Medical Terminology (Rasmussen University)
, Module 06 Course Project: Full Medical Record
Each question is associated with the medical record provided. Refer to this when answering each
question. Please type your answer in the "Click here to enter text" space.
Patient - Nancy Jackson-Davis
1. I dentify and descri be the fi rst d iagnosis listed u nder the Ch ronic Diagnoses section.
Irritable bowel syndrome with diarrhea-sudden urges to have bowel movements, along with
loose stools, frequent stools, abdominal pain and discomfort, gas, and the feeling of being
unable to completely empty the bowels.
Diaphragmatic hernia without obstruction or gangrene-occurs when one or more of your
abdominal organs move upward into your chest through a defect (opening) in the diaphragm.
Castro-esophageal reflux disease without esophagitis--A digestive disease in which stomach
acid or bile irritates the food pipe lining.
2. Which med ication was prescri bed for Na ncy's d iagnosis of gastroesophagea l refl ux
d isease? She was prescribed Omeprazole.
3. Which a natomica l orga n d id Na ncy have removed i n
1992? Her appendix was removed.
4. Which of Na ncy's relatives experienced a cond ition that could be descri bed as "a prot rusion of
an abdomi na l organ"?
Her maternal Grandmother.
5. Arou nd 1996, Na ncy received a vaccination that will protect which of her d igestive
orga ns? The liver.
6. I n Na ncy's physica l exa mi nation, which two abdomi na l orga ns are explicitly
noted? Click here to enter text.
7. On her Ma rch 6h1 visit, Na ncy received a prescri ption for a new med ication. As noted i n her med
ica l cha rt, what is the med ica l a bbreviation of how ma ny times per day should she ta ke this
med ication ?
b.i.d.-- twice daily.
8. On her April 8 office visit, Na ncy reports a new symptom invol ving blood. Identify the med