Assignment task:
Client presents with intermittent, intense pain in his right flank area, which occasionally radiates to his lower abdomen. He mentions this has been happening periodically over the past week, increasing in frequency and intensity. Client states the pain is 10/10 when it occurs and worsening over the last week, although his pain is only slight discomfort now at 2/10. He notes he has been working long hours and not drinking as much fluid as he should. He also states his diet is high in salt as he does not have time to cook and eats prepared foods often. He has been experiencing an upset stomach from stress and states he has been taking Tums antacids. Client has no past medical history, no allergies, and does not smoke. Client AAOx4, denies vomiting, diarrhea, hematuria, headache, or recent illness or trauma. Client states he does feel nauseous when the pain comes. Lungs clear to auscultation bilaterally. CVA tenderness noted upon palpation. No evidence of enlarged lymph nodes. Cardiac auscultation demonstrates normal sinus rhythm with no rubs, murmurs, or gallops. Abdomen soft, nontender, nondistended with bowel sounds auscultated in all four quadrants. Neuromuscular system intact in all four extremities, no edema, full ROM. Client sent for labs this morning prior to visit. In-office point of care urinalysis shows trace hematuria, pH 6.0, specific gravity 1.025, no leukocytes or nitrates. ?
Which indicators from Deion's health record suggest that the suspected renal calculi may be calcium-based? Select all that apply. Need Assignment Help?
- Costovertebral angle (CVA) tenderness on exam
- Hematuria in the urinalysis
- High dietary sodium intake
- The use of calcium-based antacids like Tums
- High serum calcium lab result