inhuman Case Study Evita Alonso, 48yrs Old Female
Hispanic
American Female CC: Abdominal Pain 3 DIFFERENT VERSIONS OF
THE ANSWER EXPERT FEEDBACK (SOLUTIONS) NRNP 6531 WEEK
7 IHUMAN WALDEN UNIVERSITY UPDATED 2025
[CONTENTS: OLD-CARTS for the HPI, (PMH, FH, SH as Needed), PHSICAL
EXAM, EXAMS FEEDBACK, CASE FINDINGS, FEEDBACK, DIFFERENTIAL
,RANKING,-DIAGNOSIS,-CASE-PLAN,-List-the-differential-diagnoses-(Must-not-
Miss/Leading/Alternate/Concluding)
]
CC:-48-y/o-F HPI:-pertinent-s/s;-+/--ROS/prior-episodes/recent-travel/ill-contacts
Chief- complaint- is- a- short- 1-2- statement- or- word-
phrase-from-patient-and-should-be-listed-in-“quotes” Mrs.-Alonso-is-a-48-year-old-female-patient-who-presented-to-the-clinic-with-a-
progressive,-intermittent-right-upper-quadrant-pain-for-the-past-2-weeks-and
which-has-increased-in-severity-in-the-past-2-days.-The-pain-radiates-to-the-right-
“My-stomach-has-been-hurting-really-bad-over-
shoulder.-She-also-complains-of-associated-symptoms-like-nausea,-vomiting,
the-past-2-seeks”
anorexia-since-the-past-2-days.-She-has-had-previous-recurrent-self-resolving-
symptoms-over-the-last-one-year.-Pain-used-to-be-precipitated-by-fast-food-but-not-
occurs-with-all-foods-and-unresponsive-with-antacids-and-NSAIDS.
Onset:-2-weeks-ago,-with-symptoms-becoming-more-dreadful-2-days-ago
Location:-Right-upper-quadrant-and-occasionally-radiated-to-the-right-shoulder
Duration:-Pain-has-been-constant-since-it-started-this-time;-in-the-past-it-only-
lasted-1-2-days.
Character:-Crampy-gnaw-achiness
Aggravating/alleviating-factors:-Pain-gets-worse-with-meals-and-unresolved-with-
antacids-and-NSAIDs
Related-symptoms:-Nausea.-Vomiting,-anorexia-with-onset-of-symptoms-2-days-
ago.-Denies-any-recent-exposure-to-other-ill-contacts.-She-has-had-similar-
symptoms-previously
Treatments:-Has-tried-OTC-antacids-and-ibuprofen-without-relief
Significance:-Pain-starts-with-a-scale-of-2-3-and-gets-up-to-6-7.-She-reports-pain-
has-kept-her-home-from-work.
PMHx-child/adult- Surh-type/when/why/complications
illness/hospitalizations/immunizations
Tubal-ligation
Negative- for- any- chronic- illnesses.- She- has-
occasional-heartburn-and-arthritis
Frequent-episodes-of-common-colds-and-as-child-
No-hospitalizations,-trauma-or-other-injuries
, Immunizations:-States-her-immunizations-are-
current.-She-had-the-influenza-vaccine-this-
season-and-still-got-the-flu.
Fahm TX
Grandparents-(if-known)/Parents/siblings/children Tobacco/vaping/ETOH/illicit- drug- use/occupational/environmental/relationships
She-reports-that-she-drinks-a-glass-of-wine-with-dinner-most-nights;-She-denies-
Grandparents--states-no-known-history-
any-tobacco-or-recreational-drug-use
Father-is-70-years-old-and-still-alive-and-well-
(70):-heart-disease,-peptic-ulcer-disease
Mother-is-69-years-old-and-alive:-breast-cancer-in-
remission;-cholecystectomy-for-cholelithiasis
Reproductive-Hex Allergies-(Food,-Drug,-Environmental,-etc.)
Female:-Age-of-menarche/menstruation-cycle-
duration/gravida-para-status/Childbirth-hex/sexual-hex- No-known-drug-allergies
and-concerns/LMP/menopause
Breast/cervical-screening-(if-any)
Male:-Sexual-hex-and-concerns/issues-with-fertility-
(if-any)/Testicular- or prostate-screening- List- of Medications/supplements (prescription,- OTC,- complementary-
(if-applicable)-Screening-for-STI’s-(if alternative-therapies)
applicable)
Antacids-as-needed-for-"heartburn"
Pertinent-sexual-history:-Not-sexually-active-and- Ibuprofen-400-mg-three-times-daily-as-needed-for-knee-pain-
denies-any-sexual-concerns Multivitamins
Review-of-Systems:-(ROS)-Use-this-column-to- From-the-ROS:-list/highlight-the-current-symptoms/complaints-to-generate-a-
document-the-ROS-below. list-of-“reported-or-denied”-symptoms-below:
General:-Reports-some-weight-loss,-fever,-night-
sweats,-and-difficulty-sleeping Pertinent-positive-ROS:-Reports-some-weight-loss,-fever,-night-sweats,-and-
HEENT:-Denies-headaches,-changes-in-vision, difficulty-sleeping;-RUQ-abdominal-that-worsens-with-food-and-pain-scale-of-2--
3/10-and-progresses-to-6-7/10,-6/10.-Anorexia,-nausea-and-vomiting-at-onset.
Hispanic
American Female CC: Abdominal Pain 3 DIFFERENT VERSIONS OF
THE ANSWER EXPERT FEEDBACK (SOLUTIONS) NRNP 6531 WEEK
7 IHUMAN WALDEN UNIVERSITY UPDATED 2025
[CONTENTS: OLD-CARTS for the HPI, (PMH, FH, SH as Needed), PHSICAL
EXAM, EXAMS FEEDBACK, CASE FINDINGS, FEEDBACK, DIFFERENTIAL
,RANKING,-DIAGNOSIS,-CASE-PLAN,-List-the-differential-diagnoses-(Must-not-
Miss/Leading/Alternate/Concluding)
]
CC:-48-y/o-F HPI:-pertinent-s/s;-+/--ROS/prior-episodes/recent-travel/ill-contacts
Chief- complaint- is- a- short- 1-2- statement- or- word-
phrase-from-patient-and-should-be-listed-in-“quotes” Mrs.-Alonso-is-a-48-year-old-female-patient-who-presented-to-the-clinic-with-a-
progressive,-intermittent-right-upper-quadrant-pain-for-the-past-2-weeks-and
which-has-increased-in-severity-in-the-past-2-days.-The-pain-radiates-to-the-right-
“My-stomach-has-been-hurting-really-bad-over-
shoulder.-She-also-complains-of-associated-symptoms-like-nausea,-vomiting,
the-past-2-seeks”
anorexia-since-the-past-2-days.-She-has-had-previous-recurrent-self-resolving-
symptoms-over-the-last-one-year.-Pain-used-to-be-precipitated-by-fast-food-but-not-
occurs-with-all-foods-and-unresponsive-with-antacids-and-NSAIDS.
Onset:-2-weeks-ago,-with-symptoms-becoming-more-dreadful-2-days-ago
Location:-Right-upper-quadrant-and-occasionally-radiated-to-the-right-shoulder
Duration:-Pain-has-been-constant-since-it-started-this-time;-in-the-past-it-only-
lasted-1-2-days.
Character:-Crampy-gnaw-achiness
Aggravating/alleviating-factors:-Pain-gets-worse-with-meals-and-unresolved-with-
antacids-and-NSAIDs
Related-symptoms:-Nausea.-Vomiting,-anorexia-with-onset-of-symptoms-2-days-
ago.-Denies-any-recent-exposure-to-other-ill-contacts.-She-has-had-similar-
symptoms-previously
Treatments:-Has-tried-OTC-antacids-and-ibuprofen-without-relief
Significance:-Pain-starts-with-a-scale-of-2-3-and-gets-up-to-6-7.-She-reports-pain-
has-kept-her-home-from-work.
PMHx-child/adult- Surh-type/when/why/complications
illness/hospitalizations/immunizations
Tubal-ligation
Negative- for- any- chronic- illnesses.- She- has-
occasional-heartburn-and-arthritis
Frequent-episodes-of-common-colds-and-as-child-
No-hospitalizations,-trauma-or-other-injuries
, Immunizations:-States-her-immunizations-are-
current.-She-had-the-influenza-vaccine-this-
season-and-still-got-the-flu.
Fahm TX
Grandparents-(if-known)/Parents/siblings/children Tobacco/vaping/ETOH/illicit- drug- use/occupational/environmental/relationships
She-reports-that-she-drinks-a-glass-of-wine-with-dinner-most-nights;-She-denies-
Grandparents--states-no-known-history-
any-tobacco-or-recreational-drug-use
Father-is-70-years-old-and-still-alive-and-well-
(70):-heart-disease,-peptic-ulcer-disease
Mother-is-69-years-old-and-alive:-breast-cancer-in-
remission;-cholecystectomy-for-cholelithiasis
Reproductive-Hex Allergies-(Food,-Drug,-Environmental,-etc.)
Female:-Age-of-menarche/menstruation-cycle-
duration/gravida-para-status/Childbirth-hex/sexual-hex- No-known-drug-allergies
and-concerns/LMP/menopause
Breast/cervical-screening-(if-any)
Male:-Sexual-hex-and-concerns/issues-with-fertility-
(if-any)/Testicular- or prostate-screening- List- of Medications/supplements (prescription,- OTC,- complementary-
(if-applicable)-Screening-for-STI’s-(if alternative-therapies)
applicable)
Antacids-as-needed-for-"heartburn"
Pertinent-sexual-history:-Not-sexually-active-and- Ibuprofen-400-mg-three-times-daily-as-needed-for-knee-pain-
denies-any-sexual-concerns Multivitamins
Review-of-Systems:-(ROS)-Use-this-column-to- From-the-ROS:-list/highlight-the-current-symptoms/complaints-to-generate-a-
document-the-ROS-below. list-of-“reported-or-denied”-symptoms-below:
General:-Reports-some-weight-loss,-fever,-night-
sweats,-and-difficulty-sleeping Pertinent-positive-ROS:-Reports-some-weight-loss,-fever,-night-sweats,-and-
HEENT:-Denies-headaches,-changes-in-vision, difficulty-sleeping;-RUQ-abdominal-that-worsens-with-food-and-pain-scale-of-2--
3/10-and-progresses-to-6-7/10,-6/10.-Anorexia,-nausea-and-vomiting-at-onset.
