C/C, vital signs, demographic, lab results, notes A 20 yr. old male came into the clinic,complaining of "pain when I pass my urine" Also complained of frequency and some urgency. Has noticed symptoms intermittent for the past couple of days but in the last 24 hrs. He has no fever, chills, nausea, vomiting, back pain, or change in colour of urine, and also underwent the standard protocol to identify what is wrong with him. After conducting all the assessments and tests, his lab results came back indicating that he has UTI which he mentioned he had before in the past and this "feels like the same thing". UTI treated without sequelae about 1 year ago Habits: Eat a lot of cup noodles and pancit canton when he is lazy to cook or in a hurry. Allergies: no allergies Patient Profile: In college, Nursing Student. Lives in a dorm with 3 roommates. O. Pleasant male, very communicative, able to get on/off exam tables. BP 118/78 P 82 T 98.8 BMI 25 Abd. Bowel sounds all quads, no tenderness to light or deep palpation except supra pubic tenderness to light palpation. No CVA tenderness External genital exam nl. No lesions BUS nl. Pt. prefers defer pelvic Dipstick: Positive for leukocyte- esterase and nitrates

C/C, vital signs, demographic, lab results, notes A 20 yr. old male came into the clinic,complaining of "pain when I pass my urine" Also complained of frequency and some urgency. Has noticed symptoms intermittent for the past couple of days but in the last 24 hrs. He has no fever, chills, nausea, vomiting, back pain, or change in colour of urine, and also underwent the standard protocol to identify what is wrong with him. After conducting all the assessments and tests, his lab results came back indicating that he has UTI which he mentioned he had before in the past and this "feels like the same thing". UTI treated without sequelae about 1 year ago Habits: Eat a lot of cup noodles and pancit canton when he is lazy to cook or in a hurry. Allergies: no allergies Patient Profile: In college, Nursing Student. Lives in a dorm with 3 roommates. O. Pleasant male, very communicative, able to get on/off exam tables. BP 118/78 P 82 T 98.8 BMI 25 Abd. Bowel sounds all quads, no tenderness to light or deep palpation except supra pubic tenderness to light palpation. No CVA tenderness External genital exam nl. No lesions BUS nl. Pt. prefers defer pelvic Dipstick: Positive for leukocyte- esterase and nitrates

Basic Clinical Laboratory Techniques 6E

6th Edition

ISBN:9781133893943

Author:ESTRIDGE

Publisher:ESTRIDGE

Chapter3: Basic Hemostasis

Section3.6: D-dimers

Problem 11RQ

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DOB: 28 Jun 1961 | GENDER: FEMALE SITUATION Mrs Donna Hovey is a 60-year-old female who was admitted to the ward two (2) days ago for pneumonia. She is now complaining of mild pressure in her chest (rated 4/10) that started 10 minutes ago while she was lying on the bed. Mrs Hovey states she also has a slight ache in the underside of her upper left arm.She is diaphoretic and feeling a little nauseated. Mrs Hovey has developed slight shortness of breath. Her peripheries are a little cool to touch BACKGROUND Mrs Hovey has a history of Ischaemic Heart Disease (IHD), hypertension andbeginning Peripheral Vascular Disease (PVD). She had Coronary Artery Bypass Graft (CABG) surgery six (6) years ago with Saphenous Vein grafts to her Left Anterior Descending (LAD) coronary artery and diagonal branch. Mrs Hovey also had a Percutaneous Transluminal Coronary Angioplasty (PTCA) with stenting to her Right Coronary Artery (RCA) and Posterior Descending Artery (PDA). ASSESSMENT Her observations at…