Ken Fowler iHuman Problem Statement
Mr. Fowler is a 70-year-old male who is sent to the ED by his primary care physician for further evaluation of a creatinine of 3.2 mg/dL following a three-day history of nausea and vomiting now with dry heaves, poor oral intake, fatigue, decreased urine volume and orthostatic hypotension (108/60) and tachycardia (98 bpm). PH is significant for lifting a heavy object resulting in low back pain 1 week prior. He self-medicated with NSAIDS (Naproxen BID). His medications include lisinopril, metoprolol, and HCTZ. His PMH is also significant for mild chronic renal disease with a creatinine (one month ago) of 1.1 with 400 mg albuminuria. Physical exam is notable for dry mucous membranes, mild periumbilical tenderness and lack of CVA tenderness or bladder distention.
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Mr. Fowler is a 70-year-old male who is sent to the ED by his primary care physician for further evaluation of a creatinine of 3.2 mg/dL following a three-day history of nausea and vomiting now with dry heaves, poor oral intake, fatigue, decreased urine volume and orthostatic hypotension (108/60) and tachycardia (98 bpm). PH is significant for lifting a heavy object resulting in low back pain 1 week prior. He self-medicated with NSAIDS (Naproxen BID). His medications include lisinopril, metoprolol, and HCTZ. His PMH is also significant for mild chronic renal disease with a creatinine (one month ago) of 1.1 with 400 mg albuminuria. Physical exam is notable for dry mucous membranes, mild periumbilical tenderness and lack of CVA tenderness or bladder distention Ken Fowler iHuman Problem Statement .
