IHUMAN New Case Study MABEL JOHNSON 76 Years Old Female CC KNEE PAINlatest

IHUMAN New Case Study MABEL JOHNSON 76 Years Old Female CC KNEE PAIN
Mabel Johnson
A. History (Subjective) (S)
1. Identifying data (ID): Mabel Johnson, a 76-year-old African
American female that resides in an apartment on the second floor.
2. Chief complaint (CC): “I am having pain in my knees and I am
ready to do something about it. That is why they sent me to you.
My knees have been getting worse over the past couple of years.
They hurt when I walk for more than a block and when I climb
stairs. “
3. History of present illness (HPI)
a. Analysis of symptom/complaint:
Ms. Johnson has trouble getting around due the pain in her knees.
Ms. Johnson states, “I have to walk up the stairs to get to it. Thank
goodness I don’t live on the 3rd floor. It’s getting harder and harder
to get up those stairs. My daughter usually has to come help me.”
c. Include significant chronic health disorders that impact on the
current chief complaint.
Ms. Johnson has a past medical history of peptic ulcer disease with
GI bleed from Ibuprofen use, chronic kidney disease, and
hypertension.
4. Allergies: Ms. Johnson denies allergies to medication, food,
pollens and pet dander (environmental).
5. Immunizations: Up to date
6. Past medical history (PMH) –
a. Past medical disorders/illnesses
Hypertension (for the last 20 years)
Chronic Kidney Disease
Peptic Ulcer Disease with GI bleed from Ibuprofen 4 years ago.