Chief Complaint: I had a severe headache yesterday with difficulty to speak

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5 Pages/1 Page Discussion Due in 24 hrs/1 Page Discussion.docx

DB Analysis

Directions: Review the analyze the following website.

www.tccd.edu

In a discussion board of 250-350 words, discuss the following topics.

 

-Audience (identify at least 2 other than students)

-Company Goals

-Design Choices

-Layout

-Accessibility

-Rhetoric (Ethos, Pathos, Logos)

 

5 Pages/2 Pages, due within 24 hrs Another/2 Pages.docx

  Case 1 Case 2 Case 3
Chief Complaint (CC)  “It burns when I urinate” “I had a severe headache yesterday with difficulty to speak” “I have been having frequents headaches lately”
History of Present Illness (HPI) A 68-year-old Caucasian male who reports to have increase on the frequency of urination with urgency for the last 5 days. He also present dysuria and nocturia. A 64-year-old African American female who reports having a severe pulsatile diffuse headache yesterday with sudden difficulty to talk with last for about two hours. She did not seek medical attention. This morning she woke up with no problems but is here today due her husband advise. A 25-year-old Hispanic female presents to your clinic with a headache located on right temporal area, pulsatile.
PMH Benning prostatic hyperplasia diagnosed 3 years ago, UTI 6 months ago, Lithotripsy left kidney 10 years ago. No issues after treatment Atrial Fibrillation, Hypertension. Is allergic to Non-steroidal Anti-inflammatory drugs Aspirin Frequent headaches since I was 15, with menses.
Drug Hx Rosuvastatin 20 mg Olmesartan 20 mg Losartan 50 mg Xarelto 15 mg BID Ibuprofen for Headaches
Subjective Fever and chills, no changes in vision or hearing, no difficulty chewing or swallowing. No sexually active, nocturia, dysuria. Yellowish urethral secretion. Feels Palpitations, joint pain with yesterday’s episode Light makes headache worst Nausea associated with headaches. No vomiting, Headaches improve usually with rest, ibuprofen, and sleep, but it is annoying to have to sleep all-day
Objective Data
 VS B/P 150/96; Pulse 89; RR 16; Temp 99.4; Ht 6,1; wt 180; B/P 131/80; temperature 98.2°F;  (RR) 18;  (HR) 84, irregular; oxygen saturation (PO2) 96%; B/P 108/64; Pulse 86; RR 16; Temp 98.6;
 General well-developed male, no acute distress well-developed female, no acute distress 25-year-old female appears well developed and well-nourished, healthy appearing, wearing dark glasses in a dim room
 HEENT Atraumatic, normocephalic, PERRLA, EOMI, arcus senilus bilaterally, conjunctiva and sclera clear, nares patent, nasopharynx clear, edentulous. Atraumatic, normocephalic, PERRLA, EOMI, conjunctiva and sclera clear; nares patent, nasopharynx clear, good dentition. no injection, anicteric, PERRLA, EOMs intact, without pain to movement; normal vision
Lungs CTA AP&L CTA AP&L CTA AP&L
Card S1S2 without rub or gallop S4 present Irregular heart beat with normal rate S1S2 without rub or gallop
Abd No tenderness normoactive bowel sounds x 4; No tenderness normoactive bowel sounds x 4; benign, normoactive bowel sounds x 4;
Rectal exam Warm, swollen and painful prostate gland Non contributory Non contributory
Integument good skin turgor noted, moist mucous membranes intact without lesions masses or rashes. intact without lesions masses or rashes.
Neuro No obvious deformities, CN grossly intact II-XII No obvious deficits and CN grossly intact II-XII Cranial nerves II to XII intact; sensation intact, DTRs 2+ throughout. Functional neurological exam is WNL

Module 5 Discussion

11 unread reply.11 reply.

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icon  Neurological & Male Genitourinary Disorders

 

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.

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.

6. What teachings will you provide?

 

Submission Instructions:

· Your instructor will assign you your case number and you will post on the case number you have been assigned.

· You will reply to the other two case studies (One of each).

· 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.

· You should respond to at least two of your peers by extending, refuting/correcting, or adding additional nuance to their posts. Your reply posts are worth 2 points (1 point per response.)

· All replies must be constructive and use literature where possible.

· Please post your initial response by 11:59 PM ET Thursday, and comment on the posts of two classmates by 11:59 PM ET Sunday.

· You can expect feedback from the instructor within 48 to 72 hours from the Sunday due date.

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Grading Rubric

 

Your assignment will be graded according to the grading rubric.

Discussion Rubric
Criteria Ratings Points
Identification of Main Issues, Problems, and Concepts Distinguished – 5 points Identify and demonstrate a sophisticated understanding of the issues, problems, and concepts. Excellent – 4 points Identifies and demonstrate an accomplished understanding of most of issues, problems, and concepts. Fair – 2 points Identifies and demonstrate an acceptable understanding of most of issues, problems, and concepts. Poor – 1 point Identifies and demonstrate an unacceptable understanding of most of issues, problems, and concepts. 5 points
Use of Citations, Writing Mechanics and APA Formatting Guidelines Distinguished – 3 points Effectively uses the literature and other resources to inform their work. Exceptional use of citations and extended referencing. High level of APA precision and free of grammar and spelling errors. Excellent – 2 points Effectively uses the literature and other resources to inform their work. Moderate use of citations and extended referencing. Moderate level of APA precision and free of grammar and spelling errors. Fair – 1 point Ineffectively uses the literature and other resources to inform their work. Moderate use of citations and extended referencing. APA style and writing mechanics need more precision and attention to detail. Poor – 0 points Ineffectively uses the literature and other resources to inform their work. An unacceptable use of citations and extended referencing. APA style and writing mechanics need serious attention. 3 points
Response to Posts of Peers Distinguished – 2 points Student constructively responded to two other posts and either extended, expanded or provided a rebuttal to each. Fair – 1 point Student constructively responded to one other post and either extended, expanded or provided a rebuttal. Poor – 0 points Student provided no response to a peer’s post.

 

2 points
Total Points  10

Search entries or author

 

5 Pages/2 Pages, due within 24 hrs/2 Pages.docx

Module 5 Discussion

11 unread reply.11 reply.

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icon  Discussion 5

 

discuss the following:

Hyde Pfiefer, a retired 70-year-old German American, has lived in the United States for the last 50 years. A widower of 5 years, Mr. Pfiefer prepares his own meals following his wife’s recipes from the old country. Nine months ago, Mr. Pfiefer was told that his cholesterol is elevated, and he was instructed about a low-fat diet. His most recent test results show his values to be unchanged.

1. Discuss the meaning of food in the German culture.

2. Using the predominant health beliefs of people of German ancestry, how might you help Mr. Pfiefer reduce his cholesterol level?

 

Submission Instructions:

· Your initial post should be at least 600 words, formatted and cited in current APA style with support from at least 2 academic sources.  Your initial post is worth 8 points.

· You should respond to at least two of your peers by extending, refuting/correcting, or adding additional nuance to their posts. Your reply posts are worth 2 points (1 point per response.)

· All replies must be constructive and use literature where possible.

· Please post your initial response by 11:59 PM ET Thursday, and comment on the posts of two classmates by 11:59 PM ET Sunday.

· You can expect feedback from the instructor within 48 to 72 hours from the Sunday due date.

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Grading Rubric

 

Your assignment will be graded according to the grading rubric.

Discussion Rubric
Criteria Ratings Points
Identification of Main Issues, Problems, and Concepts Distinguished – 5 points Identify and demonstrate a sophisticated understanding of the issues, problems, and concepts. Excellent – 4 points Identifies and demonstrate an accomplished understanding of most of issues, problems, and concepts. Fair – 2 points Identifies and demonstrate an acceptable understanding of most of issues, problems, and concepts. Poor – 1 point Identifies and demonstrate an unacceptable understanding of most of issues, problems, and concepts. 5 points
Use of Citations, Writing Mechanics and APA Formatting Guidelines Distinguished – 3 points Effectively uses the literature and other resources to inform their work. Exceptional use of citations and extended referencing. High level of APA precision and free of grammar and spelling errors. Excellent – 2 points Effectively uses the literature and other resources to inform their work. Moderate use of citations and extended referencing. Moderate level of APA precision and free of grammar and spelling errors. Fair – 1 point Ineffectively uses the literature and other resources to inform their work. Moderate use of citations and extended referencing. APA style and writing mechanics need more precision and attention to detail. Poor – 0 points Ineffectively uses the literature and other resources to inform their work. An unacceptable use of citations and extended referencing. APA style and writing mechanics need serious attention. 3 points
Response to Posts of Peers Distinguished – 2 points Student constructively responded to two other posts and either extended, expanded or provided a rebuttal to each. Fair – 1 point Student constructively responded to one other post and either extended, expanded or provided a rebuttal. Poor – 0 points Student provided no response to a peer’s post.

 

2 points
Total Points  10
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