Melissa Johnson: A Medical Case Study

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 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 to the right lower quadrant. He had some nausea without emesis. He was able to tolerate p.o. earlier around

was awakened from her sleep by sharp left sided chest pain. The pain worsened with motion and

The patient had a sudden onset of lower left quadrant pain and was diagnosed with

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

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

History of Present Illness: The patient is a 27-year-old male complaining of right lower-quadrant abdominal pain, nausea, and

The patient complained of right lower quadrant pain and of feeling faint. Dr. O'Donnel documented a chief complaint, a brief history of present illness, and a systemic review of the gastrointestinal system and respiratory system. Dr. O'Donnel also documented a complete examination of all body systems, which included all required elements. Medical decision making was of moderate complexity.

History of Present Illness: The patient is a 27-year-old male complaining of right lower-quadrant abdominal pain, nausea, and

I have been struggling with this assignment all week. I want to have sympathy for Melissa Johnson’s tragic “accident”, however I find it difficult. Let me start by saying I am beyond sorry for the loss this family, including Ms. Johnson, has suffered. There is nothing worse for a parent than to suffer the loss of a child, particularly when your decision led to their death. The loss of any life is tragic, and the loss of a 14-year old child at the hands or her mother’s irresponsible choice is all that more poignant. Having formerly worked as an EMT both in the fire service and on an ambulance, I have seen first-hand the devastation these choices can leave in their wake. That being said, I do feel that the penalty Ms. Johnson received was

MILLERSBURG — Criminally charged with drug offenses in connection with a Wayne County heroin overdose death, two Millersburg women on Monday denied charges of drug possession and trafficking.

DS is a 57-year-old white female whit a history of diverticulitis who presents to the clinic for an evaluation of abdominal pain. She stated that she began experiencing left lower quadrant pain last night that worsened through the night and into this morning. The pain is described as dull, occasionally cramping, rated 7/10 in severity. The patient also stated that this pain is similar to previous episodes of diverticulitis. The patient stated that she took Gas-X this morning with little relief. She was able to move her bowels yesterday and this morning, both reportedly normal. The patient denied any fever, chills, chest pain, shortness of breath, nausea, vomiting, diarrhea, melena, hematochezia, or any other symptoms. At this time, there were

Mr. Johnson is a 28 y/o African American man, presents with an 8 month history of heart burn in the epigastric region. Pt. reports “I have heart burn after each meal and it’s painful to swallow at times” Pt. reports a productive cough. The pt. throat is reddened. Pt states the pain worsens while lying down and rate pain 8 out of 10. Pt takes 3 antacid a day. Pt. has a history of hypertension and Asthma. Pt. reports sour taste in back of throat and regurgitation.

A: Janie is a 60 year old Female with PMH of A-Fib, COPD, Hypothyroidism, HTN, Lung Cancer and recently diagnosed Pulmonary Embolism. Janie presents to ER for evaluation on SOB, cough with greenish sputum, sore thoart, hoarseness and generalized weakness. Janie lives at home with her husband, use to smoke ½ pack per week, but quit many years ago, denies alcohol or drugs. Family history is non-contributory. Allergies: NKDA. Differential diagnosis includes worsening Lung Ca, PE, COPD and CHF. Janie uses home O2 at 4 L/NC. V/S: T=98.7, HR=89, R=16, B/P=132/56, O2 sats=100% on 4L/NC, Pain=6/10. Labs: WBC=7.6, H&H=8.5/27, Na=141, Troponin=0.08/0.06, BNP=495, INR=4.2, UA=3+ protein, 1+ blood and 6-10 RBC. CXR: Impression:1). COPD with nonspecific coarsening of the basilar interstitium. 2). Mild cardiomegaly with borderline cardiac compensation. 3). Right

A patient, Carol Hines, arrives at the Emergency Department complaining of abdominal pain. The clinicians need to ascertain what condition is causing this symptom. They will perform tests and obtain the patient’s medical history to evaluate if the abdominal pain is the result of possible conditions such as kidney stones, appendicitis, endometriosis or other conditions.

A 35 year old African-American male with a past medical history of hepatic hemangioma and borderline hypertension presented with a one-week of intermittent fevers and progressively worsening sharp right upper quadrant abdominal pain. Associated symptoms are chills, night sweats and fatigue. He denied any recent sick contacts, recent travel or changes in his water source. He denied weight loss, cough, nausea, vomiting, chest pain, shortness of breath, dysuria, hematuria, headache, changes in stool, blurry vision, and no joint pain. Patient endorsed decreased in appetite,