SU_NSG6420_Case Study_Dukes_Y.pptx - 79 Y.O MALE WITH HELICOBACTER PYLORI Yaischa Dukes South University NSG 6420 LEARNING OBJECTIVES Demonstrates an

SU_NSG6420_Case Study_Dukes_Y.pptx - 79 Y.O MALE WITH...

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79 Y.O. MALE WITH HELICOBACTER PYLORI Yaischa Dukes South University NSG 6420
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LEARNING OBJECTIVES Demonstrates an understanding of the etiology, diagnosis, and treatments related to patients with H. pylori infections. Develop a working diagnosis of helicobacter pylori when given various patient presentations. Create an appropriate plan of care including education and follow up care for patients diagnosed with helicobacter pylori infection.
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L.P 79 Y.O. MALE HPI: The patient presents to the clinic for a follow up appointment after treatment for a positive Helicobacter pylori stool antigen test. The patient had previously been diagnosed with peptic ulcer disease at his last clinic but was never assessed for H. pylori infection. Approximately six weeks ago the patient was complaining of dyspepsia unrelieved by omeprazole and despite avoidance of aggravating foods such as coffee and alcohol. The patient also complained of increased fatigue with laboratory findings showing microcytic anemia. The patient was placed on triple therapy four weeks ago and presents to clinic today to re-evaluate current therapies. He voices no new complaints at this time.
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MEDICATIONS Travoprost ophthalmic solution 0.004% drops take 1 drop each eye once daily – used in the treatment of open-angle glaucoma. The exact mechanism of action is unknown but it increases uveoscleral outflow with decreases intraocular pressure. Tamsulosin (Flomax) 0.4 mg take one tab by mouth daily – used in the treatment of benign prostatic hypertrophy. The drug is a peripherally acting alpha-1 blocker that relaxes smooth muscle to increase urine flow Feosol 325mg one tab by mouth daily – a mineral supplement used to treat symptoms of anemia Omeprazole (Prilosec) 20mg one tab by mouth daily - this drug is a proton pump inhibitor that inhibits gastric parietal cells
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PMH Allergies: No known medical or environmental allergies Medication Intolerances: None Chronic Illnesses/Major traumas Benign Prostatic Hypertrophy with urinary obstruction 2010 Peptic Ulcer Disease 2014 Primary Open Angle Glaucoma 2015 Senile Cataract 2009 Iron Deficiency Anemia 2015
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PMH ( CONTINUED ) Hospitalizations/Surgeries Left cataract removal 2009 Family History Pertinent positives include: Mother, deceased 1988 esophageal cancer Father, deceased 1992 lung cancer Brother, living, hypertension
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SOCIAL HISTORY Social History The patient is a retired bus driver who recently moved to the Central Florida area with his wife. He has two daughters in good health who live in North Caroline with whom he has regular contact. The patient denies a smoking history. He has a history of drinking 3-4 shots of whiskey daily for 40 years. His last drink was in 2008. The patient wears his seatbelt regularly and appropriate living will paperwork is on file with the office.
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ROS General Denies any fever, chills, or weight change. He states he has had an increase in energy over the past week.
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  • Spring '18

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