Question

question 1 (10 points) read the following excerpt from a patients health record: review of systems: positive for nausea, but no emesis. otherwise negative. medications: none. allergies: no known drug allergies. past medical history: noncontributory. past surgical history: balanoplasty for hypospadias at age 1. social history: doug lives with his parents and older sister. he is going into kindergarten in the fall. family history: paternal grandfather with polycystic kidney disease. which of the following statements is not true, given this information? 1) the patient had his penis reconstruction when he was a child for a birth defect in which the opening of the urethra is on the underside, instead of the end, of the penis. 2) the patient is a male. 3) the patients grandfather has pkd. 4) the patients past medical history is important for the current urology consult. 5) there is a family history of a disease characterized by the formation of many fluid - filled cysts in the kidneys.

Explanation:

The patient's grandfather having PKD (3) is a family - history related to kidneys which is relevant for urology. The family history of a kidney - related disease (5) is also important for urology. The patient being male (2) is a general demographic fact not specific to the urology - related details of the case. The past medical history of hypospadias repair (1) is directly related to urology. However, the fact that the patient is in kindergarten in the fall (kindergarten information) is not relevant to urology or the medical conditions described.

Answer:

1. The patient's grandfather has PKD.
2. There is a family history of a disease characterized by the formation of many fluid - filled cysts in the kidneys.