Write a paper addressing Adult Health
E.G. is a 41-year-old male who presents to the emergency department complaining of severe right back pain that started a couple of hours ago, right after he finished his daily run. He has a history of gastroesophageal
reflux disease, for which he takes famotidine 20 mg PO once daily at bedtime.
Subjective Data
Has been training for a marathon and has been running at least 10 miles a day, but today was so hot that he only made it 6 miles. Shortly after his run, the pain in his right back/side started.
States his pain is a level 9 on a 1-to-10 scale
States the pain is constant, nothing seems to make it better, and it does not get worse with movement
Denies any pain or numbness in his legs
While training, he has been supplementing his diet with protein shakes
Denies using performance-enhancing drugs
Objective Data
Physical Examination
Temperature 99.6° F, pulse 78, respirations 16, blood pressure 122/80
No musculoskeletal pain or tenderness in spine
Right flank tenderness to fist percussion
Case Study Progress
Based on the initial clinical manifestations and exam findings, the health care provider orders a urinalysis. At first, E.G. is unable to urinate, but after drinking several glasses of water, is able to obtain a clean-catch urine
specimen.
Diagnostic Studies
Urinalysis:
Color: Dark, smoky color
Odor: Aromatic
Protein: None
Glucose: None
Ketones: None
Bilirubin: None
Specific gravity: 1.035
pH: 6.2
RBCs: 11/hpf
WBCs: 3/hpf
Casts: None
Based on the data above, what do you suspect is occurring with E.G.? What assessment data led you to this conclusion?
What additional test(s) may be ordered to confirm this diagnosis?
E.G. has an ultrasound, and the presence of a large right renal calculus is confirmed.
The health care provider orders E.G. IV Morphine sulfate for pain and recommends that he have a right extracorporeal shock-wave
lithotripsy (ESWL). Explain this procedure.
What factors put E.G. at risk for developing a renal calculus?
What teaching should E.G. receive prior to his being discharged?
What nutritional instructions should E.G. be given to prevent recurrence of urinary calculi?
Assignment Expectations
Length: 1000 – 1250 words; answers must thoroughly address the questions in a clear, concise manner.
Structure: Include a title page and reference page in APA style. These do not count towards the minimum word amount for this assignment.
References: Use the appropriate APA style in-text citations and references for all resources utilized to answer
the questions. Include at least three (3) scholarly sources to support your claims.Write a 1000-1250 word paper addressing each of the following case study questions. Be sure to completely answer all the questions for each bullet point. Separate each section in your paper with a clear heading that allows your professor to know which bullet you are addressing in that section of your paper. Support your ideas with at least three (3) sources in your essay. Make sure to reference the citations using the APA writing style for the essay. The cover page and reference page do not count towards the minimum word amount. Review the rubric criteria for this assignment.
E.G. is a 41-year-old male who presents to the emergency department complaining of severe right back pain that started a couple of hours ago, right after he finished his daily run. He has a history of gastroesophageal
reflux disease, for which he takes famotidine 20 mg PO once daily at bedtime.
Subjective Data
Has been training for a marathon and has been running at least 10 miles a day, but today was so hot that he only made it 6 miles. Shortly after his run, the pain in his right back/side started.
States his pain is a level 9 on a 1-to-10 scale
States the pain is constant, nothing seems to make it better, and it does not get worse with movement
Denies any pain or numbness in his legs
While training, he has been supplementing his diet with protein shakes
Denies using performance-enhancing drugs
Objective Data
Physical Examination
Temperature 99.6° F, pulse 78, respirations 16, blood pressure 122/80
No musculoskeletal pain or tenderness in spine
Right flank tenderness to fist percussion
Case Study Progress
Based on the initial clinical manifestations and exam findings, the health care provider orders a urinalysis. At first, E.G. is unable to urinate, but after drinking several glasses of water, is able to obtain a clean-catch urine
specimen.
Diagnostic Studies
Urinalysis:
Color: Dark, smoky color
Odor: Aromatic
Protein: None
Glucose: None
Ketones: None
Bilirubin: None
Specific gravity: 1.035
pH: 6.2
RBCs: 11/hpf
WBCs: 3/hpf
Casts: None
Based on the data above, what do you suspect is occurring with E.G.? What assessment data led you to this conclusion?
What additional test(s) may be ordered to confirm this diagnosis?
E.G. has an ultrasound, and the presence of a large right renal calculus is confirmed.
The health care provider orders E.G. IV Morphine sulfate for pain and recommends that he have a right extracorporeal shock-wave
lithotripsy (ESWL). Explain this procedure.
What factors put E.G. at risk for developing a renal calculus?
What teaching should E.G. receive prior to his being discharged?
What nutritional instructions should E.G. be given to prevent recurrence of urinary calculi?
Assignment Expectations
Length: 1000 – 1250 words; answers must thoroughly address the questions in a clear, concise manner.
Structure: Include a title page and reference page in APA style. These do not count towards the minimum word amount for this assignment.
References: Use the appropriate APA style in-text citations and references for all resources utilized to answer
the questions. Include at least three (3) scholarly sources to support your claims.Write a 1000-1250 word paper addressing each of the following case study questions. Be sure to completely answer all the questions for each bullet point. Separate each section in your paper with a clear heading that allows your professor to know which bullet you are addressing in that section of your paper. Support your ideas with at least three (3) sources in your essay. Make sure to reference the citations using the APA writing style for the essay. The cover page and reference page do not count towards the minimum word amount. Review the rubric criteria for this assignment.
E.G. is a 41-year-old male who presents to the emergency department complaining of severe right back pain that started a couple of hours ago, right after he finished his daily run. He has a history of gastroesophageal
reflux disease, for which he takes famotidine 20 mg PO once daily at bedtime.
Subjective Data
Has been training for a marathon and has been running at least 10 miles a day, but today was so hot that he only made it 6 miles. Shortly after his run, the pain in his right back/side started.
States his pain is a level 9 on a 1-to-10 scale
States the pain is constant, nothing seems to make it better, and it does not get worse with movement
Denies any pain or numbness in his legs
While training, he has been supplementing his diet with protein shakes
Denies using performance-enhancing drugs
Objective Data
Physical Examination
Temperature 99.6° F, pulse 78, respirations 16, blood pressure 122/80
No musculoskeletal pain or tenderness in spine
Right flank tenderness to fist percussion
Case Study Progress
Based on the initial clinical manifestations and exam findings, the health care provider orders a urinalysis. At first, E.G. is unable to urinate, but after drinking several glasses of water, is able to obtain a clean-catch urine
specimen.
Diagnostic Studies
Urinalysis:
Color: Dark, smoky color
Odor: Aromatic
Protein: None
Glucose: None
Ketones: None
Bilirubin: None
Specific gravity: 1.035
pH: 6.2
RBCs: 11/hpf
WBCs: 3/hpf
Casts: None
Based on the data above, what do you suspect is occurring with E.G.? What assessment data led you to this conclusion?
What additional test(s) may be ordered to confirm this diagnosis?
E.G. has an ultrasound, and the presence of a large right renal calculus is confirmed.
The health care provider orders E.G. IV Morphine sulfate for pain and recommends that he have a right extracorporeal shock-wave
lithotripsy (ESWL). Explain this procedure.
What factors put E.G. at risk for developing a renal calculus?
What teaching should E.G. receive prior to his being discharged?
What nutritional instructions should E.G. be given to prevent recurrence of urinary calculi?
Assignment Expectations
Length: 1000 – 1250 words; answers must thoroughly address the questions in a clear, concise manner.
Structure: Include a title page and reference page in APA style. These do not count towards the minimum word amount for this assignment.
References: Use the appropriate APA style in-text citations and references for all resources utilized to answer
the questions. Include at least three (3) scholarly sources to support your claims.Write a 1000-1250 word paper addressing each of the following case study questions. Be sure to completely answer all the questions for each bullet point. Separate each section in your paper with a clear heading that allows your professor to know which bullet you are addressing in that section of your paper. Support your ideas with at least three (3) sources in your essay. Make sure to reference the citations using the APA writing style for the essay. The cover page and reference page do not count towards the minimum word amount. Review the rubric criteria for this assignment.
E.G. is a 41-year-old male who presents to the emergency department complaining of severe right back pain that started a couple of hours ago, right after he finished his daily run. He has a history of gastroesophageal
reflux disease, for which he takes famotidine 20 mg PO once daily at bedtime.
Subjective Data
Has been training for a marathon and has been running at least 10 miles a day, but today was so hot that he only made it 6 miles. Shortly after his run, the pain in his right back/side started.
States his pain is a level 9 on a 1-to-10 scale
States the pain is constant, nothing seems to make it better, and it does not get worse with movement
Denies any pain or numbness in his legs
While training, he has been supplementing his diet with protein shakes
Denies using performance-enhancing drugs
Objective Data
Physical Examination
Temperature 99.6° F, pulse 78, respirations 16, blood pressure 122/80
No musculoskeletal pain or tenderness in spine
Right flank tenderness to fist percussion
Case Study Progress
Based on the initial clinical manifestations and exam findings, the health care provider orders a urinalysis. At first, E.G. is unable to urinate, but after drinking several glasses of water, is able to obtain a clean-catch urine
specimen.
Diagnostic Studies
Urinalysis:
Color: Dark, smoky color
Odor: Aromatic
Protein: None
Glucose: None
Ketones: None
Bilirubin: None
Specific gravity: 1.035
pH: 6.2
RBCs: 11/hpf
WBCs: 3/hpf
Casts: None
Based on the data above, what do you suspect is occurring with E.G.? What assessment data led you to this conclusion?
What additional test(s) may be ordered to confirm this diagnosis?
E.G. has an ultrasound, and the presence of a large right renal calculus is confirmed.
The health care provider orders E.G. IV Morphine sulfate for pain and recommends that he have a right extracorporeal shock-wave
lithotripsy (ESWL). Explain this procedure.
What factors put E.G. at risk for developing a renal calculus?
What teaching should E.G. receive prior to his being discharged?
What nutritional instructions should E.G. be given to prevent recurrence of urinary calculi?
