Assessment 2: Case Study Analysis
Students are to select one ofthe provided case studies
Case Study 2
Dorothy Bowman is a 39 year old
female, single mother of a four year boy. She has presented to the Emergency Department this morning via ambulance after being awake all
night with abdominal pain, nausea and vomiting. The pain started suddenly last night at about 2100, her last oral intake was take-away fish
and chips at approximately 1930. The pain is constant and is mainly in her right upper quadrant (RUO); she is also complaining of
intermittent pain in her shoulders, she grades her pain as an eight out often.
night with abdominal pain, nausea and vomiting. The pain started suddenly last night at about 2100, her last oral intake was take-away fish
and chips at approximately 1930. The pain is constant and is mainly in her right upper quadrant (RUO); she is also complaining of
intermittent pain in her shoulders, she grades her pain as an eight out often.
Past Surgical History: Recent surgery noted- Total
hysterectomy with bilateral salpingoopherectomy under general anaesthesia (TAH+BSO) 5/S2, complicated by intra-abdominal abscess. Discharged
4/S2 ago under GP care and oral antibiotics.
4/S2 ago under GP care and oral antibiotics.
Past Medical History includes painful and heavy periods, fatigue and anaemia and depression.
Regular medications: Sertraline (Zoloft) 1oomg daily.
Dorothy works three days a week as a bank teller in a local shopping centre. Her
Italian mother lives nearby and assists with childcare, however; this is sometimes difficult due to limited English and no drivers’
licence.
Dorothy weighs approximately 85kg. Height 159 cms
The emergency team have ordered intravenous therapy Normal Saline over5 hours
(1000/6) and have written her up for: Morphine S/C 5-7.5mg 2 hrly PRN and Ondansetron 4mg IV. Full Blood workup has been sent including
septic screen. Referral has been made to the surgical team -please keep fasted until then. Abdominal Ultrasound has been booked.
Provisional diagnosis-Cholecystitis.
septic screen. Referral has been made to the surgical team -please keep fasted until then. Abdominal Ultrasound has been booked.
Provisional diagnosis-Cholecystitis.
Dorothy’s mother and son are currently waiting in the visitor’s room
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