ma 210

Spring 1 / 2020

Professor: Dr. Sameh Kelada

CHIEF COMPLAINT: Pain around umbilicus for 4 hours with fever.

PROVOCATION- Pain that worsens if she coughs.

QUALITY- Dull pain

REGION- Started around umbilicus, then moved to right lower quadrant

RELIEF- The pain is slightly relieved during rest and by analgesics.

RADIATION- There is no radiation

SEVERITY- Severe, 8 out of 10 in scale 1-10.

TIME- Started at 5 A.M. in the morning.

PAST MEDICAL HISTORY- History of colitis due high fiber diets in 2015,

Diverticulitis 2016,

History of abdominal surgery in 2014

Diabetes Mellitus, hypertension and coronary artery disease

MEDICATION

MEDICATION APPLICATION TO DISEASE

Ciprofloxacin, Metronidazole, Morphine

CORRECT DOSAGES

Ciprofloxacin 400 mg IV q12h plus

Metronidazole 500 mg IV q8h for 7-14 day

Morphine -IV (opioid-naïve patients): 2.5-5 mg q3-4hr PRN, infused over 4- 5minutes; dose range, 4-10 mg

OTHER MEDICATIONS ASSOCIATEDW WITH PMH PROPER DOSAGES

Lisinopril 10 mg once per day.

Simvastatin 20 mg once per day.

ALLERGIES

MEDICATION ALLERGIES: Penicillin, and sulpha.

ENVIRONMENTAL ALLERGIES: Dust.

FOOD ALLERGIES: Peanut.