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Case Study This is the documentation from the record of a patient admitted to the hospital. Chief Complaint: Extremity pain. HPI: The patient is a 39-year-old African-American male who has a known history of sickle cell anemia. He was admitted to the hospital with diffuse extremity pains with minor complaints of pain along the right inguinal area. They started on Friday, became a little bit better on Saturday, then improved, and started again in the past 24 hours. He denies any problems with cough or sputum or production. He denies any problems with fever. Past Medical History:See recent medical records in charts. He does have a new onset of diabetes, probably related to his hemochromatosis. He does have evidence of iron overload with high ferritins. Review of Systems: : Otherwise unremarkable except for those related to his pain. He denies any problems with fever or night sweats. No cough or sputum production. Denies any changes in gastrointestinal or genitourinary habits. No blood from the rectum or urine. Physical Examination: This is a 39-year-old, African-American male who is conscious and cooperative. He is oriented 3 3 and appears in no acute distress. Vital signs are stable. HEENT is remarkable for icterus
SCIENCE
HEALTH SCIENCE
NURSING

 
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