Tina Jones' Health History Identifying Data: A Comprehensive ✓ Solved

Tina Jones Health History identifying data: a comprehensive

Tina Jones Health History identifying data: a comprehensive clinical assessment prompt. The patient: Ms. Jones, a 28-year-old African American female presenting with a chief complaint of right foot pain after a recent injury. She reports a scrape to the ball of her right foot one week ago with bleeding; she reports washing the wound with soap and water twice daily and applying Neosporin; she has used peroxide occasionally. She now has redness, swelling, heat, and pus; pain 7/10; weight-bearing pain; inability to walk. Past medical history includes type 2 diabetes diagnosed at 24; PCOS; asthma; obesity (BMI 31); irregular menses; headaches. Allergies: penicillin (rash), cats, dust. Medications: Tramadol 100 mg TID; Proventil inhaler; Advil; previously metformin and birth control pills. Social history: nonsmoker, occasional alcohol; prior marijuana use. Family history notable for diabetes, hypertension, hyperlipidemia.

Objective data: Vital signs: Temperature 101.1°F; BP 142/82; HR 86; RR 19; SpO2 99% on room air. Height 5'7"; Weight 90 kg; BMI 31. Wound measurement: 2 cm x 1.5 cm, depth 2.5 cm. Review of systems shows fever and foot infection symptoms; muscular/vascular status; and endothelial risk factors consistent with diabetes. The assignment requires you to produce a structured clinical assessment including differential diagnosis, diagnostic plan, and a comprehensive plan covering wound care, infection management, glycemic control considerations, pain management, patient education, and follow-up.

Paper For Above Instructions

References

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