Assignment Details
For this assignment you will be given a case study about a young lady named Sarah Smith. Review the information provided and answer the questions following. Be sure to cite your references. Look at Sarah as if she is a patient in your office seeking care. What are your immediate concerns? What needs to be done for her? Be thorough and succinct in your responses.
Case Study:
Sarah Smith is a 28 y/o African American female who presents to the office with c/o wound to her left foot for the past few days. States she had tripped and fell while barefoot scraping the top of her foot on the pavement. She denies any other injury from the incident. Over the past 24 hours the wound has had “smelly” drainage. Has been experiencing generalized achiness, but denies fever and chills. Did not seek medical attention at the time of injury. Has been using hydrogen peroxide to clean her wound. Is unclear of her last tetanus vaccination. Patient PMHx significant for DM II. States that she takes her medications when she remembers, and does not always check her blood sugar.
PMHx:
Asthma: no hospitalizations for exacerbation.
DM II
PSHx:
Denies
SHx:
Former tobacco user: ceased smoking 2 years ago. Had smoked 1ppd x 5 years
ETOH: socially
Illicit drugs: denies
FHx:
Significant for paternal DM, otherwise unremarkable
Medications:
Metformin: 500mg BID po – did not take the last few days
Albuterol MDI: 2 puffs every 6 hours prn – last use just PTA
Singulair: 10mg po daily
Trinessa: 1 tab po daily – last taken this am
Allergies:
PCN: hives
LNMP: 2 weeks ago.
G0p0
ROS:
General: denies any weight changes, fatigue or fever; + body aches
Skin: denies any rashes; + wound to left foot
HEENT: denies headache, head injury, dizziness, lightheadedness;
            Denies any vision changes
            Denies any hearing changes, tinnitus, vertigo, earache
            Denies any nasal congestion, discharge, nose bleeds or sinus tenderness
            Denies any sore throat, difficulty swallowing
Neck: denies any swollen glands, pain
Breasts: denies any pain, discharge
Respiratory: denies any dyspnea; positive cough and wheezing
CV: denies any chest pain, edema
GI: denies any nausea/vomiting/diarrhea/constipation; denies bloody stools
PV: denies claudication, swelling to LE
GU: denies frequency, urgency, burning;
            Denies vaginal discharge, itching, sores
            Denies penile discharge, itching or sores
MS: positive pain to left foot
Psych: denies nervousness, depression
Neuro: denies Headache, dizziness, vertigo, syncope, weakness; + numbness to right LE
Heme: denies any easy bruising
Physical Exam:
Vital signs: 100.5 (tympanic), 162/88, 118, 22, O2 sat 95% on RA
                        Height: 5’5”    Weight: 250 lbs.
            Blood glucose: 230 (Fasting; states has not eaten yet today)
patient awake, alert, oriented x 4 in NAD
Skin: warm, dry, color WNL. 4 cm lesion noted to anterior left foot with crusting and purulent drng; + surrounding erythema extending up 7 cm proximally
HEENT: head nontraumatic, normocephalic
Pupils PERRLA, EOMs intact; disc margins sharp, without hemorrhages, exudates; no AV nicking noted
Ears: bilateral TM with good cone of light and intact
Nose: mucosa pink, septum midline; no sinus tenderness appreciated
Mouth: mucosa pink, moist; tongue midline; tonsils 1+ without exudate
Neck: supple; trachea midline; no LAD
Resp: regular and unlabored; lungs with end expiratory wheezing throughout
CV: RRR, S1 and S2 noted; no s3, s4 or murmur appreciated
Abdomen: soft, non-distended; Bs + x 4; no tenderness with palpation; no CVA tenderness with percussion
Genitalia: deferred
Rectal: deferred
Extremities: warm and without edema; calves supple, non-tender
PV: no LE edema
MS: + swelling to left foot; + tenderness of 2-4th left metatarsals; + left pedal pulse; CMS intact; Cap refill ORDER NOW

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