Metastatic Cancer Case Study

Sakeenah is 14 years old African american girl, she comes to the University of Michigan Pediatric Gastroenterology clinic on 5/22/2018 complaining of abdominal pain. She is accompanied mom and dad today and she provides the interval medical history, She states that the pain started month ago, epigastric, and occasionally radiate to right side, described as squeezing or burning pain. She states that the pain is on/off, in scale of 7-8/10, occur more in the morning. The pain lasts few hours several time a day. She feels that "food sits in my stomach and doesn't digest." Sakeenah states that pain is worse when she eating a grassy food, she stop eating it for a while and the pain seems

A review of her medical records indicates that she was recently admitted to MMH from 2/28/17 to 3/3/17 and treated for pneumonia and UTI. Her recently labs that was done in February indicated a BNP of 861. She continues to suffer from chronic UTI and had her indwelling Foley catheter discontinued on 3/19/17. She continues to suffer from chronic anemia and chronic kidney disease. She is legally blind.

Patient was in the ER room when first seen. PT was with her family members and family states that she speaks little English and that she has had abdominal pain for the past day along with bloody stools. Family states that she is on calcium supplements and no other medications. Last oral intake is 24 hours ago. Family states no known past medical history. Pt is in the hospital bed in the fetal position and towards the right side. Patient's airway is clear and breathing is normal. Skin is warm and dry. Patent is AAOx4. Assessment of head, neck, and chest show no signs of deformities. Abdominal area not assessed due to severe pain. Back is without deformity. The upper extremity shows no sign of deformities or trauma. The lower extremity shows

Utilize your resources such as your text and the Welch library online for UpToDate. Look at the example case for format

At todays visit she is accompanied by her husband. She is awake, alert and oriented. She complains of chronic pain in her hips and legs that radiate down to her feet. She describes her pain as as shooting, dull, ache. “she states, sometimes its like

At today’s visit, she is accompanied by her caregiver from senior bridges. She is awake, alert and oriented. Affect is flat. She denies pain at this time. She states that she suffers from chronic abdominal, dull, wave like, abdominal pain. She states that she takes her pain pill every other pain because her pain seems to occur every other day. She reports that she is feeling depress because she had an appointment schedule recently to remove skin cancer from her face and her daughter cancel the appointment. The care giver report that the patient has daily agitation, but taking the Ativan helps. The patient reports a fair appetite and having regular bowel movements.

She reports a history of back pain, ovarian cysts excision, and breast tumor. She denies chest pain, shortness of breath, or palpitations. Patient reports that her immunizations and preventive care are up to

Review of the medical record indicates that she was diagnosed with stage 3 rectal cancer with Mets to bones in 2013 for which she was treated with radiation treatments. She is followed by Dr Lederman in New York and locally by Dr patel- oncologist. After her radiation therapy she developed lymphedema to left lower extremity. She is follow by healthy lymphatics agency and was been followed by Dr DeBonet for pain.

S.R. is a 63-year-old Caucasian female currently working as an operating room nurse. She has a significant past medical history consisting of Breast Cancer, Depression, Fall, Diverticulitis of the Colon, Follicular Lymphoma (stage 3), Irritable Bowel Syndrome, Osteoarthritis and Sciatica. Currently S.R. is going through chemo with Rituximab for recurring lymphoma, gastritis and atrial fibrillation. S.R came to the emergency department presenting with shortness of breath and dizzy from having intractable nausea and coffee ground emesis overnight. Her chief complaint was of feeling dizzy and weak at home after vomiting with chills and sweating. The client knows her history and the fact that she needs to be on proton pump inhibitors twice a day,

As a child, she has had chickenpox. Additionally, was diagnosed to have asthma when she was 10 years old, wherein she was placed on inhaler treatment, she had her asthma attack last Spring of 2010. Furthermore, appendectomy was performed last 2015 due to the ruptured

Neurologic care remains a concern for the Department of Medicine, the Residency Program (IMC), and Summa Health Medical Group (SHMG). After two years, we are back to one Summa Physician for stroke call.

There have been 3 cases of untreatable cancer in my family. The first time I had was aware of cancer is when my grandfather was diagnosed with bone cancer. My grandfather was a very happy man with such joy that being sad around him was almost impossible especially after his passing. Grandpa Ken was what I called him. losing my grandfather made life very difficult for my grandmother who has several physical troubles. He died when i was very young, but even at a young age his death impacted me heavily.

A 17-year old female presents to the office with a history of abdominal pain, distension, and diarrhea for the last ten days. She

Review of the medical record indicates that she was admitted to the hospital on 8/12/16 with complaints of intermittent headaches, low back pain and weight loss. She has previously been diagnosed with metastatic cancer involving the lungs, bone, brain, and liver and started to undergo radiation therapy but has not yet undergone any chemotherapy. She has had 10 radiation treatments with Dr Castello who is her radiation oncologist.

Patient History: my patient is a 79 y/o female. She weighs 71.7 kg and is 165.1 cm tall. She has a history of colon carcinoma and hypertension. She has had a previous cholecystectomy, appendectomy, and removal of a uterine polyp. She has no history of bleeding disorders. She was a smoker, but quit 30 years ago. She smoked a half pack per day for 10 years; rare alcohol use. She is status post right-hemicolectomy. She is allergic to penicillin.