Nursing Case Study Essay

Improved Essays
MP is a 26-year old male who presented with complaints of abdominal pain and requested a physical examination. Height: 5’11”. Weight: 280#. BMI: 39.1. Past medical history includes: untreated hypertension; one suicide attempt via self-inflicted gunshot wound; multiple reconstructive surgeries scars to anterior chest, neck, and face. Social history includes: 10 pack-years smoker; remote history of intravenous drug abuse; alcoholism. Family medical history includes: colon cancer and hypertension. Physical examination revealed: obesity; normotensive blood pressure; complaints of increased frequency of heartburn; complaints of chronic diarrhea; abdominal tenderness; non-reducible, left upper abdominal incisional hernia; continuous uncontrollable drooling; physical changes related to gunshot wound. MP denies current suicidal thoughts. …show more content…
MP stated a recent disqualification for disability benefits. He related that the state reviewer said he was “fit for work”.
D1. Labs and Tests
Due to the findings of: smoking, history of intravenous drug use, alcoholism, obesity, heartburn, diarrhea, and abdominal pain, the following baseline laboratory tests are warranted: Complete Blood Count (CBC), Comprehensive Metabolic Panel (CMP), and Erythrocyte Sedimentation Rate (ESR). Collectively, the baseline tests provide information about overall health and nutritional status including, but not limited to: kidney and liver function, blood cell counts, metabolic status, electrolyte balance, and inflammation.
D1a.

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