NURS663B Week 1 Discussion Latest 2022 June

NURS663B Primary Care Adult and Geriatric Patient Theory

Week 1 Discussion

Select one of the following case studies to address. In the subject line of your post, please identify which prompt you are responding to, for example,  #1, 45-year-old woman, intermittent fevers.

Discuss what questions you would ask the patient, what physical exam elements you would include, what further testing you would want to have performed, differential and working diagnosis, treatment plan, including inclusion of complementary and OTC therapy, referrals, and other team members needed to complete patient care.

In your peer replies, please reply to at least one peer who chose a different case study.

Case Studies

1.  A 45-year-old woman is seen in the office with a chief complaint of a 3-month history of “intermittent fevers,” sweating, and flushing. She describes these “fevers” as “feeling like a furnace on the inside from the mid-chest to the top of my head.” She says she turns “beet red” and starts to sweat. These episodes only last a few minutes but occur throughout the day and wake her up several times at night. Her medical history is unremarkable. She reports that her menstrual cycles have been regular her entire life but are now irregular; her last menstrual period was about 3 months ago. She takes no prescription medications. Her last annual exam with Pap test was 2 years ago.

2. A 35-year-old woman is seen in the office with a chief complaint of a breast mass. She states she found the lump when she was in the shower, and she is quite visibly distressed. Her medical history is unremarkable, although she reports that she has not had a mammogram. She takes no prescription medications.

3. JoAnne is a 29-year-old who comes to the clinic with 3 days of foul vaginal odor and moderate yellowish vaginal discharge. She is sexually active and occasionally uses condoms with her new partner. She does not use any other form of birth control.