Patient With Sudden Onset of Intermittent Mid-Epigastric Pain
PR is a 35-year-old female who presents with a sudden onset of intermittent mid-epigastric pain that started 4 weeks ago. Pain is 6/10 on the pain scale and described as burning that worsens after she eats Mexican food and when she is lying down. She has never experienced this before. PR reports that she has been taking over the counter (OTC) antacids that seemed to help at first, but now they provide no relief. She reports associated regurgitation and feeling of fullness all the time and this morning she had a sore throat.
Past Medical History
Anaphylactic reaction to penicillin Medications
Occupation: Elementary school teacher (10 years)
Denies illicit drug use
General: Calm, cooperative, in no apparent distress
Eyes: Pupils equal, round, reactive to light
3. What pharmacological, nonpharmacological, and/or nutraceutical therapies should be prescribed for PR?
4. The results from PR’s H. pylori test returned positive. What treatment should be added to her plan of care?
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