Mr. Brown is a 65 year old African American male who presents to the clinic for a physical exam. He has not seen a provider in over 10 years and is here at the insistence of his wife. Lately he has been experiencing more heartburn after I eat but nothing that I cant live with. Mr. Brown reports taking over the counter Pepcid about 2-3 times a week with some relief. Other than the reflux type symptoms, he denies any other medical issues. He just needed to get a checkup. Allergies: Strawberries, NKDA Current medications: Pepcid OTC as needed PMH: GERD, PSH: Tonsillectomy, appendectomy Social: Tobacco: 1 PPD, Alcohol: 2-3 drinks every 3-4 days, Denies illegal drug use. He works fulltime at Lowes, does report some heavy lifting. He is married with 2 grown sons and 5 grandchildren. In a monogamous relationship. He is active, coaching little league football. Immunizations: unsure Family: Father: died at 72 of MI, Mother: died at 60 of breast cancer ROS: Constitional: HEENT: Denies any headache, nasal congestion, ear pain Cardiovascular: Denies chest pain Respiratory: Denies any SOB, DOE, orthnopenia GI: Reports some burning pain at times, feels like heartburn. GU: Denies any painful urination, urgency, hesitancy Musculoskeletal: Reports some knee pain with bending, walking long distances. Denies any swelling or redness Neurological: Denies Psychiatric: Denies suidicial ideations, depression. Does report difficulty falling asleep Endocrine: Reports he has lost about 10 pounds over the last few months. Hematologic/ Lymphatic: Denies any bruising OBJECTIVE: Vital signs: Ht: 70, Wt: 265, BP 178/94, HR 92, Resp: 16, SaO2: 95% Constitutional: Well developed, obese male HEENT: Oropharynx pink, moist, no lesions or exudate. Tonsils 1+ bilaterally. Teeth in good repair, no cavities noted. Tongue smooth, pink, no lesions, protrudes in midline. Neck supple. No cervical lymphadenopathy or tenderness noted. Thyroid midline, small and firm without palpable masses Cardiovascular: RRR, No murmurs or rubs noted. No peripheral edema noted Respiratory: Faint expiratory wheezes noted bilaterally, cleared after coughing. GI: Abdomen round, soft, with bowel sounds noted in all four quadrants. No organo-megaly noted. GU: Deferred Musceloskeletal: Crepatus noted bil knees, no warmth or redness noted. Integrementary: Skin warm and dry, No rashes noted Neuro: Follows commands without difficulty Working with your group, utilize the above case study a, develop a Voice Over PowerPoint presentation for your patient covering the problems identified in the case study and content in Unit 3 of Edelman, Kudzama, & Mandle (2018). Include the following: 2-Health Education 3-Complementary and Alternative Strategies
