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support@onlinenursepapers.com Diana Wiseman iHuman Problem Description
Ms. Wiseman is a 34-year-old woman who has been living with type 1 diabetes mellitus for some time. She has presented to the healthcare facility with a series of distressing symptoms. These symptoms include dysuria, which is characterized by painful urination, as well as increased frequency and urgency of urination. She has noticed that her urine has become unusually dark in color, which is concerning. Additionally, she reports experiencing right flank pain, a discomfort that is located on the right side of her lower back or abdomen.
Beyond these urinary symptoms, Ms. Wiseman’s health complaints extend further. She mentions a decreased appetite, which has led to reduced food intake, potentially affecting her overall well-being. Furthermore, she describes experiencing new onset chills, which could be indicative of an underlying issue. Another concerning aspect of her presentation is a loss of glycemic control over the past two days. This suggests that her diabetes management has been compromised, leading to fluctuations in her blood sugar levels.
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During the physical examination, Ms. Wiseman’s vital signs reveal a temperature of 101.6°F (38.7°C), which is elevated and indicative of a fever. Her heart rate is measured at 110 beats per minute, reflecting an increased heart rate. Notably, she exhibits orthostatic blood pressure, a phenomenon where her blood pressure drops significantly upon standing, which can be associated with certain medical conditions.
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The physical examination also reveals suprapubic tenderness, indicating localized discomfort in the area just above the pubic bone. Additionally, she demonstrates a positive response to a “punch” test applied to her right flank. This positive result may suggest increased sensitivity or discomfort in this specific region.
Ms. Wiseman’s past medical history includes a diagnosis of type 1 diabetes mellitus, a condition that requires careful management to control blood sugar levels. She also has a history of renal calculi, which are kidney stones, a condition that can cause considerable discomfort and complications.
Regarding her personal life, Ms. Wiseman reports having a new sexual partner within the last three months. She acknowledges intermittent condom use during sexual activity but denies any menstrual irregularities.
Given this comprehensive overview of her symptoms and medical history, it is imperative to conduct further assessments and diagnostic tests to determine the underlying cause of her symptoms and develop an appropriate treatment plan to address her health concerns.
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