Need help with this 1.Indicate key symptoms
Need help with this 1.Indicate key symptoms (Sx) you have identified from the history. Start with the patient’s reason(s) for the encounter and add additional symptoms obtained from further questioning. 2.Characterize the attributes of each symptom using”OLDCARTS”. Capture the details in the appropriate column and row. 3.Review your findings and consider possible diagnoses that may correlate with these symptoms. (Remember to consider the patient’s age and risk factors.) Use your ideas to help guide your physical examination in the next section of the case. HPI SX SX SX SX SX SX ONSET Location Duration Characteristics Aggravating Relieving Timing/Treatment Severity 53 year old postmenopausal female with c/c of severe sudden lower back pain x 3 days, pain radiates to right lower extremity thigh and toes with numbness, positive abnormal straight leg raise, patellar hyperreflexia, right upper quadrant pain with associated hepatomegaly PMH of HTN, left breast cancer five years ago, treated with mastectomy, chemotherapy and radiation treatments, Positive PPD skin test states negative CXR, 20 pound unintentional weight loss in 6 months, night sweats with chronic fatigue, steroid use for asthma periodically. SCIENCE
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