Appendectomy Case Studies

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Patient Information:
Patrick, 42yrs., M, Caucasian
S.
CC: Pain on the side of the back and stomach that radiates to the groin.
HPI: Patrick is a 42yr old male patient presented to the clinic with c/o pain on the side of his back, that spreading to the stomach and radiates to the groin. He also c/o nausea and using the restroom very often. He feels, he is febrile as he was sweating.
Onset: This morning 5 a.m.
Location/Radiation: Which side of your back hurts? Where is the pain located on the abdomen? Which side of the groin the pain radiates?
Duration: How long has this gone on? Is the pain continuous or comes and goes? Are you nauseous always? Do you have any vomiting?
Characteristics: Do the pain change with any specific activities? What
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No h/o back injuries. Surgical h/o includes, appendectomy at age 10. Hospitalization for broken leg treated with traction at age 8.
Immunization: Up to date

Fam Hx: Parents are diseased, mother died at age 51 from a brain tumor and father died at age 53 from leukemia. He has one brother, he is in good health.
Soc Hx: Patrick is married and has four children. He lives with immediate family and his in-laws. He works in a full time job as a plumber. No regular exercise due to his busy work schedule. Smokes cigarettes a pack a day. Denies ETOH or any illicit drug use. He sleeps 5-6 hours during night.
ROS:
CONSTITUTIONAL: Reports fever and sweating. As far as your energy level, have you noticed any tiredness, weight loss?
HEENT: Do you have any headache? Do you have any pain, drainage or itching in your eyes, ears and nose? Have you noticed any sinus pressure or congestion? Do you have any recent cough or cold? Do you have any blurry vision, photophobia or vision change? Have you noticed any changes in the sense of smell, taste or any hearing loss? Do you have any sore throat? Do you have any difficulty swallowing?
NECK/LYMPHATIC: Do you have any pain on the neck? Have you noticed any swollen lymph nodes in your
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Kidney stones develop when crystal precipitate from the urine and collected within the kidney papillae, ureter and renal pelvis. The most common kind of kidney stone contains calcium oxalate and calcium phosphate. Diagnosis is made based on clinical history, supported by investigations and diagnostic imaging. Signs and symptoms include, pain, mostly severe, renal angle tenderness, hematuria, or digestive symptoms such as nausea, vomiting, or diarrhea. The onset of pain is sudden and usually felt in the sides between the lower ribs and pelvis and the lower part of the back, and radiates to the groin and genitalia (Tseng & Preminger, 2013). Patients with nephrolithiasis will try to move continuously to find a comfortable position (Januchowski et al.,

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