Hyperemesis Gravidarum Case Study

It is our pleasure to see and perform FTS on Ms. Kaylyn Houser. She is a 16yo, G1 P0, with EDD by LMP consistent with an 8-week 4-day ultrasound performed in your office. The patient has a history of anxiety and what sounds like bipolar disorder, narcolepsy, and sleep apnea, as well as prepregnancy BMI of 32. She was previously on Lamictal, Luvox, and magnesium when she started the pregnancy and comes today attempting to wean from the Lamictal currently taking 100 mg daily. Her surgical history is notable for ankle surgeries. She has no prior pregnancy history. Her social history is negative x3. Her registration BP is 137/81. Her urine dip is negative for protein.

Ms. Pedroso is a pleasant 36 years old, pregnant females. She became pregnant after a first in-vitro attempted. Currently, the patient is 25 weeks of gestation and has come to the clinic with a chief complaint of recurring heartburn, which she described as a flame-throwing sensation in the epigastric area, abdominal bloating, and a sour taste in the back of her mouth. Ms. Carrillo states noting her symptoms two weeks ago and verbalized the symptoms worsen after eating; particularly after a heavy meal and with certain foods. She describes her pain 8/10 on the pain scale. The patient denies any chest pain or shortness of breath. Ms. Pedroso only known health problem is primary hypertension.

Serrita is a 26yo, G3 P1011, who was seen for an ultrasound evaluation and fetal anatomy assessment. As you know, she has chronic HTN and is on methyldopa 500 mg b.i.d. Her BP is normal on today’s assessment at 130/78. Her urine evaluation was negative. She is also hypothyroid status-post a diagnosis of Hashimoto’s thyroiditis. She is on replacement therapy. She did undergo noninvasive prenatal testing (NIPT) that returned low-risk, female and her maternal serum AFP was normal at 0.58 MoM. Based on her height and weight at the start of the pregnancy, her BMI was about 38. Lastly, she is on metformin 500 mg b.i.d. She states that she believes that she was on this due to abnormal insulin levels but she was not completely certain as to why

-Because Josie’s BMI of her pre-pregnancy is 18.2, which means she is underweight, the amount of weight gained (14 pounds) is unsafe because a normal amount of weight gain during pregnancy would be about ~90 pounds. Some possible complications that may have occurred would be disproportionate to the normal size of a newborn.

Sharon is a 17 year old young women, her mother noticed that Sharon had lost a significant amount of weight, and she looked pale and had dark circles under her eyes. Sharon was complaining of severe diarrhea, stomach cramps, and after battling this for weeks she was extremely tired. Her doctor conducted a standard physical exam, and interviewed Sharon about her general health, diet, family history, and environment.

General Health State (present weight – gain or loss, reason for gain or loss, amount of time for gain or loss; fatigue, malaise, weakness, sweats, night sweats, chills ): She currently weighs 110lbs. No weight loss. She is well developed and nourished. No distress. States she has always been healthy, other than occasional constipation.

Section four reviews the points to remember. The importance of weighing yourself daily and seeking medical attention for gaining more than three pounds or more in a day or five pounds in a week is a stressed key point. Watch your salt and fluid intake and take your medication as directed if having trouble understanding or needing assistance due to cost or no transportation to be able to pick up medication please notify the clinic.

For the next three months, she was very sick. She lived off a steady diet of saltine crackers and water which made her nauseous, but she never threw up. In her second trimester, she felt fantastic; her

Men are often perceived as masculine, good looking, strong, and smelling good; that is if they want to try to find the prettiest girls based on consensus. They need to stand out and be the impressive masculine figure they are supposedly drawn up to be. Advertisements are the reason for a population to think and feel this way, because they have the products that are sold to a target audience. Men want to be the best they can be, so they will in turn open their ears to what seems to be attracting women. Stereotypes are created surrounding men masculinity, thus resulting in situations where men are constantly trying to reach their peak and conform to what “works”.

Per grandmother, the client’s pregnancy, and delivery were normal. The grandmother recalls that Keisha’s developmental milestones were reached appropriately, including basic motor skills such as crawling, walking and fine motor skills such as writing. According to the client, she experienced an accident when she was nine years old. The accident affected her brain causing her to experience a coma for more than a month. It took her several months of rehabilitation to be able to return back to school. Keisha reports fatigue and/or loss of energy very often. Even after sleeping for more than twelve hours per day she feels tired every morning. She has been feeling this way for more than three years. Furthermore, the client reports that she has poor appetite, eating one or two meals per day. Due to her decrease in appetite the client reports that she lost about ten pounds since last year. Keisha mentions that her appetite has decreased since she started high school. Per client, her father abused drugs when he was younger, which included heroin and crack. She is unaware if father continues abusing drugs. Per client, her mother did not abuse any drugs while she was alive. The client reports no allergies, traumas or chronic diseases affecting her

Eating Disorder Case Study Mother is concerned that daughter is not eating enough, restricting food intake for 8 months because she feels fat, feels she needs to lose ten pounds, feels that her thighs and stomach are to large, reporting 35 lb weight loss over last 8 months, denies any eating problems, began menarche at age 16 periods normally regular, stop three months ago, exercises daily 20 min. to 2 hours, experiences low energy, chronic constipation and lightheadedness, favorite TV show is “America’s Next Top Model” and reports “feeling down in the dumps” for about nine months, college student, good grades, finding it difficult to concentrate, admits to feeling worthless and having no

Jane is a 19 year old female who was bullied in secondary school and college which left her with servery low self-esteem causing her to begin not eating as much and slowly lose weight. In the past year has worsened and is not medically known to have anorexia she is underweight and malnutritioned.

The mother stated that the child complained of nausea at 10 o’clock the 2nd day of February, later, the child began vomiting and having multiple episodes of diarrhea, she was not able to eat or drink anything without vomiting. As it approached evening, the woman took the child to the local hospital where she

This study is a clear example of a clinical trial. The objective is analyzing the possible interactions between two drugs in the human being, Aceclofenac and Eperisone Hydrochloride.

Bullying has been a major issue for years and in recent years, it has been getting progressively worse. According to StopBullying.gov, between 1 in 3 students in the US state have been a victim of bullying. I am currently interested in this topic because many of my clients are currently going through this. Bullying can affect just about anyone whether the person is getting bullied themselves, bullying others, or may have witnessed someone getting bullied (“Effects of Bullying,” n.d.).