Case Study of 89-year-old Male patient
An 89-year-old Male patient with a medical history of Hypertension, Diabetes Mellitus 2, and Hyperlipidemia presented to your clinic with c/o of “dyspnea on exertion†x 1 month. He reports noticing black tarry stools, but he thought the stools were due to his diet and he did not pay much attention. He became worried when he noticed that he was getting more tired with little or no activity.
In Clinical practice, there might be times that you will need to discuss cases with your peers/colleagues to generate feedback and maximize optimal treatment plans for your patient. In light of this, post the answers to this discussion post on the discussion board, while responding to at least two of your peers.
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Questions
As the Primary care NP seeing this patient, what other questions would you ask to elicit a good history and narrow down your differentials?
What other differentials would you consider with this patient?
What diagnostic imaging or laboratory tests would you consider with this patient? State reasons and cite references from your textbook.
What medications would you treat this patient with and state the reason for your choice of medications with reference? Also write out the prescription with the appropriate dosage, timing, and a number of days you are prescribing the medication for?
What patient education or referral would you consider for this patient?