Exam (elaborations) Doyle SLE
Primary Diagnosis: Systemic Lupus Erythematosus (SLE) - Chronic inflammatory disorder characterized by autoantibody production responsible for antibody-mediated and immune complex deposition tissue damage (Ferri, 2019). A patient can be diagnosed with SLE if that pat...
Doyle SLE
Primary Diagnosis: Systemic Lupus Erythematosus (SLE) - Chronic inflammatory disorder
characterized by autoantibody production responsible for antibody-mediated and immune
complex deposition tissue damage (Ferri, 2019). A patient can be diagnosed with SLE if that
patient fulfills 4 of 11 criteria in the 1997 ACR, have 4 of 17 criteria of the 2012 SLICC or has a
biopsy proven nephritis compatible with SLE in the presence of ANA or anti-dsDNA antibodies [
CITATION Per20 \l 1033 ]. This patient has 6 of 11 criteria of the 1997ACR.
Brief HPI: Patricia Doyle is a 21 y/o female who presents to the clinic today with complaints of
fever and rash. She also has associated symptoms of fatigue, pain and stiffness to her hands and
knees, shortness of breath and chest pain. She feels her symptoms began approximately 2 weeks
ago after taking a vacation to Florida. She states her fever has been elevated to a little over 100
degrees that comes and goes. Her rash started on her cheeks and nose and progressed to her
forearms and chest. She feels like it started with sun exposure. Her knee and hand pain is rated
at a 3/10 and is worsened with movement such as climbing stairs or turning a door knob. She
becomes short of breath with exertion and had an episode of increased shortness of breath with
laughing. Her chest pain began a couple of days ago, and has progressively worsened from mild
to being unable to ignore. She rates her chest pain at a 7/10 that is worsened with deep
inspiration and has some alleviation with sitting up. She has been taking Tylenol but has had
minimal relief of her symptoms.
Status/Condition:
• Stable
Code Status:
• Full Code
Allergies:
• NKDA
Admit to Unit:
• Medical Surgical
Activity Level:
• Up as tolerated
Diet:
• Regular diet
IVF:
• 0.9% NS at 75/hr
Critical Drips: n/a
Respiratory:
• Monitor O2 saturations, oxygen therapy as needed per protocol. Incentive
spirometer education to prevent pneumonia [ CITATION Fer19 \l 1033 ].
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller frackasaura. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $8.94. You're not tied to anything after your purchase.
