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3 pages/≈825 words
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Style:
APA
Subject:
Health, Medicine, Nursing
Type:
Research Paper
Language:
English (U.S.)
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Topic:

Special Examinations: Breast, Genital, Prostate, and Rectal

Research Paper Instructions:

To Prepare

  • Review the Episodic note case study your instructor provides you for this week’s Assignment. Please see the “Course Announcements” section of the classroom for your Episodic note case study.
  • Based on the Episodic note case study:
  • Review this week’s Learning Resources, and consider the insights they provide about the case study. Refer to Chapter 3 of the Sullivan resource to guide you as you complete your Lab Assignment.
  • Search the Walden library or the Internet for evidence-based resources to support your answers to the questions provided.
  • Consider what history would be necessary to collect from the patient in the case study.
  • 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.

The Lab Assignment

Using evidence-based resources from your search, answer the following questions and support your answers using current evidence from the literature.

  • Analyze the subjective portion of the note. List additional information that should be included in the documentation.
  • Analyze the objective portion of the note. List additional information that should be included in the documentation.
  • Is the assessment supported by the subjective and objective information? Why or why not?
  • Would diagnostics be appropriate for this case, and how would the results be used to make a diagnosis?
  • Would you reject/accept the current diagnosis? Why or why not? Identify three possible conditions that may be considered as a differential diagnosis for this patient. Explain your reasoning using at least three different references from current evidence-based literature.
Research Paper Sample Content Preview:

Week 10: Special Examinations—Breast, Genital, Prostate, and Rectal
Name
NURS 6512
Instructor
Institution
Date
Subjective information and documentation
The subjective data depends on the affected area and can only be described by the person affected and this was explained by the complaint that she had bumps on her bottom. Subjective data is imperative and besides the patient’s symptoms, the patient talks about her feelings, perceptions and concerns. The patient’s medical history is considered to determine whether here are aggravating factors and how long the symptoms have progressed. A pap smear exam was undertaken s 3 years ago, and there was no dysplasia, but she was treated for Chlamydia after diagnosis about 2 years ago.
AB reported the presence of the bumps, but needs to provide more details on whether there have been changes in the size, color, pattern and size, since she first noticed the bumps. Additionally, the subjective data on whether AB has noticed the bumps anywhere else besides her bottom on her both and if they are itchy is helpful to make a proper diagnosis and assessment. If the bumps are spreading and depending whether they appear all the time or diaper this helps to compare health outcomes with other regions of the body. It is likely that there are chemicals, soaps and garments that aggravate the patient’s condition, and if she is aware of any such factors.
Objective information and documentation
The genital/recta and urinary objective data are important when evaluating the patient for the possible cause of the bumps. While AB had a pap smear 3 years ago, there have been no further paps and since she has a history of Chlamydia this is considered in the objective data. More data would focus on other areas of the genital/rectal area including the cervix, ovaries and any unusual changes in the uterine area. The pap smear tests whether the cervical cancer cells are present and there is no information on whether there is history of abnormal pap smears among the patient’s family members.
An examination of the external and the internal genital is often conducted to make a more accurate diagnosis. For instance, the pap smear the wet prep/ mount test and culture may be used when testing for yeast, bacteria, and trichomonas and determine whether the vaginal specimen is normal. Additionally, the rectal examination assesses sphincter tone and whether there are any masses, polyps, or nodules, lesions, strictures, tenderness, trauma and hemorrhoids. When examining the perineal area often there is focus on the skin characteristics, inflammation, fissures or excoriation and lesions (Ball et al., 2...
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