Post a description of the health history you would need to collect from the patient in the case study to which you were assigned. Explain what physical exams and diagnostic tests would be appropriate and how the results would be used to make a diagnosis. List five different possible conditions for the patient’s differential diagnosis, and justify why you selected each. ((Post should be in the SOAP Note format.
Use the references from reading, don’t use references older that 5 years. I upload the Soap template and an example for you to see how the final work should look. I uploaded the readings and the case. If one of the body systems is not pertinent to the case can be deferred. Look at the example.
Readings
•Ball, J. W., Dains, J. E., Flynn, J. A., Solomon, B. S., & Stewart, R. W. (2015). Seidel’s guide to physical examination (8th ed.). St. Louis, MO: Elsevier Mosby.
Dains, J. E., Baumann, L. C., & Scheibel, P. (2016). Advanced health assessment and clinical diagnosis in primary care (5th ed.). St. Louis, MO: Elsevier Mosby.
Rosa, M. (2010). “Inflammatory” changes in breast: How to provide a better care to our patients.Archives of Gynecology & Obstetrics, 281(5), 901–905.
•Steggall, M., & Cox, C. (2009). A step-by-step guide to performing a complete digital rectal examination.Gastrointestinal Nursing, 7(2), 28–32.
•Westhoff, C. L., Jones, H. E., & Guiahi, M. (2011). Do new guidelines and technology make the routine pelvic examination obsolete? Journal of Women’s Health, 20(1), 5–10.
•Centers for Disease Control and Prevention. (2012). Sexually transmitted diseases (STDs). Retrieved from http://www.cdc.gov/std/#
Case 2: Dysuria
A 55-year-old African-American male reports to your clinic complaining of frequent and painful urination for the past 2 months. The patient is sexually active and has been in a monogamous relationship for the past 3 years. He reports no penile discharge, fever, chills, abdominal pain, or back pain. His father is deceased and passed away of colon cancer. His father had a history of benign prostatic hypertrophy (BPH). The patient considers himself as a healthy male. He works for a large American corporation, has a relatively healthy diet, and exercises 4 to 5 times per week.
To prepare:
With regard to the case study you were assigned:
•Consider what history would be necessary to collect from the patient in the case study you were assigned.
•Consider what physical exams and diagnostic tests would be appropriate to gather more information about the patient’s condition. How would the results be used to make a diagnosis?
•Identify at least five possible conditions that may be considered in a differential diagnosis for the patient.
Post a description of the health history you would need to collect from the patient in the case study to which you were assigned. Explain what physical exams and diagnostic tests would be appropriate and how the results would be used to make a diagnosis. List five different possible conditions for the patient’s differential diagnosis, and justify why you selected each.
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