Jack Baldwin is a 50 years old man who come to the hospital c/o left groin sharp pain that irradiate to the left testicle that started 6 hours ago, he feels nausea and threw up once. he stated he was helping a friend with some moving when the pain started. Standing makes it worse, especially standing up straight and bending over makes it worse, too. I haven’t found anything that makes it better. My scrotum feels achy mostly on the left side.
Physical Exam: HR:130 BP:170/94
skin:Diaphoretic
abdomen: Visible swelling in the left groin with extension into the scrotum, without erythema•Mildly swollen, indurated left groin causing tension to overlying skin•Diffuse left-groin tenderness to palpationgenitourinary: The left groin region is visibly swollen and indurated to palpation. Right side normal.•There is tenderness within the left inguinal canal; right inguinal canal normal;•The scrotum is swollen on left side•The testicles are normal in size and nontender to palpation•Normal penile shaft, without lesions or discharge•No flank tenderness to percussion
Differential diagnosis:
– hernia, inguinal
– epididymitis
– testicular torsion
– nephrolitiasis/ kidney calculi
Final diagnosis:
hernia, inguinal
Scrotal ultrasound reveals the following:
QUESTIONS:
Other active problems:
Hypertension
Medical, surgical, obstetric, hospitalizations:
Kidney stone requiring lithotripsy
Allergies:
None
Medications:
Lisinopril
Preventive Health:
Cancer-screening modalities for gender/age: prostate examRecommend smoking cessation – patient not ready Fitness: encouraging increasing exerciseNutrition: recommending better choices when eats outStress reduction: exercise recommendation
Immunizations:
Up to date
FHx:
Father: Hypertension, CAD, prostate cancerMother: Hypothyroidism, breast cancerSiblings: None
SHx:
Marital status/personal support system: Married x 20 yearsHousing: CondominiumOccupation: AccountantTobacco use: Smokes 1 ppd; Alcohol: 1 to 2 drinks/day; History of: narcotic abuse (Percocet)Sexual history: Monogamous
Show more
The work has not been graded but I like the output that was submitted to me. Is it possible for the same prof to do the next assignment I will be submitting? If possible, I will greatly appreciate it.
Delivering a high-quality product at a reasonable price is not enough anymore.
That’s why we have developed 5 beneficial guarantees that will make your experience with our service enjoyable, easy, and safe.
You have to be 100% sure of the quality of your product to give a money-back guarantee. This describes us perfectly. Make sure that this guarantee is totally transparent.
Read moreEach paper is composed from scratch, according to your instructions. It is then checked by our plagiarism-detection software. There is no gap where plagiarism could squeeze in.
Read moreThanks to our free revisions, there is no way for you to be unsatisfied. We will work on your paper until you are completely happy with the result.
Read moreYour email is safe, as we store it according to international data protection rules. Your bank details are secure, as we use only reliable payment systems.
Read moreBy sending us your money, you buy the service we provide. Check out our terms and conditions if you prefer business talks to be laid out in official language.
Read more