Case Study: Health History

Subject: Diagnostics
Pages: 3
Words: 304
Reading time:
2 min

Twenty-two-year-old white American, finishing her undergraduate degree, not working at the moment. She was raised and developed normally as a child and was not behind her peers. Financially well-off lives in a 3-room apartment with a family of five. Meals are regular, three times a day, nutritious, varied. A young woman came to the clinic due to sudden, sharp, severe abdominal pain that would not go away. No such symptoms had been observed before, according to the patient. Among the illnesses she experienced were cystitis several years ago and childhood infections. Her family had stomach problems on the father’s side; an uncle had an ulcer but no such problems on her mother’s side. Based on the genogram analysis, it was possible to find out that distant relatives had heart problems. In addition, the young woman’s mother had a stroke, and there were no psychiatric disorders in the family history. The main health risk can be the occurrence of complications of the gastrointestinal tract.

The patient is not a smoker and does not use alcohol or drugs. She did not have any allergic reactions to food products, but there were reactions to vitamin C. The ultrasound revealed that the pregnancy was normal, and most likely, the cause of the pain was mild food poisoning. It was recommended to restore the water balance in the body by drinking plenty of boiled water at room temperature. Minerals and vitamins required for the baby’s development are removed from the pregnant woman’s body as the vomit escapes. For this reason, it was recommended to compensate for vitamin deficiencies by taking a vitamin complex for pregnant women after the improvement of health (NSW Government, 2020). Since there is a genetically determined risk of gastrointestinal diseases, it was decided to conduct additional tests after two weeks and, if necessary, prescribe treatment.


NSW Government. (2020). Food safety during pregnancy. Web.