Our Services

Get 15% Discount on your First Order

[rank_math_breadcrumb]

Female Genitourinary, & Musculoskeletal

Case 1

Chief

Complaint

(CC)

“I have a tumor on my left breast”

History of

Present Illness

(HPI)

A 55-year-old African American social worker presents to your clinic with a finding of a lump in her left breast while in the shower this past week.

Drug Hx

I took birth control pills for 10 years, starting when I was 20 l am not on hormone replacement

Family Hx

My grandmother had breast cancer when she was 76 years old

Subjective

Denies any fever or chills. No changes in vision or hearing, no difficulty chewing or swallowing. Supple neck, states that she does self-breast-exams on occasion. Menopause at 52

No skin changes or nipple discharge from the left breast

Objective Data

 VS

temperature 98.6°F; respiratory rate (RR) 16; heart rate (HR) 80, regular; blood pressure (BP) 130/84; height: 5′8″; weight 160 lbs; body mass index (BMI) 24

temperature: 98.2°F, respiratory rate 16, heart rate 90, blood pressure 120/60 
O2 saturation 98% 

 General

well developed, nourished, healthy-appearing female

well-developed healthy 35-year-old male; no gross deformities

 HEENT

Atraumatic, normocephalic, PERRLA, EOMI, conjunctiva and sclera clear, nares patent, nasopharynx clear, edentulous. 

Atraumatic, normocephalic, PERRLA, EOMI, sclera with mild icterus, nares patent, nasopharynx clear, poor dentition – multiple carries. 

Lungs

clear to auscultation 

CTA AP&L

Card

regular rate and rhythm (RRR)

S1S2 without rub or gallop

Breast

Examined in sitting and supine positions. In sitting position, no evidence of skin changes, right breast is slightly larger than the left, symmetrical movement with the arms above the head and at the side and with flexion of the pectoral muscles; 5-mm nonmobile, non-tender, firm mass felt at 10 o’clock position, 5 cm from the areola. Right breast without dominant masses or tenderness. Nipples without inversion or evidence of nipple discharge. Breast mass is palpated in the supine position in the same manner as in the sitting position

• INSPECTION: no dimpling or abnormalities noted upon inspection

• PALPATION: Left breast – no abnormalities noted. Right breast – denies tenderness, pain, no abnormalities noted.

Lymph

negative axillary, infraclavicular, and supraclavicular lymphadenopathy

no bruising, fever, or swelling noted, no acute bleeding or trauma to skin.

Abd

normoactive bowel sounds x 4; 

benign, normoactive bowel sounds x 4; Hepatomegaly 2cm below the costal margin.

GU

Bladder is non-distended.

Bladder is non-distended.

Integument

good skin turgor noted, moist mucous membranes

intact without lesions masses or rashes.

MS

Muscles are smooth, firm, symmetrical. Full ROM. No pain or tenderness on palpation.

No obvious deformities, masses, or discoloration. Palpable pain noted at the right lower lumbar region. No palpable spasms. ROM limited to forward bending 10 inches from floor; able to bend side to side but had difficulty twisting and going into extension. 

Neuro

No obvious deformities, CN grossly intact II-XII

DTRs 2+ lower sensory neurology intact to light touch and patient able to toe and heel walk. Gait was stable and no limping noted.

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.

6.
What teachings will you provide?

 

Submission Instructions:

· Your instructor will assign you your case number and you will post on the case number you have been assigned.

· You will reply to 
the other two case studies (One of each).

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

· Discussion Rubric

Criteria

Ratings

Points

dentification of

Main Issues, Problems, and Concepts

Distinguished – 5 points

Identify and demonstrate a

sophisticated understanding of the accomplished understanding of issues, problems, and concepts.

Excellent – 4 points

Identifies and demonstrate an

most of issues, problems, and concepts.

Fair – 2 points

Identifies and demonstrate an

issues, problems, and concepts.

Poor – 1 point

Identifies and demonstrate an

acceptable understanding of most of unacceptable understanding of most 5 points

of issues, problems, and concepts.

Use of Citations,

Writing

Mechanics and

APA Formatting

Guidelines

Distinguished – 3 points

Effectively uses the literature and other resources to inform their

work. Exceptional use of citations and extended referencing. High level of APA precision and free of grammar and spelling errors.

Excellent – 2 points

other resources to inform their work. Moderate use of citations and extended referencing.

Moderate level of APA precision

and free of grammar and spelling precision and attention to detail. errors.

Fair – 1 point

Effectively uses the literature and Ineffectively uses the literature and

other resources to inform their work. other resources to inform their work.

Moderate use of citations and

extended referencing. APA style and and extended referencing. APA style writing mechanics need more

Poor – 0 points

Ineffectively uses the literature and

An unacceptable use of citations

and writing mechanics need serious attention.

3 points

Distinguished – 2 points

Response to

Student constructively responded to two other posts and either

Posts of Peers

extended, expanded or provided a rebuttal to each.

Fair – 1 point

Student constructively responded to Student provided no response to a one other post and either extended, expanded or provided a rebuttal.

Poor – 0 points

peer’s post.

2 points

Total Points

10

Share This Post

Email
WhatsApp
Facebook
Twitter
LinkedIn
Pinterest
Reddit

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

Related Questions

NUR 620

1. Reply from Daniela Barbeito Depression Case Summary of the Clinical Case Ms. Z is a 28-year-old assistant store manager who appears sad after she had a breakup one month ago. On the subjective, she complains that she has low mood, oversleeping, fatigue despite long sleep duration, lack of concentration

NUR 504 Module 4 Discussion

Module 4 Discussion   The Homeless Patient Evaluation & Management Plan The nurse practitioner (NP) is working at a health clinic in a homeless shelter during the early evening. A 48-year-old African American man approaches the practitioner and asks to have his blood pressure taken, saying that he has not

Clinical module 4 discussion

Module 4 Discussion   Weekly Clinical Experience 4 Describe your clinical experience for this week. · Did you face any challenges, any success? If so, what were they? (identifying the needed studies needed for the patients’ symptoms) · Describe the assessment of a patient, detailing the signs and symptoms (S&S),

Interprofessional Education

see attachment The purpose of this assignment is to evaluate how interprofessional education has evolved within the health care environment to support a more team-based approach to patient-centered health care. In a paper of 500-750 words, address the following points: 1. Define interprofessional education, explain how it was developed, and discuss the goals

Children and Families Clinicals Discussion 4

Weekly Clinical Experience 4 Describe your clinical experience for this week with a 10-month-old male with conjunctivitis · Did you face any challenges, any success? If so, what were they? · Describe the assessment of a patient, detailing the signs and symptoms (S&S), assessment, plan of care, and at least

Children and Family Discussion 4

Approaches to Disease Management: Dermatologic Disorder Discuss Impetigo in pediatrics, a dermatologic disorder, and its treatment modalities. Submission Instructions: · Your initial post should be at least 500 words, formatted and cited in current APA style with support from at least 2 academic sources.

see attachment

MUST BE ORIGINAL WORK. 4-6 pages long. APA format. 3-5 scholarly resources from the last 5 years. On topic below.  Teaching Plan Paper (30 points) APA Paper  • Target Population: Adolescent boy ages 13-17 pertaining to mental health, 14 participants  o Who is your target audience? – include age of

NUR 620

 Patient Care After studying Module 1: Lecture Materials & Resources, discuss the following: The unlawful restraint of a patient can be a legal pitfall for the PMHNP.  K.W. was found eating hamburgers out of a Mcdonald’s dumpster and drinking water from an old water hose.  She had not taken a bath

HW

Professional Goal and Objectives: (SMART) · Professional goals and objectives are related to this course’s clinical rotation (practicum).  · Please note that the SMART goals and objectives you submit must be professional in nature. · During your clinical practicum, you will have the opportunity to work side-by-side with an expert (RN

Discussion

Module 5 Assignment PICOT Question Assignment effective strategies to decrease pediatric obesity in primary care settings.  This is certainly an area/challenge that FNPs are constantly faced with in primary care and particularly with some specific cultures or ethnic groups

Week 3 discu

General Instructions: Conflict is common in healthcare settings. Common team sources of conflict include hierarchical relationships, authority differentials, poor communication, negative or disruptive behaviors, and multigenerational interprofessional teams.    Include the following sections:  Application of Course Knowledge: Answer all questions/criteria with explanations and detail.  Describe a conflict you have encountered in your nursing

NUR509W4

DISCUSSION: The nurse practitioner (NP) is working at a health clinic in a homeless shelter during the early evening. A 48-year-old African American man approaches the practitioner and asks to have his blood pressure taken, saying that he has not had it checked “in a while”. The man appears to

NUR509CL 4

DISCUSSION: Describe your clinical experience for this week. · Did you face any challenges, any success? If so, what were they? · Describe the assessment of a patient, detailing the signs and symptoms (S&S), assessment, plan of care, and at least 3 possible differential diagnosis with rationales. (CASE: R shoulder

nurse sam

Anemia Classification Instructions: For each of the scenarios below, identify the following: 1. Type of anemia a. Folate Deficiency b. Anemia of Inflammation c. Iron Deficiency Anemia d. Vitamin B12 Deficiency e. Thalassemia 2. Classification of anemia a. Microcytic-hypochromic b. Macrocytic-normochromic c. Normocytic-normochromic 3. After identifying the type and class,

nursing

To Prepare: Review resources about contextual factors. Consider how contextual factors will impact your advocacy priority.  By Day 3 of Week 4 Post a response detailing the following:  Which contextual factors will promote getting your advocacy priority on the agenda?  Which contextual factors might work against it?

nursing

To prepare: Search databases in the Walden Library and locate a peer-reviewed article from the last 5 years that uses a randomized controlled trial study design. The subject of the study may be any topic professionally relevant or interesting to your practice. You may not select an article already posted by

AMP450Effective Leadership Approaches and Models in Health Care

Effective leadership is integral to quality health care. Following global crisis, crucial leadership skills are needed to not only navigate stressful situations with the collaboration of the interprofessional health care team but also to lead with innovation and find solutions for the future.

AMP450Topic 1 DQ 2

Describe two unique challenges that health care leaders face and how leadership theories can address these challenges.