Why did the patient had reflux symptoms? Explain the anatomy and diagnosis.

Comprehensive Medical Assisting: Administrative and Clinical Competencies (MindTap Course List)
6th Edition
ISBN:9781305964792
Author:Wilburta Q. Lindh, Carol D. Tamparo, Barbara M. Dahl, Julie Morris, Cindy Correa
Publisher:Wilburta Q. Lindh, Carol D. Tamparo, Barbara M. Dahl, Julie Morris, Cindy Correa
Chapter22: The Patient History And Documentation
Section: Chapter Questions
Problem 3CR
icon
Related questions
Question

Why did the patient had reflux symptoms? Explain the anatomy and diagnosis.

Case:
A 28/ female sought consult in a primary care
clinic because of a 3 day history of fever (max
temperature 38.2 degrees Celsius), sweating and
productive, yellowish sputum.
(+) pleuritic chest pain in the left axilla
(-) episodes of breathlessness
· Employee at the mall, regularly commutes,
exposed to second hand smoke
Fond of eating food at fastfood, does not take
any vitamins/supplements
Lack sleep most of the time
Occasional alcoholic beverage drinker (2-3
bottles/beer during weekends), occasional
smoker (2-3 sticks/day since she was 18 y/o)
Transcribed Image Text:Case: A 28/ female sought consult in a primary care clinic because of a 3 day history of fever (max temperature 38.2 degrees Celsius), sweating and productive, yellowish sputum. (+) pleuritic chest pain in the left axilla (-) episodes of breathlessness · Employee at the mall, regularly commutes, exposed to second hand smoke Fond of eating food at fastfood, does not take any vitamins/supplements Lack sleep most of the time Occasional alcoholic beverage drinker (2-3 bottles/beer during weekends), occasional smoker (2-3 sticks/day since she was 18 y/o)
• One month prior to the consult, patient
presented with one month history of epigastric
pain, described as burning, association with dry
cough, and occasional belching, and sensation
of regurgitation perceived as 'bitter after-taste'
The pain worsens after eating and when she is
lying flat.
●
●
Patient also presented with postprandial
fullness. She also wakes up with abdominal pain
and would have hoarse voice the following day.
The patient noted that symptoms become
partially relived by adjusting from a lying to a
sitting position and by using KremilS.
Patient is an employee at the mall and does not
eat on time and would often eat at the nearby
canteen or to the vendors outside her work to
save money.
●
Fond of drinking soft drinks 2 sakto bottles/day
and 3-in-1 coffee (3 or more sachets/day)
Patient was given Omeprazole 40 mg/capsule
●
30 minutes per breakfast which afforded relief of
symptoms.
Transcribed Image Text:• One month prior to the consult, patient presented with one month history of epigastric pain, described as burning, association with dry cough, and occasional belching, and sensation of regurgitation perceived as 'bitter after-taste' The pain worsens after eating and when she is lying flat. ● ● Patient also presented with postprandial fullness. She also wakes up with abdominal pain and would have hoarse voice the following day. The patient noted that symptoms become partially relived by adjusting from a lying to a sitting position and by using KremilS. Patient is an employee at the mall and does not eat on time and would often eat at the nearby canteen or to the vendors outside her work to save money. ● Fond of drinking soft drinks 2 sakto bottles/day and 3-in-1 coffee (3 or more sachets/day) Patient was given Omeprazole 40 mg/capsule ● 30 minutes per breakfast which afforded relief of symptoms.
Expert Solution
steps

Step by step

Solved in 3 steps

Blurred answer
Recommended textbooks for you
Comprehensive Medical Assisting: Administrative a…
Comprehensive Medical Assisting: Administrative a…
Nursing
ISBN:
9781305964792
Author:
Wilburta Q. Lindh, Carol D. Tamparo, Barbara M. Dahl, Julie Morris, Cindy Correa
Publisher:
Cengage Learning
Surgical Tech For Surgical Tech Pos Care
Surgical Tech For Surgical Tech Pos Care
Health & Nutrition
ISBN:
9781337648868
Author:
Association
Publisher:
Cengage
3-2-1 Code It
3-2-1 Code It
Biology
ISBN:
9781337660549
Author:
GREEN
Publisher:
Cengage
Understanding Health Insurance: A Guide to Billin…
Understanding Health Insurance: A Guide to Billin…
Health & Nutrition
ISBN:
9781337679480
Author:
GREEN
Publisher:
Cengage
Essentials of Pharmacology for Health Professions
Essentials of Pharmacology for Health Professions
Nursing
ISBN:
9781305441620
Author:
WOODROW
Publisher:
Cengage
An Illustrated Guide To Vet Med Term
An Illustrated Guide To Vet Med Term
Biology
ISBN:
9781305465763
Author:
ROMICH
Publisher:
Cengage