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1. Which diagnostic tests did you select for this client? Test listed below

(Vitamin b12 blood, tissue glutaminase antibody (IgA tGT), Sigmoidoscopy,
erythrocyte sedimentation rate (ESR) blood, CTA abdomen, CT abdomen,
Complete blood count (cbc) blood, Colon biopsy, capsule endoscopy, and c-
reactive protein (CRP), blood. )

2. Using the estimated national average cost for each diagnostic test from a website
such as
calculate the total cost for diagnostic testing for this client if she was uninsured.
How might this information change your decision to order diagnostic tests for the
client? Would lack of insurance change your management plan? Why or why not?

a. How would you alter your management plan for this client if she was
experiencing food insecurity or lack of housing?

3. Include the following components:
a. write 250-300 words in a Microsoft Word document
b. demonstrate clinical judgment appropriate to the virtual patient scenario
c. cite at least two relevant scholarly sources.
d. communicate with minimal errors in English grammar, spelling, syntax, and

punctuation
e. Please see these APA 7th edition resources from APA Styleguide:
f. References –

examples.pdfOpen this document with ReadSpeaker docReader
g. References –

guide.pdfOpen this document with ReadSpeaker docReader
h. Sample Paper –

format/student-annotated.pdf

Please use links above as a guide to help with references as I’ve been losing
points for references. And please no ChatGPT as all assignment will be
checked.

-à The virtual patient is based on a 45 y/o female that presents with a 10-year
history of intermittent chronic lower cramping like abdominal pain that is relieved
when she has a bowel movement. She endorses episodes of diarrhea, constipation,
and mucus in her stool. She states she works long hours at her job and most days
skips meals. She denies any chest pain, worsening of pain with her periods,
hematuria, abdominal trauma or increased pain when lifting. Her physical exam
reveals positive findings of hyperactive bowel sounds and mild tenderness with
deep palpation of the lower abdomen on both sides. Rectal exam was
unremarkable.

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