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Ken Fowler iHuman Problem Statement
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Ken Fowler iHuman Problem Statement
Mr. Fowler is a 70-year-old male who is sent to the ED by his primary care physician for further evaluation of a creatinine of 3.2 mg/dL following a three-day history of nausea and vomiting now with dry heaves, poor oral intake, fatigue, decreased urine volume and orthostatic hypotension (108/60) and tachycardia (98 bpm). PH is significant for lifting a heavy object resulting in low back pain 1 week prior. He self-medicated with NSAIDS (Naproxen BID). His medications include lisinopril, metoprolol, and HCTZ. His PMH is also significant for mild chronic renal disease with a creatinine (one month ago) of 1.1 with 400 mg albuminuria. Physical exam is notable for dry mucous membranes, mild periumbilical tenderness and lack of CVA tenderness or bladder distention.
Mr. Fowler is a 70-year-old male who is sent to the ED by his primary care physician for further evaluation of a creatinine of 3.2 mg/dL following a three-day history of nausea and vomiting now with dry heaves, poor oral intake, fatigue, decreased urine volume and orthostatic hypotension (108/60) and tachycardia (98 bpm). PH is significant for lifting a heavy object resulting in low back pain 1 week prior. He self-medicated with NSAIDS (Naproxen BID). His medications include lisinopril, metoprolol, and HCTZ. His PMH is also significant for mild chronic renal disease with a creatinine (one month ago) of 1.1 with 400 mg albuminuria. Physical exam is notable for dry mucous membranes, mild periumbilical tenderness and lack of CVA tenderness or bladder distention Ken Fowler iHuman Problem Statement .
Ken Fowler iHuman Problem Statement
Mr. Fowler is a 70-year-old man who is taken to the emergency department (ED) by his main doctor for further assessment. His creatinine level is 3.2 mg/dL after experiencing three days of nausea and vomiting, now with dry heaves, difficulty eating, feeling tired, reduced urine output, and experiencing low blood pressure (108/60) and a fast heart rate (98 bpm) when he stands up. He mentioned that he strained his back lifting a heavy object a week ago, resulting in lower back pain. He managed the pain himself using NSAIDs (Naproxen twice a day). His regular medications include lisinopril, metoprolol, and HCTZ. His past medical history is also notable for mild chronic kidney disease, with a creatinine level of 1.1 and 400 mg of albuminuria one month ago. During the physical examination, his mucous membranes are dry, he has slight tenderness around the belly button, and there’s no tenderness in the sides of his back or any signs of a full bladder.
Ken Fowler iHuman Problem Statement
Ken Fowler iHuman Dialogue Interview Questions
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