Kibata

Sign In

Our Services

Get 15% Discount on your First Order

Order Now
[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

Order Now

Related Questions

Week 4 discussion

Advanced practice nurses apply continuous quality improvement (CQI) processes to improve client-centered outcomes. Select one of the following client-centered care initiatives that you would like to improve in your practice area: client clinical outcomes, client satisfaction, care coordination during care transitions, or specialty consultations for clients.    Include the following

EBP

Module 2:  Overview of EBP Process and Translation Instructions: As a DNP scholar, you are expected to perform an academic search of scholarly peer-review journal articles on a given topic. For this assignment, you will choose an article from a peer-review journal database, including but not limited to CINAHL, MEDLINE,

Nursing homework

Nursing Skills & Reasoning © 2023 KeithRN LLC. All rights reserved. No part of this case study may be reproduced, stored in retrieval system or transmitted in any form or by any means, electronic, mechanical, photocopying, recording or otherwise, without the prior written permission of KeithRN Blood Transfusion 1. Which

Rwh soap

Rwh soap It  This file is too large to display.View in new window

Week 5_JOURNAL_DNP855

 There are many theories associated with organizational behaviors. Organizational behavior theories study how employees interact with each other and the healthcare  

Week 5_DNP855

 There are many theories associated with organizational behaviors. Organizational behavior theories study how employees interact with each other and the healthcare organization  

Nursing homework

Nursing Skills & Reasoning © 2023 KeithRN LLC. All rights reserved. No part of this case study may be reproduced, stored in retrieval system or transmitted in any form or by any means, electronic, mechanical, photocopying, recording or otherwise, without the prior written permission of KeithRN Blood Transfusion 1. Which

MM week 4

INSERT YOUR NAME HERE In-text citation for the resource – in the References list below this table include a full citation. You are required to upload the full-text file for each article represented in the matrix table into the assignment drop box. What is the purpose of the resource to

MR soap week 4

MR soap week 4 years Biological Sex: Male Race: White, Non Hispanic Clinical Information Time with Patient: 30 minutes Consult with Preceptor: 15 minutes Type of Decision-Making: Moderate complexity Student Participation: Shared (50-50) Reason for Visit: Follow-up (Routine) Chief Complaint: major depressive disorder Social Problems Addressed: Safety Role Change Procedures/Skills

powerpoint for topic

the topic is: Mother’s with infants who have hyperbilirubinemia instruction attached  Teaching Experience-316L 1. Purpose: To provide teaching to an individual client with a demonstrated need. With the completion of this assignment the student will be able to achieve the following objectives. a. Demonstrate ability to thoroughly assess the learning

Nursing

To prepare: Read and view the Learning Resources. By Day 3 of Week 10 Post a response to the following prompts: Evaluate a DNP QI project that used a mixed methods approach (choose from the list).  What was the relationship to the practice-focused question to the use of the quantitative

Nursing

To prepare: Read and view the Learning Resources. By Day 3 of Week 10 Post a response to the following prompts: Evaluate a DNP QI project that used a mixed methods approach (choose from the list).  What was the relationship to the practice-focused question to the use of the quantitative

Nursing

To Prepare Review the resources provided in the Nursing Informatics Competencies.  By Day 3 of Week 10 Post a cohesive response to the following: Consider all that you already knew and what you have learned in this class. What are the key informatics competencies that you feel every nurse should

home work

Competency Integrate social determinants, ethical concerns, and human rights for high-risk and vulnerable global populations. Student Success Criteria View the grading rubric for this deliverable by selecting the “Grading rubric” in the right menu.  Scenario As a nurse on the ethics committee of a free clinic, you are educating staff

Data analysis and visualization activity

Table 1 Patient ID Age Gender Falls (Yes/No) CAUTIs (Yes/No) Medication Errors (Yes/No) MRSA (Yes/No) Age Falls CAUTIs Medication Errors MRSA 1 65 Female Yes No Yes No 67.5 2 70 Male No Yes No Yes 3 55 Female Yes No No No Male Female 4 80 Male No Yes