Support delay 1 journals no older than 5 years.
GI Case Study: H. Pylori taint
Questions: As an NP student, needs to designate the medications for frequent H. Pylori taint.
According to the ACC/AHA Guidelines, what medication should this unrepining be prescribed? Write her exhaustive customs using the custom answerableness format.
Chief lamentation: “ I keep frequent H. Pylori taint”.
HPI: M.C. a 46-year-old hispanic feminine presents to the GI clinic for lamentation of frequent H. Pylori taint. She was bargained encircling 2 ½ months ago delay H. Pylori triple therapy and failed tenor. She has pmhx of dyspepsia, GERD.
She as-well indicates that she has noticed that her symptoms of dyspepsia are worsening for elapsed 2 months. She has associated her symptoms delay sea-sickness, subvert stomach delay all foods.
Denies associated symptoms of hematochezia, melena, hemoptysis, abdominal abstinence, ardor, chills, abstinence or any other symptoms.
H. Pylori taint gastritis
Diabetes Mellitus, cast 2
She receives an annual flu shot. Last flu shot was this year
High train graduate, married and no manifestation. He frequently eats out in restaurants. He drinks one 4-ounce glass of red wine daily. He is a previous smoker that bungped 3 years ago.
Both parents are warm. Father has truth of DM cast 2, Tinea Pedis.
mother warm and has truth of atopic dermatitis, tinea corporis and tinea pedis.
Constitutional: Negative for ardor. Negative for chills.
Respiratory: No Shortness of inhalation. No Orthopnea
Cardiovascular: No edema. No palpitations.
Gastrointestinal: No vomiting. +Dyspepsia. + Nausea. No constipation. No melena. No abdominal abstinence.
Skin: No lesions. No adventurous. No lustful.
Psychiatric: No diffidence. No debasement.
Height: 5 feet 5 inches Weight: 140 pounds BMI: 31 corpulence, BP 110/70 T 98.0 po P 80 R 22, non-labored
HEENT: Normocephalic/Atraumatic, PERRL, EOMI; No teeth privation seen. Gums no redness.
NECK: Neck adulatory, no obvious masses, no lymphadenopathy, no thyroid expansion.
LUNGS: Lungs conspicuous bilaterally. Equal inhalation sounds. Symmetrical respiration. No respiratory disturb.
HEART: Ordinary S1 delay S2 during stolidity. Pulses are 2+ in preferable extremities. No edema.
ABDOMEN: No abdominal distention. Nontender. Bowel sounds + x 4 quadrants. No organomegaly. Ordinary contour; No obvious masses.
GENITOURINARY: No CVA clemency bilaterally. GU exam abundant.
MUSCULOSKELETAL: Slow space but equable. No Kyphosis.
SKIN: Dry. Intact.
PSYCH: Ordinary seek. Cooperative.
Labs day of visit:: Hgb 15.2, Hct 40%, K+ 4.0, Na+137, Serum Creatinine ordinary 1.0, AST/ALT ordinary. TSH 3.7 ordinary, glucose 98 ordinary
Primary Diagnosis: Frequent H. Pylori taint gastritis
Peptic Ulcer Disease
Previous medication plan: two months ago and failed.
Clarithromycin 500 mg po BID for 2 weeks
Omeprazole 40 mg po BID for 2 weeks and then po daily.
Cipro 500 mg po BID for 2 weeks
Pt had EGD goodsed 2 weeks ago that showed H. Pylori dogmatic gastritis in biopsy results.
Urea inhalation ordeal 8 weeks following bargain delay H. Pylori medications. Pt needs to bung PPI’s 2 weeks previous to Urea Inhalation ordeal.
Labs: No new labs are needed.
Referrals: may relate grounded on goods of medication therapy given for 2 weeks.
Follow up: reappear to function in 8 weeks to reevaluate her symptoms.