differential diagnosis
occult blood, weight loss, change in bowel habits
what symptoms would make colorectal cancer in your differential?
inhale two puffs every four hours as needed for wheezing
How does the patient take her albuterol?
If you have any suicidal thoughts or thoughts of self harm, stop the medication immediately and go to the ER
What is the patient education for Prozac?
diagnostic method of IBS-C
What is diagnosis of exclusion and the rome criteria?
Parathyroidectomy 10 years ago, General Hospital, Dr. Smith.
What is the past surgical history of the patient?
Patient medication that increases constipation
Desonide 0.05% topical ointment
what is the medication used for the patient's psoriasis?
Due to your age and symptoms you are experiencing, it would really be beneficial to complete this procedure. You are put under anesthesia and do not feel a thing before and after the test. This will allow us to have direct visualization of your colon to make sure nothing serious is going on.
What is the patient education for this patient for a colonoscopy?
lead pipe appearance on barium enema
what is a sign of ulcerative colitis?
Penicillin-hives
What is the allergy history of the patient?
skin turgor test positive
what is a sign for dehydration?
suicidal ideation, weight gain, nausea, drowsiness, dizziness, anxiety, trouble sleeping, loss of appetite, tiredness, sweating, or yawning
what are the side effects of Prozac?
This disorder is very serious and I do not note a medication for this disease on your chart. Can I interest you in a referral to a psychiatrist to make sure you are becoming the best version of your whole self.
What is the patient education on Bipolar Disorder?
cobble-stoning on colonoscopy
What is a sign of chron's disease on colonoscopy?
Generalized Anxiety Disorder- diagnosed at age 48
hormonal/endocrine condition that could cause constipation.
what is hypothyroidism
Both of these medications on the patient medication hx have CRUCIAL patient education when prescribed
Prozac and Morphine Sulfate
This medication has a high risk for addiction which is why I am surprised you are on this chronically. Also, this medication also can cause constipation, respiratory depression, etc. I am going to also prescribe you with Narcan because an overdose is very easy to achieve. If you are struggling with addiction there are many resources I could provide you with today.
What is the patient education for morphine sulfate?
apple core lesion
what sign will you see on barium enema for colorectal cancer?
Bright red streaks on the toilet paper
What is the classic sign of hemorrhoids in a constipated patient?
IBS-C, medication side effects, IBD, colorectal cancer
what is the patient's differential?
constipation, respiratory depression, tolerance, addiction
what are the side effects for morphine sulfate?
In the meantime, I want to encourage you to eat more/continue dietary fiber. This includes fruits, vegetables, whole grains, and a fiber supplement that I am adding today to your regimen. I would also recommend intaking 2L of water everyday to help move things along.
what is the patient education for immediately after this visit?
colonoscopy, DRE, barium enema
what is the work-up needed for this patient?
BM frequency before constipation onset, occult blood test, rectal exam, colonoscopy
What are things that would have been good to know that was not provided about the patient?