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`FEEDB
ACK,`CASE`FINDINGS,`FEEDBACK,`DIFFERENTIAL
,RANKING,`DIAGNOSIS,`CASE`PLAN,`List`the`differential`diagnoses`(Must`not`Mis
s/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`lis Mrs.`Alonso`is`a`48-year-
ted`in`“quotes” 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`sho
“My`stomach`has`been`hurting`really`bad`over`
ulder.`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`laste
d`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`sympt
oms`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`illness/hospitalizations/immunizatio Surh`type/when/why/complications
ns
Tubal`ligation
Negative` for` any` chronic` illnesses.` She` has`o
ccasional`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`se
ason`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`any
Grandparents-
`tobacco`or`recreational`drug`use
`states`no`known`history`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;`cholecys
tectomy`for`cholelithiasis
Reproductive`Hex Allergies`(Food,`Drug,`Environmental,`etc.)
Female:`Age`of`menarche/menstruation`cycle`duration/
gravida`para`status/Childbirth`hex/sexual`hex`and`conce No`known`drug`allergies
rns/LMP/menopause
Breast/cervical`screening`(if`any)
Male:`Sexual`hex`and`concerns/issues`with`fertility`(if
`any)/Testicular` or List` of Medications/supplements
prostate`screening` (prescription,` OTC,` complementary`alternative`therapies)
(if`applicable)`Screening`for`STI’s`(if
applicable) Antacids`as`needed`for`"heartburn"
Ibuprofen`400`mg`three`times`daily`as`needed`for`knee`pain`Multivitamin
Pertinent`sexual`history:`Not`sexually`active`and`d s
enies`any`sexual`concerns
Review`of`Systems:`(ROS)`Use`this`column`to`d From`the`ROS:`list/highlight`the`current`symptoms/complaints`to`generate`a`li
ocument`the`ROS`below. st`of`“reported`or`denied”`symptoms`below:
General:`Reports`some`weight`loss,`fever,`night`s
weats,`and`difficulty`sleeping Pertinent`positive`ROS:`Reports`some`weight`loss,`fever,`night`sweats,`and`diffic
HEENT:`Denies`headaches,`changes`in`vision, ulty`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`FEEDB
ACK,`CASE`FINDINGS,`FEEDBACK,`DIFFERENTIAL
,RANKING,`DIAGNOSIS,`CASE`PLAN,`List`the`differential`diagnoses`(Must`not`Mis
s/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`lis Mrs.`Alonso`is`a`48-year-
ted`in`“quotes” 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`sho
“My`stomach`has`been`hurting`really`bad`over`
ulder.`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`laste
d`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`sympt
oms`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`illness/hospitalizations/immunizatio Surh`type/when/why/complications
ns
Tubal`ligation
Negative` for` any` chronic` illnesses.` She` has`o
ccasional`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`se
ason`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`any
Grandparents-
`tobacco`or`recreational`drug`use
`states`no`known`history`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;`cholecys
tectomy`for`cholelithiasis
Reproductive`Hex Allergies`(Food,`Drug,`Environmental,`etc.)
Female:`Age`of`menarche/menstruation`cycle`duration/
gravida`para`status/Childbirth`hex/sexual`hex`and`conce No`known`drug`allergies
rns/LMP/menopause
Breast/cervical`screening`(if`any)
Male:`Sexual`hex`and`concerns/issues`with`fertility`(if
`any)/Testicular` or List` of Medications/supplements
prostate`screening` (prescription,` OTC,` complementary`alternative`therapies)
(if`applicable)`Screening`for`STI’s`(if
applicable) Antacids`as`needed`for`"heartburn"
Ibuprofen`400`mg`three`times`daily`as`needed`for`knee`pain`Multivitamin
Pertinent`sexual`history:`Not`sexually`active`and`d s
enies`any`sexual`concerns
Review`of`Systems:`(ROS)`Use`this`column`to`d From`the`ROS:`list/highlight`the`current`symptoms/complaints`to`generate`a`li
ocument`the`ROS`below. st`of`“reported`or`denied”`symptoms`below:
General:`Reports`some`weight`loss,`fever,`night`s
weats,`and`difficulty`sleeping Pertinent`positive`ROS:`Reports`some`weight`loss,`fever,`night`sweats,`and`diffic
HEENT:`Denies`headaches,`changes`in`vision, ulty`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.
