What medication was prescribed at discharge to prevent a portion of the hydrochloric acid production in the stomach for moderate lasting acid suppression? Transcribed Image

What medication was prescribed at discharge to prevent a portion of the hydrochloric acid production in the stomach for moderate lasting acid suppression? Transcribed Image Text: AutoSave
HINM115CaseStudySU21 (2) – Compatibility Mode – Word
2Search
File
Home
Torres, Amy R
Insert
Draw
Design
Layout
References
Mailings
Review
View

Grammarly
A Shar
Verdana
– A A”
Aa – A
– 11
PFind –
AaBbCcl AABBCC AaBbCc[
Paste
U – ab x
A- 2. A-
三三、 、田、
Replace
Emphasis T Heading 1 T Heading 2
Dictate
Editor
Reuse
Creative
A Select –
Clipboard
Font
Files
Cloud
Gr
Paragraph
Styles
wwwwwww w wwww
Editing
Voice
Editor
Reuse Files
Adobe
Gr
Admitted: 11/1/19
Discharged: 11/12/19
Chief Complaint: This 66 y.o. male was admitted for nausea, vomiting and anorexia of three days duration.
The patient also complained of recent RUQ pain and pyrosis after heavy meals. This is the second hospital
admission for this 66 y.o. male patient with a known history of chronic kidney disease, hypertension,
osteoarthritis, asthma, gastroesophogeal reflux disease, PUD (with prior hemorrhage), and bilateral total
knee replacement. Prior to admission, the patient had been drinking heavily as he had in the past and he
had tremors prior to admission. He sleeps on two pillows and has dyspnea after climbing one flight of stairs.
He denied recent colds, upper respiratory infections, hematemesis or diarrhea. The patient complained of
some urinary frequency and urgency. There was a rash noted on the forearms, which the patient had been
treating with Benadryl cream.
Physical Examination: The patient was in some distress on examination. Examination of the head revealed
pupils and eye movements to be within normal limits. The chest was clear and the heart rate was normal.
The blood pressure was elevated at 200/120. Tem
and respirations were 16. Examination of the abdomen revealed some distention with pain in the RUQ. The
rectal examination revealed an enlarged prostate of two to three times the normal size. Occult blood was
negative. The rest of the exam was within normal limits.
erature was slightly elevated at 100.6. Pulse was 72
Laboratory Studies: Admission blood tests revealed an elevated white blood cell count as well as an
elevated serum bilirubin. Urinalysis showed albuminuria, the presence of bacteria, TNTC white cells and
pus. Sonography and HIDA scan revealed cholelithiasis. PSA was 19.8.
Impression: Cholelithiasis/cholecystitis. Enlarged prostate with elevated PSA, possible BPH, rule out
tumor. Consider EGD due to history of GERD and PUD.
Hospital Course: The patient was diagnosed with cholelithiasis/cholecystitis. The patient underwent
laparoscopic cholecystectomy under general endotracheal anesthesia. Pathology revealed chronic
cholecystitis and cholelithiasis.
Page 1 of 7
D Focus
目 尾
909 words
80°F
P Type here to search
DELL Transcribed Image Text: Torres, Amy R
Insert
Draw
Design
Home
Layout
References
Mailings
Review
View

Grammarly
台Shar
Verdana
11
A A Aa- A E-E-
PFind –
AaBbCcl AaBbCc[ AaBbCcl
Paste
B
U – ab
x, x A
D- A-
信、 -田。
Emphasis T Heading 1 T Heading 2
Replace
Dictate
Editor
Reuse
Creative
> Select
Files
Cloud
Gra
Clipboard l
Font
Paragraph
Styles
Editing
Voice
Editor Reuse Files
Adobe
Gre
The patient tolerated the procedure well. On postop day #2 the patient developed nausea and vomiting,
which was likely due to a postoperative paralytic ileus. The patient was treated conservatively with a
nasogastric tube to low concomitant suction. During the hospitalization, the patient also underwent
transrectal ultrasound of the prostate with biopsy. Operative report revealed that the seminal vesicles were
not dilated and the prostatic capsule was intact. Biopsy results were positive for adenocarcinoma of the
prostate. Patient to be scheduled for TURP on another admission. The patient was treated with IV Levaquin
for UTI. The patient’s ileus resolved and he was discharged on postop day #5 with plans for outpatient
follow-up. The patient’s prognosis is favorable.
Discharge Diagnoses:
Cholelithiasis/Cholecystitis
Paralytic Ileus
Adenocarcinoma of the Prostate/Gleason’s Grade 3
Chronic Kidney Disease
Osteoarthritis
GERD
PUD
Contact Dermatitis
Status Post TKR
UTI
Discharge Medications:
Zofran
Zantac
Levaquin
Tylenol #3
Dulcolax
Flomax
D. Focus
Page 1 of 7
909 words
80 F
O Type here to search
DELL
<や

Need your ASSIGNMENT done? Use our paper writing service to score better and meet your deadline.


Click Here to Make an Order Click Here to Hire a Writer