History of present illness

Case Study

History of present illness

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about this one I couldn’t find the case study, I explained to you I should do the PowerPoint base on the paper, I need the link that you got the case from it

and I asked for Single spaced 5 pages, which needs one more page. because when I change it to single space it becomes 4 pages. and the name of the patient should include.

also, the references you add to the second one weren’t included in the research.

please let me know and fix it I should submit it on Monday and it looks like it needs more work and you include one reference

if I should give your work to someone else to re-do it please let me know!!

what is the reference for this:

Mrs. N has had problems with a frontal headache for about three months. The issues are usually throbbing, mild, and bifrontal to moderately severe. Mrs. N. has also had associated vomiting and nausea, which has made her miss work occasionally. Headaches related to stress last between four to six hours a week. Mrs. N puts a damp towel over the head or sleeps to relieve her headache and sometimes gets reduced when she takes aspirin. There are no associated motor sensory deficits, paresthesia, or visual changes (Pasterkamp, & Zielinski, 2019). The patient started suffering from headaches, vomiting, and nausea at the age of fifteen and continued to reoccur at twenty years. Mrs. N’s mother died of a stroke, and she wants to be sure about her headache. Medications so far include aspirin, one or two tablets for every four to six hours, and she also used a “water pill” in the past for ankle swelling. The patient has a history of allergies; for example, ampicillin causes a rash on her body.

and number 8 I wrote Please include Current clinical trials if relevant !? I didn’t find any reference so u include it

please please please read carefully the documents, I should have a case study in the research as well as in the PowerPoint. I asked you to see the PowerPoint I include at the beginning that I can do the same for the case study you’ll give me but I couldn’t see any case study. I need a real case study from references.

1
Papers/presentations:
1. Crohn’s disease
TERM PAPER:
1. Review 4-5 recent, related research articles on topics of interest in in the areas of
Pathophysiology/Immunology/Hematology/Cancer Biology /Microbiology, and prepare a term paper for submission before the final exam period. It should be 5-8 pages There should be:
2. Abstract: should reflect the analysis of all the research articles chosen. – 5%
3. Introduction: the introduction should be very specifically focused on the topic. -5%
4. Goals of the study: List specific goals in a logical sequence. – 5%
5. Important methods used: Only give details if the technique used is new.
6. If they are routine techniques, just briefly describe them. –5%
7. Most important findings; Very short focused discussion; Very short Conclusions. — 15%
8. Please include Current clinical trials if relevant
9. Include references used
Case Studies:
Case study exercises include questions to be answered and submitted. All papers submitted must be the student’s own work in his/her own words. Evidence of
copying/plagiarism will result in a grade of zero.
Specific Instructions:
Prior to the class students are instructed to organize the case through independent study
1. Read through the following case study making sure he or she understands the concepts and terminology mentioned and should be able to discuss them.
2. Student should organize the case as follows:
a. History of present illness, LQQSTAA
b. Past medical history
c. Physical examination
d. Clinical characteristics
e. Laboratory findings
f. Discuss all the lab tests & explain in detail.
g. Special investigations
h. Differential diagnosis
i. Management and course
j. Discuss various treatment strategies
3. Student should explain the terminology to the class.
4. When discussing the clinical data, student should also discuss the normal values. 5
Student should construct a differential diagnosis and specific diagnosis based on all the material presented.
5. Review the pertinent topic(s) in this case.
6. Answer all the individual questions at the end.
7. At the end of the case student should be able to outline the learning objectives.
8. Provide the list of references and web sites used.
PHYSICAL EXAMINATION
Mrs. N. is a short, overweight, middle-aged woman, who is animated and responds quickly to questions. She
is somewhat tense, with moist, cold hands. Her hair is well groomed. Her color is good, and she lies flat
without discomfort.
Vital signs: Ht (without shoes) 157 cm (5′2′′). Wt (dressed) 65 kg (143 lb). BMI 26. BP 164/98 right arm,
supine; 160/96 left arm, supine; 152/88 right arm, supine with wide cuff. Heart rate (HR) 88 and regular.
Respiratory rate (RR) 18. Temper-ature (oral) 98.6 °F.
Skin: Palms cold and moist, but color good. Scattered cherry angiomas over upper trunk. Nails without
clubbing, cyanosis.
Head, Eyes, Ears, Nose, Throat (HEENT):
Head: Hair of average texture. Scalp without lesions, normocephalic/atraumatic (NC/AT).
Eyes: Vision 20/30 in each eye. Visual fields full by confrontation. Conjunctiva pink; sclera white. Pupils 4
mm constricting to 2 mm, round, regular, equally reactive to light. Extraocular movements intact. Disc margins
sharp, without hemorrhages, exudates. No arteriolar narrowing or A-V nicking.
Ears: Wax partially obscures right tympanic membrane (TM); left canal clear, TM with good cone of light.
Acuity good to whispered voice. Weber midline. AC > BC.
Nose: Mucosa pink, septum midline. No sinus tenderness.
Mouth: Oral mucosa pink. Several interdental papillae red slightly swollen. Dentition good. Tongue midline,
with 3 × 4 mm shallow white ulcer on red base on undersurface near tip; tender but not indurated. Tonsils
absent. Pharynx without exudates.
Neck: Neck supple. Trachea midline. Thyroid isthmus barely palpable, lobes not felt.
Lymph nodes: Small (<1 cm), soft, nontender, and mobile tonsillar and posterior cervical nodes bilaterally.
No axillary or epitrochlear nodes. Several small inguinal nodes bilaterally, soft and nontender.
Thorax and lungs: Thorax symmetric with good excursion. Lungs resonant. Breath sounds vesicular with no
added sounds. Diaphragms descend 4 cm bilaterally.
Cardiovascular: Jugular venous pressure 1 cm above the sternal angle, with head of examining table raised to
30o. Carotid upstrokes brisk, without bruits. Apical impulse discrete and tapping, barely palpable in the 5th left
interspace, 8 cm lateral to the midsternal line. Good S1, S2; no S3 or S4. A II/VI medium-pitched midsystolic
murmur at the 2nd right interspace; does not radiate to the neck. No diastolic murmurs. Breasts: Pendulous,
symmetric. No masses; nipples without discharge.
Abdomen: Protuberant. Well-healed scar, right lower quadrant. Bowel sounds active. No tenderness or
masses. Liver span 7 cm in right midclavicular line; edge smooth, palpable 1 cm below right costal margin
(RCM). Spleen and kidneys not felt. No costovertebral angle tenderness (CVAT).
Genitalia & Rectal: Deferred
Extremities: Warm and without edema. Calves supple, nontender. Peripheral vascular: Trace edema at both
ankles. Moderate varicosities of saphenous veins both in lower extremities. No stasis pigmentation or ulcers.
Pulses (2+ = brisk, or normal
Musculoskeletal: No joint deformities. Good range of motion in hands, wrists, elbows, shoulders, spine, hips,
knees, ankles. Neurologic: Mental Status: Tense, but alert and cooperative. Thought coherent. Oriented to
person, place, and time. Cranial nerves: II to XII intact. Motor: Good muscle bulk and tone. Strength 5/5
throughout. Cerebellar: RAMs, point-to-point movements intact. Gait stable, fluid. Sensory: Pinprick, light
touch, position sense, vibration, and stereognosis intact. Romberg negative.

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