Henry is a 60 year-old, white college man who woke due to intense and worsening pain in...

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Medical Sciences

  1. Henry is a 60year-old, white college man who woke due to intense and worseningpain in his right flank this morning. He came to your emergencyroom in a state of distress, with diaphoresis (sweating) and pallor(pale appearance). He was unable to sit still or become comfortablein the ER cot, groaning and stating that he was nauseated. His pastmedical history includes diabetes, gout, and controlledhypertension. He takes medications for his diabetes, gout, andhypertension; he reports no difficulties in affording hismedications and does not have difficulties in taking them asprescribed. His vital signs are as follows: temperature mildlyelevated at 99.5℉, BP mildly elevated at 138/85, heart rateincreased at 110, Respiratory rate normal at 20. His height is5’9”, and his weight is 205 pounds; his BMI is 30.3

    • What two main diagnoses do yoususpect for Henry? Provide supporting evidence using his clinicalmanifestations.
    • What risk factors does Henry havefor the diagnoses you have chosen? List two risk factors for eachdiagnosis, and briefly explain how that increases an individual’srisk for that disease.
    • What tests do you suspect will beordered to confirm Henry’s diagnosis, and what value do they add toconfirming or excluding your chosen diagnoses? Include at leastthree tests.

Answer & Explanation Solved by verified expert
4.2 Ratings (707 Votes)
The 2 main diagnosis based on patient symptoms are 1 renal calculi renal calculi is the formation of stone in kidney The stones are usually composed of calcium uric acid or oxalate Symptoms like flank pain high temperature995F and nausea indicates presence of renal calculi 2 Pyelonephritis it is the bacterial infection of kidney This results in pain over the side of kidney involved fever due to infection and nausea Acute flank pain on    See Answer
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