GU Dark-colored urine Hematuria Dysuria frequency Hematology bruising ecchymosis Lymphatic lymphadenopathy swelling tenderness O P E VS Ht 5\u20199\u201d

Gu dark-colored urine hematuria dysuria frequency

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GU: (-) Dark-colored urine, (-) Hematuria, (-) Dysuria, (-) frequencyHematology: (-) bruising, (-) ecchymosisLymphatic: (-) lymphadenopathy, (-) swelling, (-) tendernessO:P. E: VS : Ht 5’9”, Wt 150lbs, BP 126/76, T 98.0, P 72, R 12.Labs:HbsAg- negative, HbsAb- positive, HbcAb –positive, Amylase- normal, Lipase- normal, ALT- Normal, AST- Normal.General:Well-dressed, appears stated age, and in no apparent distress. Alert, oriented and cooperative.Skin:Warm, dry, and intact. Skin color is slightly jaundiced. No moles noted. No track marks noted.HEENT:Normocephalic. Hair thick and distribution even throughout scalp.Eyes:Sclera clear. Conjunctiva: icteric, PERRLA, EOMs intact.Ears:Tympanic membranes gray and intact with light reflex noted. Pinna and tragus nontender.Nose:Nares patent without exudate. Sinuses nontender to palpation.Throat:Oropharynx moist, no lesions or exudate. Tonsils 1/4 bilaterally. Teeth in good repair, no cavities noted.Neck supple. No cervical lymphadenopathy or tenderness noted. Thyroid midline, small, and firm w/o masses.Lungs: Lungs clear to auscultation bilaterally. Respirations unlabored. Recent tattoo noted to lower back.CV: Heart S1, S2 noted, RRR, no murmurs, noted. Peripheral pulses equally bilaterally.
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Abdomen: Round, soft, w/ BS all 4 quadrants. No organomegaly noted. Mild tendernessin RUQ.No CVAT.A:Assessment:Acute hepatitis B (B16) ICD 10isa serious liver infection caused by the hepatitis B virus (HBV). It is usually transmitted through sex, sharing needles, dirty needle sticks etc. (Nebbia, Peppa, & Maini, 2012). Acute hepatitis B infection lasts less than six months as most adult’s immune system likely can clear acute hepatitis B from the body, and they can recover completely within a few months (Nebbia, Peppa, & Maini, 2012). Having chronic hepatitis B increases the risk of developing liver failure, liver cancer or cirrhosis. Symptoms of acute hepatitis usually appear about one to four months after exposure, which includes: abdominal pain, dark urine, fever, joint pain, loss of appetite, nausea and vomiting, weakness and fatigue, yellowing of your skin and the whites of the eyes (jaundice) (Nebbia, Peppa, & Maini, 2012). From the case study, Laura had recent tattoo noted to lower back. She may have contracted Hep B from the use of a dirty needle during her tattoo. Laura is Divorced for 2 years, dating for 1 year. She is sexually active with 2 partners in the last 6 months. Does not use condoms. It is unsure how she contracted HBV.It is important to note that Laura’s labs HbsAb (hepatitis B antibody) is positive, HbcAb (hepatitis B core antibody)is positive, which indicates that Laura previously had hepatitis and is now better or recovering, therefore a negative HBsAg (hepatitis B surface antigen) shows that she does not have the infection which indicates immunity to
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