Module 7 Discussion     Female Genitourinary, & Musculoskeletal

Module 7 Discussion

  

 

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 cases. Your instructor will assign you your case number.

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

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

 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

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.

6.
What teachings will you provide?

 

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. Your initial post is worth 8 points.

image1.png

image2.png

Share This Post

Email
WhatsApp
Facebook
Twitter
LinkedIn
Pinterest
Reddit

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

Related Questions

Active Learning Activity Week 2Exercise Instructions7- pages5 references

Active Learning Activity Week 2 Exercise Instructions 7- pages 5 references Week 5 you will have the following assignment due [read below for instructions]- this week you will submit your OUTLINE for this assignment, to include at least 5 references. You will be required to visit the library. This outline

  Follow these guidelines when completing each component of the Collaboration Café.  Contact your course faculty if you have questions.  Include the

  Follow these guidelines when completing each component of the Collaboration Café.  Contact your course faculty if you have questions.  Include the following sections:  Application of Course Knowledge:  Answer all questions/criteria with explanations and detail: Define what person-centered care means to you.  Describe how you will apply the following principles in your future

see fileMental Health and Rehabilitation Centers: o Context: These centers cater to individuals with mental health issues or those undergoing

see file Mental Health and Rehabilitation Centers: o Context: These centers cater to individuals with mental health issues or those undergoing rehabilitation for substance abuse. The stigma associated with mental health and addiction makes privacy paramount. o Social Media Concern: Discussing patient progress, sharing stories, or even describing daily challenges