I Human Case Carson Meyer.

Patient Information: CM, 13 yo Male, Caucasian CC: Testicular pain HPI: Patient is a Caucasian 13 y/o old male who present to the clinic with acute and sudden onset of left testicular and left groin pain started 2 hours ago s/p playing basketball and doing “lay-ups”. Pt reports constant pain of 9/10 in left scrotum reported as feeling like being “punched”. Nothing makes the left scrotum pain better or worse and no medications for pain have been attempted. Left groin pain reports as superficial/deep pain 9/10 that is getting worse. No direct impact or trauma to left groin reported. Associated symptoms include nausea with one episode of vomiting since the pain began. Nothing makes the N and V better or worse. Formal operational stage: patient’s uses symbols to relate to abstract concepts and able to make hypothesis and grasp abstract concepts and relationships. Current Medications: None Allergies: NKDA PMH: No History of major childhood illnesses. Has had regular checkups with pediatrician Tympanostomy tubes as a young child No hospitalizations, surgeries, ER visits, or specialist provider visits since last well visit. Immunizations up to date for age. FMH: Father: age 49; hypertension Mother: age 48; no medical problems Siblings: sister age 9; healthy Spouse/offspring: N/A SH: Marital status/personal support system: dependent adolescent Housing: lives in a single-family home with sister and both parents Occupation: middle-school student Substance use (tobacco, alcohol, other substances): none Pertinent sexual history: not sexually active History Questions for HPI, PMH, ROS... Ask Child: How can I help you today This study source was downloaded by from CourseH on 02-14-2023 13:50:36 GMT -06:00 Ask Child: What are the events surrounding the start of your testicular pain? Ask Child: Does your testicular pain radiates anywhere else? Where? Ask Child: How severe (1 to 10 scale) is your testicular pain? Ask Child: What does the testicular pain feel like? Ask Child: When did your testicular pain start? Ask Child: Does your testicular pain vary with changes in position? Ask Child: Does your testicular pain come on go? Ask Child: Does anything makes your testicular pain better or worse? Ask Child: Are you taking any medications for your symptoms? Ask Child: Do you have any pain in your abdomen? Ask Child: Have you been having any fevers? Ask Child: Any changes in frequency of your BM? Ask Child: Any nausea and vomiting? Ask Child: Does anything makes your N and V better or worse? Ask Child: When and what did you last eat? Drink? Ask Child: Do you take any prescription meds? Any OTC/Herbal meds? Ask Child: Allergies? Ask Child: Pain or discomfort when you urinate? Ask Child: Difficulties urinating? Ask Child: Is your urine pink or red? Ask Child: Any pain in your back? This study source was downloaded by from CourseH on 02-14-2023 13:50:36 GMT -06:00 Ask Child: Have you had any significant traumatic injuries or accidents? Ask Child: Trauma to abdomen? Ask Child: Any new medical issues or dx since last visit? Ask Child: Are you sexually active? Ask Child: have you ever been dx with a hernia? Ask Child: Any diseases in the family? Ask Child: previous surgical hx?