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see attachemnt for further instructions Gastrointestinal & Endocrine For this Discussion, you

November 13, 2024

see attachemnt for further instructions

Gastrointestinal & Endocrine

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)	“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	Patient denies
PSH	Surgical removal of benign left breast nodule 2 years ago
Drug Hx	No medication at the time
Allergies	NKA
Subjective	Mild difficult to shallow, Neck feels tight, Pt states she feels Palpitations
PE	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
Card	S1S2 without rub, Tachycardia
Abd	benign, normoactive bowel sounds x 4
GU	Non contributory
Ext	no cyanosis, clubbing or edema
Integument	Thin skin, Increase moisture
Neuro	No obvious deficits and 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.

Submission Instructions:

·

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· 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.

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