IHUMAN Case Study #5 Krista
Hampton NURS 5308
Instructions: Type patient encounter information directly into each box of the template similarly
to your case studies.
CC:2 y/ F HPI:Ms. Hampton is a 25 y/o female presenting with an itchy and
5o tender
“I havthis looking rash
m upper rash bilaterally on her inner thighs, and her left inner forearm.
e ugly on y thighs” The rash
started about 36 hours ago after hiking in Napa with her boyfriend.
She states
she spent time hiking, tried a new sunscreen, tried new foods such as
scallops
an ane drinka welas tim in ho tub he boyfrien
d w , s l spendinge the t with r d.
Sh reportthahe boyfriendoeno havsimilasymptomand that
e s t r d s t e r s, she
ha no tried treatmen fo th ras
s t any ts r e h.
PMHx SurgH
: x
Child:
“usual coughs and tummy ache
MedicalNon
nothing
remarkable : e
.” SurgicalNon
AdulIllnesDenie : e
Obstetri
Non
t s: s
c: e
Hospitalization
Non
s: e
IHUMAN Case Study 5 Krista Hampton
,FamHx SHx
Maternal
grandfather
diedof CVD a ag 81.
t e
Grandmother
(ag 88)haspriorhearattack,
sten
e t t Tobacco:Denies
andHTN.
ETOH: Socially
Motheraliveandwell.
IllicitDrugs:Denies
Fatheraliveandwell,treatefor HTN.
Occupation: for 7th and8th grade
Englishteacher
d
Brothers- 35and32bothaliveandwell.
Sister- 21aliveandwell.
IHUMAN Case Study 5 Krista Hampton NURS 5308 A Grade Latest Questions and Answers All Correct St.
, Relationshi
Sexuallactivheterosexu
femalin
p: y e al e a
monogamo relationshi
us p
DietNorma AmericaDie
: l n t
Reproducti H Allergi
ve x es
Age of menarche: “doesn’t Ceclor (Cefaclor) second generation cephalosporin – Patient
remember.” developed hives
Menstruation cycle “seems fine to a child when thi antibioticotitimedi
duration: me,” s taking s for s a
regulaperiod
r s
Sexuh an concern Denieconcern Lis o CurrenMedications/ Birt contro
al x d s: s s t f t supplements: h l
LMP:unknow pillSupplement
Non
n s: e
Breast Conducts self-breast
screening: exams
Last Pap Smear: 1 with
yearno signs
ago, of
abnormaliti
es
Gravidpar status/ hx
a a Childbirth :
Nulliparou
s
IHUMAN Case Study 5 Krista Hampton
, Revieo System(ROS) Us thi colum From the ROS: list/highlight the current
w f s: e s n symptoms/complaints to
t documeth ROS generat
alis o pertine“reporte
o denied
symptom
o nt e below. e t f nt d r ” s
General: Denies unintentional weight loss or
below
gain, :
chills, fever, and night
sweats
EyesDeniean visio changes
: s y n ,
discharge discomfort
dryness, or
, , itching
ENT:Deniean swelling redness
rhinorrhea,
or
s y , ,
pai
n
Pulmonary: DenieSOBa nighora resorwhe
s t t t t n
lying down, denies cough, wheezing or
difficulty
catchinbreat
g h
CV:Deniepalpitation denieheavfeelinor
s s s y g
IHUMAN Case Study 5 Krista Hampton NURS 5308 A Grade Latest Questions and Answers All Correct St.