Question

Patient Profile

D.D is a 61-year-old male who comes to the emergency department with complaints of weakness and abdominal pain. He reports he is homeless. His medical history includes Methicillin-Resistant Staphylococcus Aureus (MRSA) bacteria of the nares.

Subjective Data

Reports he does not drink or eat food consistently

Says he has no family or any social support

Had “a drink or two a little while ago”

Objective Data

Physical Examination

Blood pressure 144/86, pulse 92, temperature 98.2°F, respirations 24

Height 6’1”, weight 170 lbs

Heart rhythm irregular

Oxygen saturation 89% on room air

Alert, oriented to person and place

Capillary refill sluggish in lower extremities, normal in upper extremities

2+ edema in lower extremities

Discussion Questions

1. What health history information would you obtain from D.D.?
2. Describe what D.D.’s physical assessment should include.
3. Based on the clinical manifestations that brought D.D. to the emergency department, what diagnostic tests you would expect to be ordered and what each would contribute?
4. What factors in R.D.’s history place him at risk for anemia

Answer 1

The information from health history are 61 year old male name D.D have fatigue,abdominal pain,edema present and low oxygen saturation level.

Physical examination should include examination of abdomen.

USG abdomen can be performed to rule out the abdominal pain.

Lower extremity Doppler study can be performed to rule out blood supply to the lower extremity.

Low oxygen saturation indicates decreased oxygen supply to the tissues this will be the risk for developing anemia.