NSG 3370 WEEK 4 ASSIGNMENT 1
S-subjective data
CC- “rectal bleeding with pain/soreness to rectum area when wiping with tissue”
HPI:
Onset: “unsure”
Location: “observed blood on tissue during wiping”
Duration: Intermittent
Characteristics: “bright red”
Aggravating factors: �...
nsg 3370 week 4 assignment 1 s subjective data cc “rectal bleeding with painsoreness to rectum area when wiping with tissue” hpi onset “unsure” location “observed blo
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NSG 3370 WEEK 4 ASSIGNMENT 1
S-subjective data
CC- “rectal bleeding with pain/soreness to rectum area when wiping with tissue”
HPI:
Onset: “unsure”
Location: “observed blood on tissue during wiping”
Duration: Intermittent
Characteristics: “bright red”
Aggravating factors: “during straining to have a bowel movement; and at times when I
have constant bowel movements during the day”
Relieving factors: N/A
Treatment: N/A
Severity: “unsure, non-noted”
PMHx: Allergies: NKA.
Current medications: Lisinopril 10 mg daily and Prilosec 40 mg daily.
Medical history: HTN, GERD, Gallbladder disease, and Diverticulosis.
Surgeries: Cholecystectomy.
Hospitalization: None.
Immunizations: received all childhood immunizations, recently received Flu vaccine (October
20016), and unsure of last Tetanus.
Soc Hx: Marital status: Married for 3 ½ years with his wife.
Living arrangements: lives with spouse and son.
Occupation: Commercial manager for local auto parts store.
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