Our Services

Get 15% Discount on your First Order

[rank_math_breadcrumb]

HA discussion 7


Female Genitourinary, & Musculoskeletal

For this Discussion, you will take on the role of a clinician who is building a health history for one of the following case

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 I 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

 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

 General

well developed, nourished, healthy-appearing female

 HEENT

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

Lungs

clear to auscultation

Card

regular rate and rhythm (RRR)

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

Lymph

negative axillary, infraclavicular, and supraclavicular lymphadenopathy

Abd

normoactive bowel sounds x 4;

GU

Bladder is non-distended.

Integument

good skin turgor noted, moist mucous membranes

MS

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

Neuro

No obvious deformities, CN grossly intact II-XII

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’s presenting symptoms.

5.
Give rationales for each differential diagnosis.

6.
What teachings will you provide?

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

Due Wednesday Nov 27 at 11:59pm

Share This Post

Email
WhatsApp
Facebook
Twitter
LinkedIn
Pinterest
Reddit

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

Related Questions

week 10

 Concepts of Women and Men’s Health Emily B. is a 19-year-old Caucasian college sophomore who presents to the student health clinic for evaluation of increased vaginal discharge, occasional pelvic discomfort, and mild dysuria over the past week. She denies fever, chills, or abnormal bleeding. She became sexually active at 17

Student Learning Outcome

Patients’ information: Pt 1: Primary Diagnosis (PD): Non–Non-ST-Elevation Myocardial Infarction (NSTEMI) Comorbidities: AKI, Asthma, COPD, seizure, Depression, Anxiety, CAD, Caffeine abuse, and hypercholesterolemia Pt 2: Primary Diagnosis (PD): Suspected conversion disorder Comorbidities: Bilateral lower extremity weakness, PTSD, and ADH Please, for the Gordon assessment, use patient 1, who is a

WK 5 PROJECT DOCUMENTS CONT

Develop SMART objectives you want your participants to accomplish from this DNP project  (DONE BY GERRY) Complete the ADDIE tool (DONE BY GERRY) WILL UPLOAD BOTH DOCUMENTS. START FROM HERE PLEASE 1) Make Power Point slides that you are going to present to them during this ~ 1-hour education session

research

i need to humanize my assignment, using the outline given below. Research Paper #2: Quantitative Literature Review Outline I. Introduction · Purpose of the review · Focus of the topic · Current state of knowledge (brief overview) · Organization of sources (highest → lowest level of evidence) · Use of

Nursing health care homework

THESE ARE MY THREE ARTICLE NOW I WILL GIVE YOU THE  OUTLINE AND TEMPLATE PLEASE FIULL IT OUT ACCORDINGLY.    Research  #2:  Quantitative Literature Review Outline I. Introduction • Purpose of the review • Focus of the topic • Current state of knowledge (brief overview) • Organization of sources (highest

Oxygen

🫁 Oxygenation Assignment #10 – Patient Education Handout Objective: Create a patient education handout on oxygen safety that teaches patients how to use and care for their oxygen safely at home or in a healthcare setting. 📝 Instructions Design a pamphlet, flyer, or handout that includes the key teaching points

Care plan

Care Planning Assignment #11 · Create a care plan for the patient: Mr. J. is a 68-year-old male being discharged home after a 7-day hospital stay for pneumonia. He will be using 2 L/min oxygen via nasal cannula at home. He reports feeling weak, becomes short of breath with activity,

NR 449 week 2

  This area provides you with an opportunity to reflect on what you have learned and what concepts you still need further exploration on.  Answer 1 question. Include a short summary of what has been learned, and include question(s) that are still unclear.   Post your answer to 1 of

goal

 PICOT question In adults’ patients undergoing general anesthesia, does forced-air warming before or during induction compared to passive blanket warming decrease incidence of hypothermia and improve intraoperative blood pressure stability during intraoperative period through PACU discharge? look at the attachement

Telehealth

What are the Pros and Cons to telehealth? How will you approach and perform a telehealth assessment? What are the limits to telehealth? What is the difference between the provider’s need for a successful telehealth visit versus the Patient’s perspective?

Nursing Assignment Instructions attached

Module 3:  Chart From the following chart, prepare 2 scatter plots, identifying the relationship between age and height, and age and weight. Using a bar graph for age frequency. AGE  HIGH WEIGHT 53 1.75 140 56 1.60 70 62 1.84 86 36 1.65 80 39 1.69 65 26 1.64 64

Nursing Assignment Instructions attached

Module 3:  Probability With the data presented here and in your readings in this module :  · Express in probability terms the probability of each variable (age, height, weight, & BMI)  · In the following graphs, with the additional data, mark the possible value of the mean in the graph

Nursing HOMEWORK3

Journal Entry Prepare · Refer to the “Population-Focused Nurse Practitioner Competencies” in the Learning Resources, and consider the quality measures or indicators advanced practice nurses must possess in your specialty. · Refer to your “Clinical Skills Self-Assessment Form” you submitted in Week 1 and consider your strengths and opportunities for

HCAD D7W7

 Healthcare organizations have traditionally encountered great difficulty in accurately capturing the costs of the services and goods that they provide. Traditional costing methods (i.e., direct, step-down, etc.) have proven marginally useful despite decades of use. In general, this has caused problems within healthcare organizations as it obscures the true cost

Middle Range Theory

I need help with making sure my concepts of theory is correct. I need to make sure it makes sense

Nursing

Barriers to and Drivers of Effective Collaboration in Interprofessional Healthcare Teams Instructions: At the AGMU virtual library, look for an article showing barriers to and drivers of effective collaboration in interprofessional healthcare teams; elaborate a summary of the article explaining the findings and propose possible solutions (or strategies) to avoid

POWER POINT 2

To Prepare: · Review the Resources and identify one change that you believe is called for in your organization/workplace. · This may be a change necessary to effectively address one or more of the issues you addressed in the Workplace Environment Assessment you submitted in Module 4. It may also

POWER POINT

To Prepare: · Reflect on the four peer-reviewed articles you critically appraised in Module 4, related to your clinical topic of interest and PICOT. · Reflect on your current healthcare organization and think about potential opportunities for evidence-based change, using your topic of interest and PICOT as the basis for