Take on the role of a clinician who is building a health history Chief Complaint : “neck swelling” History of Present

Take on the role of a clinician who is building a health history

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: 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

Objective Data

 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

A
bd: 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

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.

500 words, APA style, 2 academic resources

Share This Post

Email
WhatsApp
Facebook
Twitter
LinkedIn
Pinterest
Reddit

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

Related Questions

  American Psychiatric Association. (2022). Sexual dysfunctionsLinks to an external site.. In Diagnostic and statistical manual of mental disorders

  American Psychiatric Association. (2022). Sexual dysfunctionsLinks to an external site.. In Diagnostic and statistical manual of mental disorders (5th ed., text rev.). American Psychiatric Association. (2022). Personality disordersLinks to an external site.. In Diagnostic and statistical manual of mental disorders (5th ed., text rev.).  American Psychiatric Association. (2022). Paraphilic disordersLinks to

Subjective:   Patient ID is a 6 wk.o. male infant who is here for

Subjective:   Patient ID is a 6 wk.o. male infant who is here for   Chief Complaint Patient presents with • Gastrophageal Reflux     ANY SEPARATE IDENTIFIABLE PROBLEMS: Vomiting after feeding, fussiness     History of Present Illness: Mom says child has been having spit up and vomiting after

assess please Competencies Measured By successfully completing this assessment, you will demonstrate your proficiency in the

assess please Competencies Measured By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and scoring guide criteria: · Competency 1: Analyze relevant healthcare laws, policies, and regulations; their application; and their effects on organizations, interprofessional teams, and professional practice. · Explain and interpret for