HELP ME ANSWER THE 2 QUESTION BY

HELP ME ANSWER THE 2 QUESTION BY GETING THE DATA BELLOW 1. make a family tree of myrna cook and state the relationship status and health status and age of each 2. identify the vital signs and the meaning of each abrivation plus state if it is normal or not normal for his age and hight Chief Complaint “I’ve been having increasing stomach pain.” HPI Myrna Cook is a 54-year-old woman who presents to the ED complaining of increasing abdominal cramping for several days. Her last bowel movement was 6 days ago. She began “not feeling well” 4 days ago, with some mild chills, bloating, decreased appetite, and fatigue. She reports no fever, N/V, CP, or SOB. She reports that yesterday, when her cramping was at its worst, she used magnesium citrate, Miralax, and Fleet enema but still had no bowel movement. She states that she typically has daily bowel movements, with no straining, and spends less than 10 minutes, with little effort, having a bowel movement. She reports having a similar episode approxi- mately 1 year ago; however, at that time her symptoms responded to magnesium citrate and Miralax. She does not use stool softeners on a regular basis. She reports drinking approximately 1 gallon of water daily, even before her constipation began. Her last colonos- copy, performed 6 years ago, was unremarkable. PMH Asthma Obstructive sleep apnea HTN Mitral valve stenosis Atrial fibrillation Depression Hypothyroidism Iron deficiency anemia GERD FH Her mother is in her 70’s and is healthy. Her father died in his 50’s from lung cancer. She has three brothers and three sisters; one brother has viral hepatitis. She has two sons who are healthy. SH She is married and works as a social worker. She quit smoking 20+ years ago. She does not drink alcohol and does not use illicit drugs. ROS (+) for constipation, lower abdominal fullness, and fatigue after not using her CPAP machine for the past two nights; (-) for N/V, SOB, CP, and fever/chills Meds Diltiazem CR 240 mg po daily Digoxin 0.25 mg po daily Flecainide 100 mg po BID Atenolol 25 mg po daily Buspirone 10 mg po BID Duloxetine 60 mg po daily Lansoprazole 30 mg po daily Warfarin 2.5 mg po daily Fluticasone/salmeterol 500/50 1 puff BID Albuterol inhaler 90 mcg 2 puffs Q 4 h PRN Levothyroxine 50 mcg po daily Multivitamin 1 tablet po daily Ferrous gluconate 324 mg po TID All NKDA Physical Examination Gen Pleasant woman in mild distress; appears tired VS BP 122/60, P 57, RR 16, T 36.2°C; Wt 112.4 kg, Ht 5’5” Skin Normal skin turgor and color HEENT PERRLA and EOM full without nystagmus; no scleral icterus; oral mucosa moist; no ulcerations noted Neck/Lymph Nodes Supple, no lymphadenopathy or JVD; no thyromegaly or bruits CV Regular, S1 and S2 without murmur Lungs Normal breath sounds; no crackles, rales, or wheezes Abd Soft, obese, tender; decreased bowel sounds; stool palpable on left side Rectal External hemorrhoids noted; no stool in rectal vault; no masses felt; tone fair; push strength fair; nontender MS/Ext No tenderness; strength good; sensation intact; no edema Neuro A & O × 3; CNs II-XII symmetric and intact; DTRs 2+ Labs Assessment Constipation with secondary symptoms of abdominal discomfort, etiology unknown Plan Obtain abdominal x-ray and CT scan to evaluate potential causes of the constipation; consult GI service Clinical Course A plain x-ray of the abdomen showed gas-dilated loops in the colon. An abdominal CT scan was then performed and showed a large amount of stool in the colon. The GI service was consulted, and the recommendation was made to hold warfarin for colonoscopy. The laxative regimen used for colonoscopy bowel preparation was suc- cessful in clearing her bowel for the procedure and also in relieving the patient’s abdominal pain. Colonoscopy was unremarkable, and she was discharged with directions to establish a regimen to main- tain regular bowel function

******CLICK ORDER NOW BELOW AND OUR WRITERS WILL WRITE AN ANSWER TO THIS ASSIGNMENT OR ANY OTHER ASSIGNMENT, DISCUSSION, ESSAY, HOMEWORK OR QUESTION YOU MAY HAVE. OUR PAPERS ARE PLAGIARISM FREE*******."