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Case Study #5 Krista Hampton NURS 5308

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Case Study #5 Krista Hampton NURS 5308

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Case: Krista Hampton
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: 25 y/o F HPI: Ms. Hampton is a 25 y/o female presenting with an itchy and tender

“I have this ugly looking rash on my upper thighs” rash bilaterally on her inner thighs, and her left inner forearm. 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

and a new drink, as well as spending time in the hot tub with her boyfriend.

She reports that her boyfriend does not have similar symptoms, and that she

has not tried any treatments for the rash.

PMHx: SurgHx

Child: “usual coughs and tummy ache nothing
Medical: None
remarkable.”
Surgical: None
Adult Illness: Denies
Obstetric: None

Hospitalizations: None

,Case: Krista Hampton
FamHx SHx

Maternal grandfather died of CVD at age 81.

Grandmother (age 88) has prior heart attack, stent
Tobacco: Denies
and HTN.
ETOH: Socially
Mother alive and well.
Illicit Drugs: Denies
Father alive and well, treated for HTN.
Occupation: English teacher for 7th and 8th grade
Brothers - 35 and 32 both alive and well.

Sister - 21 alive and well.

, Case: Krista Hampton



Relationship: Sexually active heterosexual female in a

monogamous relationship

Diet: Normal American Diet

Reproductive Hx Allergies

Age of menarche: “doesn’t remember.” Ceclor (Cefaclor) second generation cephalosporin – Patient developed hives

Menstruation cycle duration: “seems fine to me,” as child when taking this antibiotic for otitis media

regular periods

Sexual hx and concerns: Denies concerns List of Current Medications/supplements: Birth control

LMP: unknown pill Supplements: None

Breast screening: Conducts self-breast exams

Last Pap Smear: 1 year ago, with no signs of

abnormalities

Gravida para status/Childbirth hx:

Nulliparous

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