NURS-60506: GI Case Study A 32 yr old female presented to your office complaining of abdominal pain. She states this pain started yesterday and increased over the course of a couple of hours. It is mostly in the epigastric region and does radiate at times to the RUQ. She states it has been constant since then, Currently rates it at a 7/10. She has never had pain like this before. Denies any vomiting but does complain of nausea. She denies any diarrhea or constipation. Denies any documented fevers but has felt a little chilled this am. Denies any abdominal bloating. She does state she drinks a glass of wine each evening. Denies any tobacco use or street drug use. Current labs WBC 13.2 Hgb 14.0 Hct 38.9 Plt 250 Na 142 K 4.0 BUN 26 CR 1.2 Total bilirubin 2.5 mg/dl AST 289 ALT 302 Alk Phos 358
ed practice nursing men’s health, and by narse practití Hate guidance on’ TOre references to 1. List 3 differential diagnoses for this patient and give the rationale for each one. Use enging the most likely differential for the gallbladder, liver and pancreas-3 diagnoses total. (6 pts) 2. What additional lab tests would you order and why? (5 pts) 3. What further diagnostic tests would you order to confirm your diagnosis and why? (5 pts) 4. What does the AST/ALT ratio indicate for this patient (2 pts) 5. What if your AST/ALT ratio were >1. What would that suggest? (2 pts)
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