[Solved] NUR 504 Module 4

Assignment Prompt & Instructions

– ## NUR504Module4Discussion.docx

**## NUR504Module4Discussion.docx**

Discussion Topic: Module 4 Discussion

**_Gastrointestinal & Endocrine_**

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.

| | |
| — | — |
| | **Case 3** |
| **Chief Complaint**<br>**(CC)** | “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 |
| **Drug Hx** | No medication at the time |
| **Allergies** | NKA |
| **Subjective** | Mild difficult to shallow, Neck feels tight, Pt states she feels Palpitations |
| **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 |
| **Card** | S1S2 without rub, Tachycardia |
| **Abd** | 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 |

**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.**

Your initial post should be at least 500 words, formatted and cited in current APA style with support from at least 2 academic sources within the last 5 years. Your initial post is worth 8 points.

**## NUR504Module4Discussion.docx**

Discussion Topic: Module 4 Discussion

**_Gastrointestinal & Endocrine_**

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.

| | |
| — | — |
| | **Case 3** |
| **Chief Complaint**<br>**(CC)** | “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 |
| **Drug Hx** | No medication at the time |
| **Allergies** | NKA |
| **Subjective** | Mild difficult to shallow, Neck feels tight, Pt states she feels Palpitations |
| **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 |
| **Card** | S1S2 without rub, Tachycardia |
| **Abd** | 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 |

**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.**

Your initial post should be at least 500 words, formatted and cited in current APA style with support from at least 2 academic sources within the last 5 years. Your initial post is worth 8 points.