SOLVED681

Cristina is a 25-year-old woman who prefers to speak Spanish. She has a history of endometriosis, severe obesity., depression., and irritable bowel syndrome.. She presents today with a 5-day history of left flank pain with radiation to her groin. The pain is colicky and has become more severe over the past 3 days, but she avoided coming to the clinic or emergency department (ED) because she lacks health insurance and is also worried about missing work as a caregiver. She now rates the pain as 10/10. She has no history of this type of pain. Ibuprofen. 400 mg had no effect on the pain after several attempts. Cristina is unsure whether the pain is worse with urination. She denies fever or fatigue. During your focused assessment, Cristina is unsure whether the pain is worse with urination. She denies fever or fatigue. Additional information received: Her bowel habits have been stable, with daily cramping relieved by a soft bowel movement. She denies any new stress, and depression remains well controlled. She has a history of irregular menses, and her last menses was 6 weeks ago. She is sexually active with a male partner and not using any form of family planning.
SCIENCE
HEALTH SCIENCE
NURSING

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