Chief complaint -neck swelling” History of Present Illness (HPI)- A 42-year-old African American female who refers

Chief complaint -neck swelling”

History of Present Illness (HPI)- A 42-year-old African American female who refers that she has been noticing slow and progressive swelling on her neck for about a year. Also she stated she has lost weight without any food restriction

PMH– negative

Past surgical history-Surgical removal of benign left breast nodule 2 years ago

Medication– none

Allergies- NKA

Subjective-Mild difficult to shallow, Neck feels tight, Pt states she feels Palpitations

V/S- B/P 158/90; Pulse 102; RR 20; Temp 99.2; Ht 5,4; wt 114; BMI 19.6

General-42-year-old female appears thin. She is anxious – pacing in the room and fidgeting, but in no acute distress

HEENT- Bulging eyes

NECK-Diffuse enlargement of the thyroid gland

Lungs-CTA AP&L

Cardiac-S1S2 without rub, Tachycardia

Abdomen-benign, normoactive bowel sounds x 4

GU-Non contributory

Extremities-no cyanosis, clubbing or edema

Integument-Thin skin, Increase moisture

Neuro-No obvious deficits and 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 presenting symptoms?

5.
Give rationales for your each differential diagnosis.

 post should be at least 500 words, formatted and cited in current APA style with support from at least 2 academic sources.

Share This Post

Email
WhatsApp
Facebook
Twitter
LinkedIn
Pinterest
Reddit

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

Related Questions

  Read “M2 Dimick Sorting out Advance Directives_Journal of AHIMA HL.pdf” attached above. You are a Medical Records Technician at Northwestern Memorial

  Read “M2 Dimick Sorting out Advance Directives_Journal of AHIMA HL.pdf” attached above. You are a Medical Records Technician at Northwestern Memorial Hospital.  One of your tasks is applying applicable laws, policies, and procedures for ROI. For each scenario, describe the decision you render.  Answer the two questions that follow.

As a psychiatric mental health nurse practitioner (PMHNP), how do you approach the management of treatment-resistant schizophrenia, particularly in

As a psychiatric mental health nurse practitioner (PMHNP), how do you approach the management of treatment-resistant schizophrenia, particularly in cases where traditional antipsychotic medications and psychosocial interventions have been ineffective? What are the challenges and opportunities in utilizing biomarkers of inflammation to aid in the early diagnosis and personalized treatment