Report
Patient Name: Catherine Smith
Age: 42
Date: March 5, 2013

Medical Report

MEDICAL HISTORY:
Patient has a history of gallstones resulting from her diagnosis of cystic fibrosis 3 years ago. Gallstones were removed through ERCP. During the ERCP the doctor did discover that the patient suffered from a pancreatic pseudocyst. An endoscopy was performed for the removal of the pseudocyst. Patient was diagnosed with pancreas divism the day of birth. Patient is currently taking Furosemide due to her diagnosis of hypertension which was diagnosed at the same time as the cystic fibrosis. Patient has high levels of triglyceride and has been diagnosed with hypertriglyceridemia. Mrs. Smith has also been diagnosed with rheumatoid arthritis 6 years ago and is currently prescribed Azathioprine. Patient also has a history of chronic, acute pancreatitis.
SYMPTOMS:
Mrs. Smith came in complaining of acute upper abdominal pain, nausea, and fatigue.
PHYSICAL EXAMINATION RESULTS:
Patient is boarder-line obese so tests were giving to check calcium and lipid levels. Levels in both were higher than normal so the patient was diagnosed with hyperlipidemia, as well as, hypercalcemia. Being that the patient was diagnosed with cystic fibrosis, acute pancreatitis, and hypertriglyceridemia a blood test was administered to check her insulin levels. Her insulin and blood amylace levels were high along with lipase levels. All symptoms are believed to be resulting from the pancreatitis. In order to insure pancreatitis the doctor used a stethoscope to listen to the abdomen for any internal bowel sounds. Afterwards a CT scan was

You May Also Find These Documents Helpful

  • Satisfactory Essays

    Hillcrest Medical Case 2

    • 1910 Words
    • 8 Pages

    ABDOMEN: The lung basis appeared unremarkable. The liver, spleen, gallbladder, adrenals, kidneys and pancreas and abdominal aorta appeared unremarkable. The bowels seen on the study appeared thickened. Dilated appendix seen constant with acute appendicitis. Osseous structures of the abdomen appeared unremarkable. No free air was seen.…

    • 1910 Words
    • 8 Pages
    Satisfactory Essays
  • Powerful Essays

    This patient was admitted for shortness of breath, fever and chills. He has a history of cystic fibrosis, with secondary diabetes.…

    • 2547 Words
    • 11 Pages
    Powerful Essays
  • Satisfactory Essays

    Beth is a 65 year old woman of African American heritage. She was admitted to the ER, 2 days ago with a serum blood sugar of 457. She states she is unaware that she has diabetes and this is a new diagnosis for her. Her daughter states this is not true, that her mother was diagnosed with “some sort of blood sugar problem” 2 years ago, but her mother did not follow up with her doctor. Beth c/o visual blurriness, thirst and frequent urination. She has snacks hidden in her bedside table because she is “always hungry.” She has been placed on oral medication, Metformin 500 mg BID and is currently on a corrective insulin regime utilizing Novolog insulin. Her blood sugar is still not stabilized, often in the 200’s. In addition, Beth has 2 black spots on her first and second toes of her left foot, has uncontrolled hypertension, an elevated Blood Urea Nitrogen (BUN) and Creatinine (Cr). VS: B/P 190/88, R 98.7°F, P 87, RR 22.…

    • 258 Words
    • 1 Page
    Satisfactory Essays
  • Satisfactory Essays

    Describe the functional anatomy of the duct system that conveys bile from the liver and digestive juice from the pancreas to the lumen of the duodenum.…

    • 353 Words
    • 2 Pages
    Satisfactory Essays
  • Powerful Essays

    Benjarmin Engelhart

    • 746 Words
    • 5 Pages

    HISTORY AND PHYSICAL EXAMINATION OR EMERGANCY DEPARTMENT TREATMENT RECORD Patient Name : Benjamin Engelhart Patient ID : 112592 Date of Birth : 10/05/1958 Age : 46 Sex : Male Date of Admission : 11/14/2014 Emergency Room Physician : Alex McClure, MD…

    • 746 Words
    • 5 Pages
    Powerful Essays
  • Satisfactory Essays

    BRSB

    • 562 Words
    • 3 Pages

    Hospital laboratory tests revealed total serum cholesterol of 160 mg/dl, HDL cholesterol of 55 mg/dl, triglycerides of 78 mg/dl, LDL cholesterol of 89.6 mg/dl and fasting glycemia of 116 mg/dl, with a normal OGTT and normal plasma homocysteine. His attending physician…

    • 562 Words
    • 3 Pages
    Satisfactory Essays
  • Powerful Essays

    Benjamin Engelhart

    • 2240 Words
    • 9 Pages

    HISTORY OF PRESENT ILLNESS: This 46-year old gentleman with past medical history significant only for degenerative disease of the bilateral hips, secondary to arthritis presents to the emergency room after having had 3 days of abdominal pain. It initially started 3 days ago and was a generalized vague abdominal complaint. Earlier this morning the pain localized and radiated to the right lower quadrant. He had some nausea without emesis. He was able to tolerate p.o earlier around 6am, but he now denies having an appetite. Patient had a very small bowel movement early this morning that was not normal for him. He has not passed gas this morning. He’s voiding well. He denies fevers, chills, or night sweats. The pain is localized to the RLQ without radiation at this point. He has never had a colonoscopy.…

    • 2240 Words
    • 9 Pages
    Powerful Essays
  • Good Essays

    Cholecystitis Case Study

    • 367 Words
    • 2 Pages

    In addition, it can also be accompanied with nausea, vomiting, fever, leukocytosis, and abdominal muscle guarding (Huether & McCance, 2012). In the case of client M.E., when she first was admitted by the emergency department she displayed abdominal pain and rebound tenderness in the right upper abdominal quadrant. Additionally, she was experiencing some nausea; however, her abdomen was non-distended, and assessment findings revealed her having a body temperature within defined limits. In addition, her laboratory findings indicated a high white blood cell count, which is a common finding associated finding with cholecystitis due to the pathophysiological process explained above. Though, in order to confirm client M.E.’s medical diagnosis of cholecystitis, and abdominal ultrasound was ordered. Results of the abdominal ultrasound illustrated a distended gallbladder with gallstones measuring up to 1.7 cm, which in fact confirmed the diagnosis of…

    • 367 Words
    • 2 Pages
    Good Essays
  • Good Essays

    Mindy Perkins is 48 year old woman who presents to the ED with 10- 15 loose, liquid stools daily for the past 2 days. She completed a course of oral Amoxicillin seven days ago for a dental infection. In addition to loose stools, she complains of lower abdominal pain that began 2 days ago as well. She has not noted any blood in the stool. She denies vomiting, fever, or chills. She is on Prednisone for Crohn’s disease as well as Pantoprazole (Protonix) for severe GERD.…

    • 1549 Words
    • 6 Pages
    Good Essays
  • Satisfactory Essays

    case 2

    • 676 Words
    • 3 Pages

    HISTORY OF PRESENT ILLNESS: This 46-year-old gentleman with past medical history significant only for degenerative disease of the bilateral hips, secondary to arthritis. Present to the emergency room after having had three days of abdominal pain. It initially started three days ago and was a generalized vague abdominal complaint. Earlier this morning the pain localized and radiated down to the right lower quadrant he had some nausea and without emesis. He was able to tolerate p.o. earlier around 6 a.m., but he now denies having an appetite. Patient had a very small bowel movement this morning that was not normal for him, he has not passed gas this morning he's avoiding well. He denies fevers, chills or night sweats the pain is localized though the RLQ what out radiation at this point. He has never had a colonoscopy.…

    • 676 Words
    • 3 Pages
    Satisfactory Essays
  • Satisfactory Essays

    Complete Autopsy Report

    • 714 Words
    • 9 Pages

    bump and bruising on skull suggests she has a fractured skull maybe hit with a hard…

    • 714 Words
    • 9 Pages
    Satisfactory Essays
  • Satisfactory Essays

    Hcr 240 Week 7

    • 347 Words
    • 2 Pages

    | | |chronic condition in which the pancreas |living in Finland and Sardinia have the |regularly and maintaining a healthy weight, |…

    • 347 Words
    • 2 Pages
    Satisfactory Essays
  • Good Essays

    T.B. is a 65-year-old retiree who is admitted to your unit from the emergency department (ED). On arrival you note that he is trembling and nearly doubled over with severe abdominal pain. T.B. indicates that he has severe pain in the right upper quadrant (RUQ) of his abdomen that radiates through to his mid-back as a deep, sharp boring pain. He is more comfortable walking or sitting bent forward rather than lying flat in bed. He admits to having had several similar bouts of abdominal pain in the last month, but “none as bad as this.” He feels nauseated but has not vomited, although he did vomit a week ago with a similar episode. T.B. experienced an acute onset of pain after eating fish and chips at a fast-food restaurant earlier today. He is not happy to be in the hospital and is grumpy that his…

    • 1681 Words
    • 7 Pages
    Good Essays
  • Satisfactory Essays

    none

    • 2449 Words
    • 7 Pages

    The patient is a 21 year old male who presented with a history of sudden onset of abdominal pain, first generalized, and then localizing to the RLQ. The pain was accompanied with anorexia and nausea. It has become increasingly more severe over the past 3 hours so that the patient now cannot walk. He had one episode of vomiting, and has a low-grade fever of 100. On examination the patient…

    • 2449 Words
    • 7 Pages
    Satisfactory Essays
  • Satisfactory Essays

    History of present illness: On 9/13/09 patient presented with severe ABD pain in ED. A computed tomography Scan (CT-Scan) of the abdomen and pelvis with contrast was performed; showing severe pancreatitis with prominent pancreas…

    • 1100 Words
    • 5 Pages
    Satisfactory Essays