Positive cva tenderness

Paraphrase whole get to be plagiarism free. APA format, masters class in nursing.

What is the CC in this case study?Flank Pain.

This is a 33-year-old female who presents complaining of a worsening right flank pain x 2 days. She also reports a fever of 101, nausea and vomiting. She has a history of three previous UTIs. She is sexually active and referred not using protection. Upon physical examination she shows tachycardia and a positive right CVA tenderness.

What are important questions to ask the patient to formulate the history of present illness and what did the patient tell you?

Consideration of present, past medical history, social and family Hx, and risk factors associated to the chief complain are essential elements to consider when obtaining this patient’s information. Important questions to ask about the pain include:

Where the pain is located?

When did the pain started?

What make the pain better and what makes it worse?

Rate the pain in a scale of 0-10. Where O indicates no pain and 10 indicates the worse pain.

Does the pain radiates or is confined to the same spot?

Do you have other symptoms related to the pain?

Do you feel pain when urinating?

What components of the physical exam are important to review in this case?

In this case study is important to focus on the gastrointestinal, genitourinary/renal, and reproductive systems due to the reports of nausea and vomiting, fever, hx of UTIs, right flank pain, and in presence of a sexually active, multipara, premenopausal woman.

What are pertinent positive and negative physical exam findings to help you formulate your diagnosis?

Positive findings included fever, nausea, vomiting, and right flank pain. Physical examination revealed a temperature of 101, a heart rate of 114, a blood pressure of 120/60, and a positive right CVA tenderness. Abnormal lab findings included a CBC/diff showing leukocytosis with shift to the left, a UA showing pyuria and bacteriuria, and gram negative rods seen on UA microscopy and culture (I-Human, n.d.).

Negative findings included no lower urinary tract symptoms. The blood cultures and UA pregnancy (HCG) testing were negative. The CT of the abdomen and pelvis was negative for evidence of renal obstruction, ectopic gestation, or tuboovarian pathology, and renal/periphrenic abscess (I-Human, n.d.).