IHUMAN Clinical Analysis Week 6 With Answers (64 Solved Questions)

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iHuman Week-6 NR-579Basilia Barco53 y/o white female5’6’’165 lbReason for encounter: Back painGood:How can I help you today?oI’m having terrible back pain. I must have thrown my back out.Do you have any other symptoms or concerns we should discuss?oRight now, you mean? All I can think about is my back.Where more precisely is the pain in your back?oIt seems to be in my lower back.When did the pain in your back start?oThree days ago.What are the events surrounding the start of your back pain?oIt hit me as I was lifting a heavy laundry basket full of wet clothes. Wham! Out ofnowhere.Does anything make the pain in your back better or worse?oIt just won’t go away. I can’t seem to do anything to make it better. It is definitely worsewhen I move.What does the pain in your back feel like?oIt is really sharp, stabbing, gnawing…Does the pain in your back radiate someplace else? Where?oYeah, I can feel it in my right leg and sometimes all the way to my foot. It’s not in my footor anything, but mostly in my thigh.How severe (1-10 scale) is the pain in your back?oIt is really excruciating—10/10 at times.Do you have any tingling and/or numbness anywhere?oMy right leg feels a little numb and tingling on the outside of my thigh.Are you taking any over-the-counter or herbal medications?oYes, I’ve been taking ibuprofen, but it’s not strong enough for this pain.ROS:oFatigue, difficulty sleeping, unintentional weight loss or gain, fevers, or night sweats?Yes, a bunch of that. What do you want to know about?oDo you have any problems with an itchy scalp, skin changes, moles, thinning hair, orbrittle nails?Nope.

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oDo you have any problems with headaches that don’t go away with aspirin or Tylenol(acetaminophen), double or blurred vision, difficulty with night vision, problems hearing,ear pain, sinus problems, chronic sore throats, or difficulty swallowing?Nope.oHave you noticed any breast discharge, lumps, scaly nipples, pain, swelling, or redness?Everything is totally fine there. Thank the lord.oDo you experience chest pain discomfort or pressure; pain/pressure/dizziness withexertion or getting angry; palpitations; decreased exercise tolerance; or blue/cold fingersand toes?Nope.oDo you experience shortness of breath, wheezing, difficulty catching your breath,chronic cough, or sputum production?Not now.oDo you have problems with nausea, vomiting, constipation, diarrhea, coffee grounds inyour vomit, dark tarry stool, bright red blood in your bowel movements, early satiety, orbloating?No.oWhen you urinate, have you noticed any pain, burning, blood, difficulty starting orstopping, dribbling, incontinence, urgency during day or night, or any changes infrequency?Nope.oHave you noticed any bruising, bleeding gums, nose bleeds, or other sites of increasedbleeding?Nope.oDo you have problems with heat or cold intolerance, increased thirst, increasedsweating, frequent urination, or change in appetite?My appetite is fine. Not thirsty or cold or peeing too much.oDo you have problems with dizziness, fainting, spinning room, seizures, weakness,numbness, tingling, or tremor?No spinning or passing out or anything like that. Seizures?!? Lord no! What elsedid you ask?oHave you gained or lose weight unintentionally, despite normal appetite and exercise?Yes actually. I’ve lost about 20 pounds in the last six months without reallytrying. Kind of odd.oDoes the pain get better when you ben forward or sit?Not really. I don’t particularly want to try to bend forward.oDo you have pain/discomfort when you are at rest?Yest, it is pretty constant.oHave you been having fevers?No fevers or chills.oDo you have night sweats?Actually, yes. It’s like starting menopause all over again. What does that have todo with anything though?

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