Our Services

Get 15% Discount on your First Order

[rank_math_breadcrumb]

Advance health Module 5 Discussion

Case #2

Complain: I have pain in my belly” A 25-year-old female presents to the emergency room (ER) with complaints of severe abdominal pain for 2 weeks . The pain is sharp and crampy It hurts if I run, sit down hard, or if I have sex

PMH: Patient denies

Drug Hx: Birth control

Allergies: none

Subjective: Nausea and vomiting, Last menstrual period 5 days ago, New sexual partner about 2 months ago, No condoms, he hates them No pain, blood or difficulty with urination

Objective data: B/P 138/90; temperature 99°F;  (RR) 20; (HR) 110, regular; oxygen saturation (PO2) 96%; pain 5/10. acute distress and severe pain. Atraumatic, normocephalic, PERRLA, EOMI, conjunctiva and sclera clear; nares patent, nasopharynx clear, good dentition. Piercing in her right nostril and lower lip. S1S2 without rub or gallop.  INSPECTION: no masses or thrills noted; no discoloration and skin is warm to; no tattoos or piercings; abdomen is nondistended and round
• AUSCULTATION: bowel sounds (BS) are normal in all four quadrants, no bruits noted
• PALPATION: on palpation, abdomen is tender to touch in four quadrants; tenderness noted on light palpation, deep palpation reveals no masses, spleen and liver unremarkable
• PERCUSSION: tympany heard in all quadrants, no dullness noted in abdominal area. EXTERNAL: mature hair distribution; no external lesions on labia
• INTROITUS: slight green-gray discharge, no lesions
• VAGINAL: normal rugae; moderate amount of green discharge on vaginal walls
• CERVIX: nulliparous os with small amount of purulent discharge from os with positive cervical motion tenderness (CMT)
• UTERUS: ante-flexed, normal size, shape, and position
• ADNEXA: bilateral tenderness with fullness; both ovaries without masses
• RECTAL: deferred
• VAGINAL DISCHARGE: green in color. no cyanosis, clubbing or edema. intact without lesions masses or rashes. No obvious deficits and CN grossly intact II-XII

Once you received your case number, answer the following questions:

1.
What other subjective data would you obtain?

2.
What other objective findings would you look for?

3.
What diagnostic exams do you want to order?

4.
Name 3 differential diagnoses based on this patient presenting symptoms?

5.
Give rationales for your each differential diagnosis.

Your initial post should be at least 500 words, formatted and cited in current APA style with support from at least 2 academic sources. Your initial post is worth 8 points.

Share This Post

Email
WhatsApp
Facebook
Twitter
LinkedIn
Pinterest
Reddit

Order a Similar Paper and get 15% Discount on your First Order

Related Questions

colonial settlements

  In preparation for the initial post, consider two (2) of the following settlements: Southern colonies Middle colonies New England colonies Then, in one (1) to two (2) paragraphs, address one (1) of the following options: Compare and contrast two colonial settlements (Southern, Middle colonies, New England colonies).  Reflect on

6050

Agenda Comparison Grid and Fact Sheet It may seem to you that healthcare has been a national topic of debate among political leaders for as long as you can remember. Healthcare has been a policy item and a topic of debate not only in recent times but as far back

Nursing Homework

NR586NP week 2 Concept and Map Summary assignment General Instructions Identify one vulnerable population within a selected community. Explore current literature and related data to understand better the variables that place this population at risk for health concerns and health disparities. Analyze national health directives, such as Healthy People 2030

patho

Discussion 1 Create a concept map for  one of the topics from the list below:  · Sickle Cell Anemia · Cystic Fibrosis The content of the concept map must include: · pathophysiology · definition · etiology · risk factors (genetic predisposition and environment factors if applicable) · causative factors · common

Can you help by tomorrow?

Required Resources Read/review the following resources for this activity: · Textbook: Chapter 1, 2 · Lesson · Minimum of 2 scholarly sources in addition to the textbook Instructions For this assignment propose a scenario where you or someone you know are confronted with a moral dilemma relating to cultural diversity

Recently, there has been a resurgence in labor union organization and a subsequent increase in union membership across the United States. What can today’s labor unions learn from their past 140-year history to 1) Attract and 2) Retain union members?

  Recently, there has been a resurgence in labor union organization and a subsequent increase in union membership across the United States.  What can today’s labor unions learn from their past 140-year history to 1) Attract and 2) Retain union members?  Your home work should place specific emphasis on Millennials

help with home work

Course Outcomes covered in this assignment: NU507-5 Unit 9 assignment : Evaluate the roles of health policy and organizational structure in quality improvement within health care environments. PC-6.1: Incorporate data, inferences, and reasoning to solve problems. For this assignment, you will write a position paper in which you will choose and support

Rw 2 soap notes

Rw 2 soap notes  SOAP Note _______ NU___:_________ Herzing University Name:_________________________ Typhon Encounter #: _____________________ Comprehensive:____Focused:____ S: SUBJECTIVE DATA CC: What are they being seen for? This is the reason that the patient sought care, stated in their own words/words of their caregiver, or paraphrased. HPI: Use the “OLDCART” approach

Prac plan

For this Assignment, you will consider the areas you aim to focus on to gain practical experience as an advanced practice nurse. Then, you will develop a Practicum Experience Plan (PEP) containing the objectives you will fulfill in order to achieve your aims. In this practicum experience, when developing your goals and

Week 1

Answer all questions/criteria with explanations and detail. Identify a clinical problem for which an NP could advocate for an evidence-based change that is client-focused. Avoid topics that are related to full practice authority, staffing, or burnout. The problem should be centered around clients and the care nurse practitioners provide for

vSim

Simulation platform called U Sentinel, 4 patients including debrief session. 

week 1 PEDS

see attachment and fill out  Week 1 Discussion Part I Table 1 Developmental Milestones Table 2 HEEADSSS Assessment: Complete the table Physical Gross Motor Fine Motor Language Socializati on Sleep 2 months 4 months 6 months 8 months 12 months What is the HEEADSSS Assessment? Include common questions asked below

Peer response

  This article provided global research in which the Advanced Practice Nurse’s role, regulation, education and practice vary based upon the communities cultural and country-wide polices. A total of 482 surveys were received with about 157 of these being inconclusive and excluded, leaving about 325 surveys of data to be

Practicum Experience Plan (PEP)

Practicum Experience Plan (PEP) PRACTICUM EXPERIENCE PLAN As you establish your goals and objectives for this course, you are committing to an organized plan that will frame your practicum experience in a clinical setting, including planned activities, assessment, and achievement of defined outcomes. In particular, they must address the categories

Study Plan

Study Plan Can you imagine an athlete deciding to run a marathon without training for the event? Most ambitious people who have set this goal will follow a specific training plan that will allow them to feel confident and prepared on the big day. Similarly, if you want to feel

help with home work

Health care policy briefs provide succinct overviews of health care policy topics. The intended audience is policymakers, journalists, and others concerned about improving health care in the United States. The briefs explore arguments from varying perspectives of a policy proposal. They guide available research behind each perspective. Experts in the

Pressure ulcers

Homework  1 1 Outcomes, Approach, and Budget [Remove brackets & insert Your Full Name Here] Nightingale College [Remove brackets & insert Your Course Number: Course Title] [Remove brackets & insert Your instructor’s name using Professor __________] [Remove brackets & insert Month Day, Year] Outcomes, Approach, and Budget [The introduction to

Mm week 4 ppt

Mm week 4 ppt In this assignment, you will analyze the team structure and process in your own practice setting and identify the essential members who will contribute to the success of your proposed graduate project. You will present this analysis in a professional, visually engaging slide presentation.Title (1 slide) Include your