Chief complaint -neck swelling” History of Present Illness (HPI)- A 42-year-old African American female who refers

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– negative

Past surgical history-Surgical removal of benign left breast nodule 2 years ago

Medication– none

Allergies- NKA

Subjective-Mild difficult to shallow, Neck feels tight, Pt states she feels Palpitations

V/S- 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

Cardiac-S1S2 without rub, Tachycardia

Abdomen-benign, normoactive bowel sounds x 4

GU-Non contributory

Extremities-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.

 post should be at least 500 words, formatted and cited in current APA style with support from at least 2 academic sources.

Share This Post

Email
WhatsApp
Facebook
Twitter
LinkedIn
Pinterest
Reddit

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

Related Questions

C Instructions: 1. Review the Manager vs. Leader Statements. 2. Then,

C Instructions: 1. Review the Manager vs. Leader Statements. 2. Then, follow the instructions and complete the assignment. 3. Your paper should be: · One (1) page · Typed according to APA Writing Style for margins, formatting and spacing standards. Criteria Address the question(s) using reflection and critical thinking. Clearly

Module 4 Nur – 505 Diversity in advanced health practice Outlining

Module 4 Nur – 505 Diversity in advanced health practice Outlining for the “Cultural Assessment” Assignment Instructions: · Go to Module 5 Assignment: Cultural Assessment Assignment for detailed instructions. · Module 5 instructions in yellow (Cultural Assessment Choose one cultural group reviewed within this course. Using Giger and Davidhizar’s Transcultural Assessment Model,

Please see attached. Revise the “Week 2 assignment” Week (enter week #): (Enter assignment title) Student Name College of

Please see attached. Revise the “Week 2 assignment” Week (enter week #): (Enter assignment title) Student Name College of Nursing-PMHNP, Walden University NRNP 6645: Psychopathology and Diagnostic Reasoning Faculty Name Assignment Due Date NRNP/PRAC 6645 Comprehensive Psychiatric Evaluation Note Template CC (chief complaint): HPI: Past Psychiatric History: · General Statement: