Makalah Mkdu Bahasa Inggris
Makalah Mkdu Bahasa Inggris
Makalah Mkdu Bahasa Inggris
Arranged by :
GROUP 4 - A3/2018
FACULTY OF NURSING
UNIVERSITAS AIRLANGGA
SURABAYA
2019
CASE STUDY
HK is an 83 yo woman complaining of pruritic “hives” (small red bumps) one day ago on
trunk and thighs accompanied by nausea and lightheadedness. Her left eyelid also became
swollen. Symptoms occurred at rest and lasted two hours. The swelling of her eyelid lasted
a bit longer than the bumps on her trunk and thighs. Her lightheadedness represented
presyncope. She had many similar episodes in the past six months. During one episode,
she had syncope and was hospitalized. She was diagnosed with orthostatic hypotension.
ROS (Review Of System) : nausea/emesis and dizziness with pruritic rash, some memory
impairment, no fevers, no headache, no palpitations, no chest pain or dyspnea
Physical Examination
BP: 150/68 (not orthostatic)
Cardiac: regular rate in 80s, normal exam
Skin: patch of erythema on back and trunk beneath bra strap, erythema over beltline, red
papules on lower anterior chest, ecchymoses on shoulders and legs. The rash seen on
exam is different than the transient rash that she had one day ago.
Laboratory Findings
normal chemistries and blood counts
Positive ANA, 1:160 (may be unrelated to her main diagnosis)
ESR normal
Social History
Her family believes that she has been under unusual emotional stress and believes that
stress is contributing to her current presentation. She moved from her home to a life care
community six months ago and has been anxious and unhappy. She moved to Baltimore
from Southern California one week ago