Superb Professors

You will perform a history of an abdominal problem that your instructor has provided you or one that you have experienced and perform an assessment of the gastrointestinal system. You will document your subjective and objective findings, note any abnormal findings, and submit this in a Word document to the drop box provided.
Remember to be objective when you document; do not make judgments. For example, if the person has a palpably enlarged liver, do not write “the liver is enlarged probably because they drink too much.” Avoid stating that something is normal but instead state WHY you think it is normal. For example, if you think that the abdomen looks “normal” – which is subjective – then document that the “abdomen is flat, skin color consistent with rest of body, no lesions, scars, bulges, or pulsations noted.”
Gastrointestinal System Assignment
The patient is a 41 year-old male who has a longstanding history of hypertension and diabetes. He presents with a complaint of penal discharge, lethargy, lower extremity edema, nausea and emesis. He denies any other medical illnesses. He is in construction and eats fast food at least 1x per day. He drinks no water- only soda and coffee with cream.
On physical exam the patient is a well-developed, well-nourished male in moderate distress. Blood pressure 180/110, pulse 80, respirations 24 and he was afebrile. Body weight 76.5 kg. +2 pitting edema in ankles. Complaints of pain at 8/10. He takes metformin and aspirin. He is unsure of the doses.
UA shows frank blood and +WBC.
 
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