Must be in APA format 7th edition with introduction, citation, in text citation and reference
Must use only the case study provided and please follow rubric- MUST BE 5 DIAGNOSIS provided.
I have provided two sample papers as a guide, please do not plagiarize! Message me if uncertain about anything.
ASSIGNMENT
Assignment 1: Lab Assignment: Assessing the Genitalia and
Rectum
Patients are frequently uncomfortable discussing with
healthcare professional’s issues that involve the genitalia and rectum;
however, gathering an adequate history and properly conducting a physical exam
are vital. Examining case studies of genital and rectal abnormalities can help
prepare advanced practice nurses to accurately assess patients with problems in
these areas.
In this Lab Assignment, you will analyze an Episodic note
case study that describes abnormal findings in patients seen in a clinical setting.
You will consider what history should be collected from the patients, as well
as which physical exams and diagnostic tests should be conducted. You will also
formulate a differential diagnosis with several possible conditions.
To Prepare
Review
the Episodic note case study your instructor provides you for this week’s
Assignment.
Based
on the Episodic note case study:
Review
this week’s Learning Resources, and consider the insights they provide
about the case study.
Search
the Walden library or the Internet for evidence-based resources to
support your answers to the questions provided.
Consider
what history would be necessary to collect from the patient in the case
study.
Consider
what physical exams and diagnostic tests would be appropriate to gather
more information about the patient’s condition. How would the results be
used to make a diagnosis?
Identify at
least five possible conditions that may be considered in a
differential diagnosis for the patient.
The Lab Assignment
Using evidence-based resources from your search, answer the
following questions and support your answers using current evidence from the
literature.
Analyze
the subjective portion of the note. List additional information that
should be included in the documentation.
Analyze
the objective portion of the note. List additional information that should
be included in the documentation.
Is the
assessment supported by the subjective and objective information? Why or
why not?
Would
diagnostics be appropriate for this case, and how would the results be
used to make a diagnosis?
Would
you reject/accept the current diagnosis? Why or why not? Identify three
possible conditions that may be considered as a differential diagnosis for
this patient. Explain your reasoning using at least three different
references from current evidence-based literature.
CASE STUDY
Genitourinary Assessment
CC: Increased frequency and pain with urination
HPI:
T.S. is a 32-year-old woman who reports that for the past two days, she has dysuria, frequency, and urgency. Has not tried anything to help with the discomfort. Has had this symptom years ago. She is sexually active and has a new partner for the past 3 months.
Medical History:
None
Surgical History:
Tonsillectomy in 2001
Appendectomy in 2020
Review of Systems:
General: Denies weight change, positive for sleeping difficulty because e the flank pain. Feels warm.
Abdominal: Denies nausea and vomiting. No appetite
Objective
VSS T = 37.3°C, P = 102/min, RR = 16/min, and BP = 116/74 mm Hg.
Pelvic Exam:
mild tenderness to palpation in the suprapubic area
bimanual pelvic examination reveals a normal-sized uterus and adnexae
no adnexal tenderness.
No vaginal discharge is noted.
The cervix appears normal.
Diagnostics: Urinalysis, STI testing, Papsmear
Assessment:
UTI
STI
PLAN: This section is not required for the assignments in this course (NURS 6512) but will be required for future courses.