1) Case: GI Case Study: Chief complaint: I have recurrent H. Pyl
1) Case: GI Case Study: Chief complaint: I have recurrent H. Pylori infection?. HPI:M.C. a 46-year-old Hispanic female presents to the GI clinic for complaint of recurrent H. Pylori infection. She was treated about 2 ½ months ago with H. Pylori triple therapy and failed treatment. She has PMH of dyspepsia, and GERD. She also indicates that she has noticed that her symptoms of dyspepsia are worsening for past 2 months. She has associated her symptoms with nausea, upset stomach with all foods. Denies associated symptoms of hematochezia, melena, hemoptysis, abdominal pain, fever, chills, pain or any other symptoms. PMH: H. Pylori infection gastritis Diabetes Mellitus, type 2 Surgeries: None Allergies: NKDA Vaccination History: Up-to-date Social history: High school graduate, married and no children. He frequently eats out in restaurants. He drinks one 4-ounce glass of red wine daily. He is a former smoker that stopped 3 years ago. Family history: Both parents are alive. Father has history of DM type 2, Tinea Pedis. Mother alive and has history of atopic dermatitis, tinea corporis and tinea pedis. ROS: Constitutional: Negative for fever. Negative for chills. Respiratory: No Shortness of breath. No Orthopnea. Cardiovascular: No edema. No palpitations. Gastrointestinal: No vomiting. +Dyspepsia. + Nausea. No constipation. No melena. No abdominal pain. Physical examination: Vital Signs Height: 5 feet 5 inches Weight: 140 pounds BMI: 31 obesity, BP 110/70 T 98.0 po P 80 R 22, non-labored ABDOMEN: No abdominal distention. Nontender. Bowel sounds + x 4 quadrants. No organomegaly. Normal contour; No palpable masses. Labs day of visit:: Hgb 15.2, Hct 40%, K+ 4.0, Na+137, Serum Creatinine normal 1.0, AST/ALT normal. TSH 3.7 normal, glucose 98 normal Assessment: Primary Diagnosis: Recurrent H. Pylori infection gastritis Secondary Diagnoses: Dyspepsia Differential Diagnosis: Peptic Ulcer Disease Previous medication plan: two months ago and failed. Clarithromycin 500 mg po BID for 2 weeks Omeprazole 40 mg po BID for 2 weeks and then po daily. Cipro 500 mg po BID for 2 weeks Plan: Tests Pt had EGD done 2 weeks ago that showed H. Pylori positive gastritis in biopsy results. Urea breath test 8 weeks after treatment with H. Pylori medications. Pt needs to stop PPIs 2 weeks prior to Urea Breath test. Labs:No new labs are needed. Referrals: may refer based on effect of medication therapy given for 2 weeks. Follow up: return to office in 8 weeks to reevaluate symptoms. Questions: 1) determine the medications and treatment for recurrent H. Pylori infection. 2) discuss new therapy guidelines for H. Pylori treatment 3) determine patient education in this case. Get professional assignment help cheaply Are you busy and do not have time to handle your assignment? Are you scared that your paper will not make the grade? Do you have responsibilities that may hinder you from turning in your assignment on time? Are you tired and can barely handle your assignment? Are your grades inconsistent? Whichever your reason may is, it is valid! You can get professional academic help from our service at affordable rates. We have a team of professional academic writers who can handle all your assignments. Our essay writers are graduates with diplomas, bachelor, masters, Ph.D., and doctorate degrees in various subjects. The minimum requirement to be an essay writer with our essay writing service is to have a college diploma. When assigning your order, we match the paper subject with the area of specialization of the writer. Why choose our academic writing service? Plagiarism free papers Timely delivery Any deadline Skilled, Experienced Native English Writers Subject-relevant academic writer Adherence to paper instructions Ability to tackle bulk assignments Reasonable prices 24/7 Customer Support Get superb grades consistently.**********minimum 1 full pages ( not words)**************************** (cover or reference page not included) 2)¨**********APA norms (All paragraphs must be narrative and cited in the text- each paragraphs) 3)********** It will be verified by Turnitin and SafeAssign 4) References not older than 5 years 5) Each answer must be identified according to the question number. Check the list of questions. Your answer should start objectively answering the question Question: 1)???? 2)???? 3)???? Answer: 1)???? 2)???? 3)???? ________________________________________________________________
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