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    – ## Module11SmartNotebookActivityDueModule11.docx **## Module11SmartNotebookActivityDueModule11.docx** Module 11: Smart Notebook Activity (Due Module 11) SMART Notebook is software designed to provide powerful educational experience for SMART Board users, and, in some cases, users of some other int…

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    – ## Module11SmartNotebookActivityDueModule11.docx

    **## Module11SmartNotebookActivityDueModule11.docx**

    Module 11: Smart Notebook Activity (Due Module 11)

    SMART Notebook is software designed to provide powerful educational experience for SMART Board users, and, in some cases, users of some other interactive board technologies. The software helps users create interactive presentations, and offers a variety of ways to enhance presenting interactive lessons. This suite provides tools for assessment, student collaboration and game-based learning experiences.

    Lumio is the online version of SMART Notebook, and therefore it has limited functionality as compared to Smart Notebook, but is trouble-free, does not require download and installation, and allows logging in with Google account.. Please, refer to Video Tutorial 6 for assistance on how to build your activities with Lumio.

    **Please note, some computers, especially Apple Macs will not be able to install/run the full version of Smart Notebook software. In this case, please definitely use Lumio by clicking on the following link:**

    [Click Here to Download Smart Notebook softwareLinks to an external site.](https://www.smarttech.com/education/products/software/smart-notebook/notebook-download-form)

    Note: Pease, select the "I'd like a free 45-day trial" option on the next screen. Then follow the onscreen instructions. Once downloaded, install the Smart Notebook on your computer.

    [Click Here to Proceed to LumioLinks to an external site.](https://www.smarttech.com/lumio)

    **Instructions:**

    Create a Smart Notebook or Lumio lesson, containing at least 4 (four) activities. Each activity can be on the same or a different topic.

    If you created your activity in Smart Notebook software, save the file on your computer, then upload it to Google Drive. Next, get the link, and post it to your Google Classroom site. Then submit the link with this assignment.

    If you created your activity in Lumio, get the link as shown in the screenshot below, and then post it to your Google Classroom site. Then submit the link with this assignment.

    **Helpful Links:**

    [Click Here to watch Smart Notebook Tutorial: on how to Download, Install, Start, Save and Reopen Smart Notebook Software Links to an external site.](https://touro.yuja.com/V/Video?v=2679139&node=9609585&a=1376688336&autoplay=1)

    [Click Here for Educator2Educator YouTube Channel for Teachers' Professional Development with LumioLinks to an external site.](https://www.youtube.com/user/smarted2ed/playlists)

    [Click Here to watch a short video tutorial on creating Game Based activities in LumioLinks to an external site.](https://youtu.be/ncKscQtIxTw)

    Review the following video tutorials on how to create Smart Board activities using Smart Notebook:

    Note: These activities are recommended by Graduate School of Education of Touro University. However, feel free to create your own activities.

    [Video Tutorial 1: Building Interactive TablesLinks to an external site.](https://touro.yuja.com/V/Video?v=2369253&node=8488798&a=2078114534&autoplay=1)

    [Video Tutorial 2: Using AnimationsLinks to an external site.](https://touro.yuja.com/V/Video?v=2369251&node=8488796&a=577645180&autoplay=1)

    [Video Tutorial 3: Grouping and CloningLinks to an external site.](https://touro.yuja.com/V/Video?v=2369250&node=8488791&a=2058329259&autoplay=1)

    [Video Tutorial 4: Spinner WidgetLinks to an external site.](https://touro.yuja.com/V/Video?v=2369249&node=8488790&a=1749384873&autoplay=1)

    [Video Tutorial 5: Infinite Cloning and LockLinks to an external site.](https://touro.yuja.com/V/Video?v=2369246&node=8488785&a=1537066526&autoplay=1)

    [Video Tutorial 6: Super SortLinks to an external site.](https://touro.yuja.com/V/Video?v=2369245&node=8488784&a=1121215142&autoplay=1)

    **Sessions 11 & 12: Smart Notebook Activity (1)**

    | | | |
    | — | — | — |
    | Sessions 11 & 12: Smart Notebook Activity (1) |
    | **Criteria** | **Ratings** | **Pts** |
    | This criterion is linked to a Learning OutcomeGrammar & Mechanics | **3 ptsProficient** Assignment contains 2 or fewer errors.<br> <br>**2 ptsCompetent** Assignment contains 3 – 5 errors.<br> <br>**1 ptsNovice** Assignment contains 6 or more errors. | 3 pts |
    | This criterion is linked to a Learning OutcomeFile | **3 ptsProficient** The activities are on individual pages in one file.<br> <br>**0 ptsCompetent**<br>**0 ptsNovice** | 3 pts |
    | This criterion is linked to a Learning OutcomeActivity 1: Building Interactive Tables | **3 ptsProficient** Interactive table has 3 columns and 3 rows. AND • 3 Images • 3 Text Phrases • 3 Text Answers<br> <br>**2 ptsCompetent** Interactive table has 2-3 columns OR 2-3 rows. OR Has less than: • 3 Images • 3 Text Phrases • 3 Text Answers<br> <br>**1 ptsNovice** Interactive table has less than 3 columns OR 3 rows. OR Has 1 of or is missing any of the following: • Images • Text Phrases • Text Answers | 3 pts |
    | This criterion is linked to a Learning OutcomeActivity 2: Using Animations | **3 ptsProficient**• Contains 3+ images that are similar in some way and animate in the SAME way when clicked. • 1 image is different and animates differently from the other 3+ images.<br> <br>**2 ptsCompetent**• Contains 2 images that are similar in some way and animate in the SAME way when clicked. • 1 image is different and animates differently from the other 2 images.<br> <br>**1 ptsNovice**• Contains 2-3+ images that are not similar in any way OR • 1 or more of the similar images DO NOT animate in the SAME way when clicked. OR • DOES NOT contain 1 image that is different OR the image DOES NOT animate differently from the other 2-3+ images. | 3 pts |
    | This criterion is linked to a Learning OutcomeActivity 3: Grouping and Cloning | **3 ptsProficient** Contains all of the following: • The 4 shapes created and cloned using the tools in Notebook. • 3 shapes have the same animation. • 1 shape, the answer, has a different animation. • 1 text box containing the prompt for the activity.<br> <br>**2 ptsCompetent** Contains all of the following: • The 3 shapes created and cloned using the tools in Notebook. • 2 shapes have the same animation. • 1 shape, the answer, has a different animation. • 1 text box containing the prompt for the activity.<br> <br>**1 ptsNovice** Missing ANY of the following: • The 3-4 shapes created and cloned using the tools in Notebook. • 2-3 shapes have the same animation. • 1 shape, the answer, has a different animation. • 1 text box containing the prompt for the activity. | 3 pts |
    | This criterion is linked to a Learning OutcomeActivity 4: Spinner Widget | **3 ptsProficient** Contains all of the following: • Spinner has 3, different colored, options. • 5 shapes, with text, which reveal the answer when clicked. • 5 text boxes, hidden by a shape, which reveal an answer.<br> <br>**2 ptsCompetent** Contains all of the following: • Spinner has 2, different colored, options. • 4 shapes, with text, which reveal the answer when clicked. • 4 text boxes, hidden by a shape, which reveal an answer.<br> <br>**1 ptsNovice** Contains all of the following: • Spinner has 2-3, different colored, options. • 3 shapes, with text, which reveal the answer when clicked. • 3 text boxes, hidden by a shape, which reveal an answer. | 3 pts |
    | This criterion is linked to a Learning OutcomeActivity 5: Infinite Cloning & Lock | **3 ptsProficient** Contains all of the following: • 1 main object/shape from which clones are made • A text box prompt requiring students to drag clones to a different area of the board. • Activity requires main image to be cloned 6+ times. • A text answer, hidden by paint • Paint is removed to reveal answer.<br> <br>**2 ptsCompetent** Contains all of the following: • 1 main object/shape from which clones are made. • A text box prompt requiring students to drag clones to a different area of the board. • Activity requires main image to be cloned 4-5 times. • A text answer, hidden by paint • Paint is removed to reveal answer.<br> <br>**1 ptsNovice** Is missing ANY of the following: • 1 main object/shape from which clones are made. • A text box prompt requiring students to drag clones to a different area of the board. • Activity requires main image to be cloned 1-3 times. • A text answer, hidden by paint • Paint is removed to reveal answer. | 3 pts |
    | This criterion is linked to a Learning OutcomeActivity 6: Super Sort | **3 ptsProficient** Contains all of the following: • 2+ categories • 10 items (text or images) • Items dragged to the correct category will disappears. • Incorrectly sorted items will be sent back to the answer bank.<br> <br>**2 ptsCompetent** Contains all of the following: • 2 categories • 8-9 items (text or images) • Items dragged to the correct category will disappears. • Incorrectly sorted items will be sent back to the answer bank.<br> <br>**1 ptsNovice** Contains all of the following: • 2 categories • 7 or less items (text or images) • Items dragged to the correct category will disappears. • Incorrectly sorted items will be sent back to the answer bank | 3 pts |

    Total Points: 24

    **## Module11SmartNotebookActivityDueModule11.docx**

    Module 11: Smart Notebook Activity (Due Module 11)

    SMART Notebook is software designed to provide powerful educational experience for SMART Board users, and, in some cases, users of some other interactive board technologies. The software helps users create interactive presentations, and offers a variety of ways to enhance presenting interactive lessons. This suite provides tools for assessment, student collaboration and game-based learning experiences.

    Lumio is the online version of SMART Notebook, and therefore it has limited functionality as compared to Smart Notebook, but is trouble-free, does not require download and installation, and allows logging in with Google account.. Please, refer to Video Tutorial 6 for assistance on how to build your activities with Lumio.

    **Please note, some computers, especially Apple Macs will not be able to install/run the full version of Smart Notebook software. In this case, please definitely use Lumio by clicking on the following link:**

    [Click Here to Download Smart Notebook softwareLinks to an external site.](https://www.smarttech.com/education/products/software/smart-notebook/notebook-download-form)

    Note: Pease, select the "I'd like a free 45-day trial" option on the next screen. Then follow the onscreen instructions. Once downloaded, install the Smart Notebook on your computer.

    [Click Here to Proceed to LumioLinks to an external site.](https://www.smarttech.com/lumio)

    **Instructions:**

    Create a Smart Notebook or Lumio lesson, containing at least 4 (four) activities. Each activity can be on the same or a different topic.

    If you created your activity in Smart Notebook software, save the file on your computer, then upload it to Google Drive. Next, get the link, and post it to your Google Classroom site. Then submit the link with this assignment.

    If you created your activity in Lumio, get the link as shown in the screenshot below, and then post it to your Google Classroom site. Then submit the link with this assignment.

    **Helpful Links:**

    [Click Here to watch Smart Notebook Tutorial: on how to Download, Install, Start, Save and Reopen Smart Notebook Software Links to an external site.](https://touro.yuja.com/V/Video?v=2679139&node=9609585&a=1376688336&autoplay=1)

    [Click Here for Educator2Educator YouTube Channel for Teachers' Professional Development with LumioLinks to an external site.](https://www.youtube.com/user/smarted2ed/playlists)

    [Click Here to watch a short video tutorial on creating Game Based activities in LumioLinks to an external site.](https://youtu.be/ncKscQtIxTw)

    Review the following video tutorials on how to create Smart Board activities using Smart Notebook:

    Note: These activities are recommended by Graduate School of Education of Touro University. However, feel free to create your own activities.

    [Video Tutorial 1: Building Interactive TablesLinks to an external site.](https://touro.yuja.com/V/Video?v=2369253&node=8488798&a=2078114534&autoplay=1)

    [Video Tutorial 2: Using AnimationsLinks to an external site.](https://touro.yuja.com/V/Video?v=2369251&node=8488796&a=577645180&autoplay=1)

    [Video Tutorial 3: Grouping and CloningLinks to an external site.](https://touro.yuja.com/V/Video?v=2369250&node=8488791&a=2058329259&autoplay=1)

    [Video Tutorial 4: Spinner WidgetLinks to an external site.](https://touro.yuja.com/V/Video?v=2369249&node=8488790&a=1749384873&autoplay=1)

    [Video Tutorial 5: Infinite Cloning and LockLinks to an external site.](https://touro.yuja.com/V/Video?v=2369246&node=8488785&a=1537066526&autoplay=1)

    [Video Tutorial 6: Super SortLinks to an external site.](https://touro.yuja.com/V/Video?v=2369245&node=8488784&a=1121215142&autoplay=1)

    **Sessions 11 & 12: Smart Notebook Activity (1)**

    | | | |
    | — | — | — |
    | Sessions 11 & 12: Smart Notebook Activity (1) |
    | **Criteria** | **Ratings** | **Pts** |
    | This criterion is linked to a Learning OutcomeGrammar & Mechanics | **3 ptsProficient** Assignment contains 2 or fewer errors.<br> <br>**2 ptsCompetent** Assignment contains 3 – 5 errors.<br> <br>**1 ptsNovice** Assignment contains 6 or more errors. | 3 pts |
    | This criterion is linked to a Learning OutcomeFile | **3 ptsProficient** The activities are on individual pages in one file.<br> <br>**0 ptsCompetent**<br>**0 ptsNovice** | 3 pts |
    | This criterion is linked to a Learning OutcomeActivity 1: Building Interactive Tables | **3 ptsProficient** Interactive table has 3 columns and 3 rows. AND • 3 Images • 3 Text Phrases • 3 Text Answers<br> <br>**2 ptsCompetent** Interactive table has 2-3 columns OR 2-3 rows. OR Has less than: • 3 Images • 3 Text Phrases • 3 Text Answers<br> <br>**1 ptsNovice** Interactive table has less than 3 columns OR 3 rows. OR Has 1 of or is missing any of the following: • Images • Text Phrases • Text Answers | 3 pts |
    | This criterion is linked to a Learning OutcomeActivity 2: Using Animations | **3 ptsProficient**• Contains 3+ images that are similar in some way and animate in the SAME way when clicked. • 1 image is different and animates differently from the other 3+ images.<br> <br>**2 ptsCompetent**• Contains 2 images that are similar in some way and animate in the SAME way when clicked. • 1 image is different and animates differently from the other 2 images.<br> <br>**1 ptsNovice**• Contains 2-3+ images that are not similar in any way OR • 1 or more of the similar images DO NOT animate in the SAME way when clicked. OR • DOES NOT contain 1 image that is different OR the image DOES NOT animate differently from the other 2-3+ images. | 3 pts |
    | This criterion is linked to a Learning OutcomeActivity 3: Grouping and Cloning | **3 ptsProficient** Contains all of the following: • The 4 shapes created and cloned using the tools in Notebook. • 3 shapes have the same animation. • 1 shape, the answer, has a different animation. • 1 text box containing the prompt for the activity.<br> <br>**2 ptsCompetent** Contains all of the following: • The 3 shapes created and cloned using the tools in Notebook. • 2 shapes have the same animation. • 1 shape, the answer, has a different animation. • 1 text box containing the prompt for the activity.<br> <br>**1 ptsNovice** Missing ANY of the following: • The 3-4 shapes created and cloned using the tools in Notebook. • 2-3 shapes have the same animation. • 1 shape, the answer, has a different animation. • 1 text box containing the prompt for the activity. | 3 pts |
    | This criterion is linked to a Learning OutcomeActivity 4: Spinner Widget | **3 ptsProficient** Contains all of the following: • Spinner has 3, different colored, options. • 5 shapes, with text, which reveal the answer when clicked. • 5 text boxes, hidden by a shape, which reveal an answer.<br> <br>**2 ptsCompetent** Contains all of the following: • Spinner has 2, different colored, options. • 4 shapes, with text, which reveal the answer when clicked. • 4 text boxes, hidden by a shape, which reveal an answer.<br> <br>**1 ptsNovice** Contains all of the following: • Spinner has 2-3, different colored, options. • 3 shapes, with text, which reveal the answer when clicked. • 3 text boxes, hidden by a shape, which reveal an answer. | 3 pts |
    | This criterion is linked to a Learning OutcomeActivity 5: Infinite Cloning & Lock | **3 ptsProficient** Contains all of the following: • 1 main object/shape from which clones are made • A text box prompt requiring students to drag clones to a different area of the board. • Activity requires main image to be cloned 6+ times. • A text answer, hidden by paint • Paint is removed to reveal answer.<br> <br>**2 ptsCompetent** Contains all of the following: • 1 main object/shape from which clones are made. • A text box prompt requiring students to drag clones to a different area of the board. • Activity requires main image to be cloned 4-5 times. • A text answer, hidden by paint • Paint is removed to reveal answer.<br> <br>**1 ptsNovice** Is missing ANY of the following: • 1 main object/shape from which clones are made. • A text box prompt requiring students to drag clones to a different area of the board. • Activity requires main image to be cloned 1-3 times. • A text answer, hidden by paint • Paint is removed to reveal answer. | 3 pts |
    | This criterion is linked to a Learning OutcomeActivity 6: Super Sort | **3 ptsProficient** Contains all of the following: • 2+ categories • 10 items (text or images) • Items dragged to the correct category will disappears. • Incorrectly sorted items will be sent back to the answer bank.<br> <br>**2 ptsCompetent** Contains all of the following: • 2 categories • 8-9 items (text or images) • Items dragged to the correct category will disappears. • Incorrectly sorted items will be sent back to the answer bank.<br> <br>**1 ptsNovice** Contains all of the following: • 2 categories • 7 or less items (text or images) • Items dragged to the correct category will disappears. • Incorrectly sorted items will be sent back to the answer bank | 3 pts |

    Total Points: 24

  • [Solved] Week 4 discussions

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    There are many possible sources of literature available (e.g. electronic databases, such as Medline, Cinahl, and PubMed). Which specific scholarly articles did you use and why did you choose them for your topic? due in 24 hrs APA format

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    There are many possible sources of literature available (e.g. electronic databases, such as Medline, Cinahl, and PubMed). Which specific scholarly articles did you use and why did you choose them for your topic?
    due in 24 hrs
    APA format

  • [Solved] Psychology

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    Advanced Psychology 19 requirements complete, and Psychology of Personality 13 requirements complete

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    Advanced Psychology  19 requirements complete, and  Psychology of Personality   13 requirements complete

  • [Solved] Assigment .Apa seven . All instructions attached.

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    **Case Study 2: Antibiotic Stewardship in a Pediatric Patient with Pneumonia** **Objective: Explore appropriate antibiotic selection, dosing, and resistance concerns in pediatric care.** **Patient Profile**: – Age: 6 – Gender: Female – Weight: 44 lbs (20 kg) – Medical History: Recurrent ear infectio…

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    **Case Study 2: Antibiotic Stewardship in a Pediatric Patient with Pneumonia**
    **Objective: Explore appropriate antibiotic selection, dosing, and resistance concerns in pediatric care.**
    **Patient Profile**:
    – Age: 6
    – Gender: Female
    – Weight: 44 lbs (20 kg)
    – Medical History: Recurrent ear infections, no known drug allergies
    – Current Medications: None
    – Diagnosis: Community-Acquired Pneumonia (CAP)
    **Instructions for Students**:
    1. **Identify** the most likely pathogens causing pneumonia in this age group and discuss antibiotic options.
    2. **Select** an appropriate antibiotic regimen, including dosing, route, and frequency, based on guidelines for pediatric CAP.
    3. **Evaluate** the risk of antibiotic resistance and the importance of antibiotic stewardship in this case.
    4. **Monitor**: Define what clinical signs/symptoms and laboratory findings should be monitored to ensure the therapy is effective.
    5. **Adjust**: Outline any considerations if the patient fails to respond to first-line therapy or develops adverse effects.
    6. **Counsel**: Provide key teaching points for parents on the correct use of antibiotics, potential side effects, and the importance of completing the prescribed course.

  • [Solved] Examine collaborative trends in community health nursing?

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    In-depth study guidance and analytical solution covering Examine collaborative trends in community health nursing?.

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    Full assignment prompt and step-by-step guidance are included in the downloadable solution file.

  • [Solved] Synthesizing the Results, Reporting and Discussing the Results

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    Synthesize the results from studies to describe the sample of the studies

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    Synthesize the results from studies to describe the sample of the studies

  • [Solved] week 5

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  • [Solved] MBA 699 SNHU Module 6 Video/Powerpoint

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    Investor pitch video highlighting why the identified alternative buyer (J&J) should be interested in buying this organization \ ModuleSixVideoAssignmentGuidelinesandRubric.html.zip](https://www.sweetstudy.com/files/modulesixvideoassignmentguidelinesandrubric-html-zip "ModuleSixVideoAssignmentGuidel…

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    Investor pitch video highlighting why the identified alternative buyer (J&J) should be interested in buying this organization
    \
    ModuleSixVideoAssignmentGuidelinesandRubric.html.zip](https://www.sweetstudy.com/files/modulesixvideoassignmentguidelinesandrubric-html-zip "ModuleSixVideoAssignmentGuidelinesandRubric.html.zip")

  • [Solved] Need HW help with science esaay

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    In-depth study guidance and analytical solution covering Need HW help with science esaay.

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  • [Solved] NUR 504 506

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    – ## NUR506Dis.pdf – ## NUR504Dis4.pdf **## NUR506Dis.pdf** NUR 506 Discussion 1 Nursing & Health-Care-Policy Analyze the history, structure, and process of health-care-policy and politics in nursing and the health care delivery systems in the United States. Submission Instructions: • Your initial p…

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    – ## NUR506Dis.pdf

    – ## NUR504Dis4.pdf

    **## NUR506Dis.pdf**

    NUR 506
    Discussion 1

    Nursing & Health-Care-Policy

    Analyze the history, structure, and process of health-care-policy and politics in nursing and the
    health care delivery systems in the United States.

    Submission Instructions:

    • 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.

    Discussion 2

    Advocacy

    What examples of advocacy do you see in your own nursing practice? List and discuss 2
    examples.

    Submission Instructions:

    • 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.

    Discussion 3

    ACA and Health-Care Outcomes & Costs

    What components of the ACA do you think will have a positive effect on improving health care
    outcomes and decreasing costs?

    Submission Instructions:

    • 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.

    Discussion 4

    Local, State & Federal Advocacy

    • What are specific actions that health professionals can take regardless of their practice
    area and site to promote population and community health?

    • What advocacy actions might you take to improve health care through legislation at the
    state or federal level?

    Submission Instructions:

    • 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.

    Discussion 5

    Issues in Today's Workforce Culture

    Based on your reading in chapter 60, why do you think the issues presented in this chapter persist
    in today’s workforce culture?

    Submission Instructions:

    • 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.

    Discussion 6

    Health Care Disparities in LGBTQ

    Discuss how to close the health care disparities gap in the LGBTQ community?

    Submission Instructions:

    • 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.

    **## NUR504Dis4.pdf**

    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 2

    Case 1 Case 2 Case 3
    Chief
    Compl
    aint
    (CC)

    “I am here today due
    to frequent and watery
    bowel movements”

    “I have pain in my
    belly” “neck swelling”

    Histor
    y of
    Prese
    nt
    Illness
    (HPI)

    A 37-year-old
    European American
    female presents to
    your practice with
    “loose stools” for
    about three days. One
    event about every
    three hours

    A 25-year-old female
    presents to the
    emergency room (ER)
    with complaints of
    severe abdominal pain
    for 2 weeks . The pain
    is sharp and crampy It
    hurts if I run, sit down
    hard, or if I have sex

    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 No contributory Patient denies Patient denies

    PSH Appendectomy at the
    age of 14

    Surgical removal of
    benign left breast

    Drug
    Hx No meds Birth control No medication at the

    time
    Allergi
    es Penicillin NKA NKA

    Subje
    ctive

    Fever and chills, Lost
    appetite Flatulence No
    mucus or blood on
    stools

    Nausea and vomiting,
    Last menstrual period
    sexual partner about 2
    months ago, No
    condoms, he hates
    them No pain, blood
    or difficulty with
    urination

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

    Objective Data

    PE
    B/P 188/96; Pulse 89;
    RR 16; Temp 99.0; Ht
    5,6; wt 110; BMI 17.8

    B/P 138/90;
    temperature 99°F;
    (RR) 20; (HR) 110,
    regular; oxygen
    saturation (PO2) 96%;
    pain 5/10

    B/P 158/90; Pulse
    102; RR 20; Temp
    99.2; Ht 5,4; wt 114;
    BMI 19.6

    Gener
    al

    well-developed female
    in no acute distress,
    appears slightly
    fatigued

    acute distress and
    severe pain

    42-year-old female
    appears thin. She is
    anxious – pacing in
    the room and
    fidgeting, but in no
    acute distress.

    HEEN
    T

    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.
    Piercing in her right
    nostril and lower lip.

    Bulging eyes

    Neck Supple Diffuse enlargement of
    the thyroid gland

    Lungs CTA AP&L CTA AP&L CTA AP&L

    Card S1S2 without rub or
    gallop

    S1S2 without rub or
    gallop

    S1S2 without rub,
    Tachycardia

    Abd

    positive bowel sounds
    (BS) in all four
    quadrants; no masses;
    no organomegaly
    noted; diffuse, mild,
    bilateral lower
    quadrant pain noted
    Mild diffuse
    tenderness.

    • INSPECTION: no
    masses or thrills
    noted; no
    discoloration and skin
    is warm to; no tattoos
    or piercings; abdomen
    is nondistended and
    round
    • AUSCULTATION:
    bowel sounds (BS) are
    normal in all four
    quadrants, no bruits
    noted
    • PALPATION: on
    palpation, abdomen is
    tender to touch in four
    quadrants; tenderness
    noted on light
    palpation, deep
    palpation reveals no
    masses, spleen and
    liver unremarkable
    • PERCUSSION:
    tympany heard in all
    quadrants, no dullness
    noted in abdominal
    area

    benign, normoactive
    bowel sounds x 4

    GU Non contributory

    • EXTERNAL: mature
    hair distribution; no
    external lesions on
    labia

    • INTROITUS: slight
    green-gray discharge,
    no lesions

    • VAGINAL: normal
    rugae; moderate
    amount of green
    discharge on vaginal
    walls

    • CERVIX: nulliparous
    os with small amount
    of purulent discharge
    from os with positive
    cervical motion
    tenderness (CMT)

    • UTERUS: ante-
    flexed, normal size,
    shape, and position

    • ADNEXA: bilateral
    tenderness with
    fullness; both ovaries
    without masses

    • RECTAL: deferred

    • VAGINAL
    DISCHARGE: green in
    color

    Non contributory

    Ext no cyanosis, clubbing
    or edema

    no cyanosis, clubbing
    or edema

    no cyanosis, clubbing
    or edema

    Integu
    ment

    good skin turgor
    noted, moist mucous
    membranes

    intact without lesions
    masses or rashes

    Thin skin, Increase
    moisture

    Neuro
    No obvious
    deformities, CN
    grossly intact II-XII

    No obvious deficits
    and CN grossly intact
    II-XII

    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.

    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
    possibl

    **## NUR504Dis4.pdf**

    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 2

    Case 1 Case 2 Case 3
    Chief
    Compl
    aint
    (CC)

    “I am here today due
    to frequent and watery
    bowel movements”

    “I have pain in my
    belly” “neck swelling”

    Histor
    y of
    Prese
    nt
    Illness
    (HPI)

    A 37-year-old
    European American
    female presents to
    your practice with
    “loose stools” for
    about three days. One
    event about every
    three hours

    A 25-year-old female
    presents to the
    emergency room (ER)
    with complaints of
    severe abdominal pain
    for 2 weeks . The pain
    is sharp and crampy It
    hurts if I run, sit down
    hard, or if I have sex

    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 No contributory Patient denies Patient denies

    PSH Appendectomy at the
    age of 14

    Surgical removal of
    benign left breast

    Drug
    Hx No meds Birth control No medication at the

    time
    Allergi
    es Penicillin NKA NKA

    Subje
    ctive

    Fever and chills, Lost
    appetite Flatulence No
    mucus or blood on
    stools

    Nausea and vomiting,
    Last menstrual period
    sexual partner about 2
    months ago, No
    condoms, he hates
    them No pain, blood
    or difficulty with
    urination

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

    Objective Data

    PE
    B/P 188/96; Pulse 89;
    RR 16; Temp 99.0; Ht
    5,6; wt 110; BMI 17.8

    B/P 138/90;
    temperature 99°F;
    (RR) 20; (HR) 110,
    regular; oxygen
    saturation (PO2) 96%;
    pain 5/10

    B/P 158/90; Pulse
    102; RR 20; Temp
    99.2; Ht 5,4; wt 114;
    BMI 19.6

    Gener
    al

    well-developed female
    in no acute distress,
    appears slightly
    fatigued

    acute distress and
    severe pain

    42-year-old female
    appears thin. She is
    anxious – pacing in
    the room and
    fidgeting, but in no
    acute distress.

    HEEN
    T

    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.
    Piercing in her right
    nostril and lower lip.

    Bulging eyes

    Neck Supple Diffuse enlargement of
    the thyroid gland

    Lungs CTA AP&L CTA AP&L CTA AP&L

    Card S1S2 without rub or
    gallop

    S1S2 without rub or
    gallop

    S1S2 without rub,
    Tachycardia

    Abd

    positive bowel sounds
    (BS) in all four
    quadrants; no masses;
    no organomegaly
    noted; diffuse, mild,
    bilateral lower
    quadrant pain noted
    Mild diffuse
    tenderness.

    • INSPECTION: no
    masses or thrills
    noted; no
    discoloration and skin
    is warm to; no tattoos
    or piercings; abdomen
    is nondistended and
    round
    • AUSCULTATION:
    bowel sounds (BS) are
    normal in all four
    quadrants, no bruits
    noted
    • PALPATION: on
    palpation, abdomen is
    tender to touch in four
    quadrants; tenderness
    noted on light
    palpation, deep
    palpation reveals no
    masses, spleen and
    liver unremarkable
    • PERCUSSION:
    tympany heard in all
    quadrants, no dullness
    noted in abdominal
    area

    benign, normoactive
    bowel sounds x 4

    GU Non contributory

    • EXTERNAL: mature
    hair distribution; no
    external lesions on
    labia

    • INTROITUS: slight
    green-gray discharge,
    no lesions

    • VAGINAL: normal
    rugae; moderate
    amount of green
    discharge on vaginal
    walls

    • CERVIX: nulliparous
    os with small amount
    of purulent discharge
    from os with positive
    cervical motion
    tenderness (CMT)

    • UTERUS: ante-
    flexed, normal size,
    shape, and position

    • ADNEXA: bilateral
    tenderness with
    fullness; both ovaries
    without masses

    • RECTAL: deferred

    • VAGINAL
    DISCHARGE: green in
    color

    Non contributory

    Ext no cyanosis, clubbing
    or edema

    no cyanosis, clubbing
    or edema

    no cyanosis, clubbing
    or edema

    Integu
    ment

    good skin turgor
    noted, moist mucous
    membranes

    intact without lesions
    masses or rashes

    Thin skin, Increase
    moisture

    Neuro
    No obvious
    deformities, CN
    grossly intact II-XII

    No obvious deficits
    and CN grossly intact
    II-XII

    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.

    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
    possibl

    **## NUR506Dis.pdf**

    NUR 506
    Discussion 1

    Nursing & Health-Care-Policy

    Analyze the history, structure, and process of health-care-policy and politics in nursing and the
    health care delivery systems in the United States.

    Submission Instructions:

    • 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.

    Discussion 2

    Advocacy

    What examples of advocacy do you see in your own nursing practice? List and discuss 2
    examples.

    Submission Instructions:

    • 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.

    Discussion 3

    ACA and Health-Care Outcomes & Costs

    What components of the ACA do you think will have a positive effect on improving health care
    outcomes and decreasing costs?

    Submission Instructions:

    • 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.

    Discussion 4

    Local, State & Federal Advocacy

    • What are specific actions that health professionals can take regardless of their practice
    area and site to promote population and community health?

    • What advocacy actions might you take to improve health care through legislation at the
    state or federal level?

    Submission Instructions:

    • 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.

    Discussion 5

    Issues in Today's Workforce Culture

    Based on your reading in chapter 60, why do you think the issues presented in this chapter persist
    in today’s workforce culture?

    Submission Instructions:

    • 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.

    Discussion 6

    Health Care Disparities in LGBTQ

    Discuss how to close the health care disparities gap in the LGBTQ community?

    Submission Instructions:

    • 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.

    **## NUR504Dis4.pdf**

    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 2

    Case 1 Case 2 Case 3
    Chief
    Compl
    aint
    (CC)

    “I am here today due
    to frequent and watery
    bowel movements”

    “I have pain in my
    belly” “neck swelling”

    Histor
    y of
    Prese
    nt
    Illness
    (HPI)

    A 37-year-old
    European American
    female presents to
    your practice with
    “loose stools” for
    about three days. One
    event about every
    three hours

    A 25-year-old female
    presents to the
    emergency room (ER)
    with complaints of
    severe abdominal pain
    for 2 weeks . The pain
    is sharp and crampy It
    hurts if I run, sit down
    hard, or if I have sex

    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 No contributory Patient denies Patient denies

    PSH Appendectomy at the
    age of 14

    Surgical removal of
    benign left breast

    Drug
    Hx No meds Birth control No medication at the

    time
    Allergi
    es Penicillin NKA NKA

    Subje
    ctive

    Fever and chills, Lost
    appetite Flatulence No
    mucus or blood on
    stools

    Nausea and vomiting,
    Last menstrual period
    sexual partner about 2
    months ago, No
    condoms, he hates
    them No pain, blood
    or difficulty with
    urination

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

    Objective Data

    PE
    B/P 188/96; Pulse 89;
    RR 16; Temp 99.0; Ht
    5,6; wt 110; BMI 17.8

    B/P 138/90;
    temperature 99°F;
    (RR) 20; (HR) 110,
    regular; oxygen
    saturation (PO2) 96%;
    pain 5/10

    B/P 158/90; Pulse
    102; RR 20; Temp
    99.2; Ht 5,4; wt 114;
    BMI 19.6

    Gener
    al

    well-developed female
    in no acute distress,
    appears slightly
    fatigued

    acute distress and
    severe pain

    42-year-old female
    appears thin. She is
    anxious – pacing in
    the room and
    fidgeting, but in no
    acute distress.

    HEEN
    T

    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.
    Piercing in her right
    nostril and lower lip.

    Bulging eyes

    Neck Supple Diffuse enlargement of
    the thyroid gland

    Lungs CTA AP&L CTA AP&L CTA AP&L

    Card S1S2 without rub or
    gallop

    S1S2 without rub or
    gallop

    S1S2 without rub,
    Tachycardia

    Abd

    positive bowel sounds
    (BS) in all four
    quadrants; no masses;
    no organomegaly
    noted; diffuse, mild,
    bilateral lower
    quadrant pain noted
    Mild diffuse
    tenderness.

    • INSPECTION: no
    masses or thrills
    noted; no
    discoloration and skin
    is warm to; no tattoos
    or piercings; abdomen
    is nondistended and
    round
    • AUSCULTATION:
    bowel sounds (BS) are
    normal in all four
    quadrants, no bruits
    noted
    • PALPATION: on
    palpation, abdomen is
    tender to touch in four
    quadrants; tenderness
    noted on light
    palpation, deep
    palpation reveals no
    masses, spleen and
    liver unremarkable
    • PERCUSSION:
    tympany heard in all
    quadrants, no dullness
    noted in abdominal
    area

    benign, normoactive
    bowel sounds x 4

    GU Non contributory

    • EXTERNAL: mature
    hair distribution; no
    external lesions on
    labia

    • INTROITUS: slight
    green-gray discharge,
    no lesions

    • VAGINAL: normal
    rugae; moderate
    amount of green
    discharge on vaginal
    walls

    • CERVIX: nulliparous
    os with small amount
    of purulent discharge
    from os with positive
    cervical motion
    tenderness (CMT)

    • UTERUS: ante-
    flexed, normal size,
    shape, and position

    • ADNEXA: bilateral
    tenderness with
    fullness; both ovaries
    without masses

    • RECTAL: deferred

    • VAGINAL
    DISCHARGE: green in
    color

    Non contributory

    Ext no cyanosis, clubbing
    or edema

    no cyanosis, clubbing
    or edema

    no cyanosis, clubbing
    or edema

    Integu
    ment

    good skin turgor
    noted, moist mucous
    membranes

    intact without lesions
    masses or rashes

    Thin skin, Increase
    moisture

    Neuro
    No obvious
    deformities, CN
    grossly intact II-XII

    No obvious deficits
    and CN grossly intact
    II-XII

    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.

    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
    possibl

    **## NUR506Dis.pdf**

    NUR 506
    Discussion 1

    Nursing & Health-Care-Policy

    Analyze the history, structure, and process of health-care-policy and politics in nursing and the
    health care delivery systems in the United States.

    Submission Instructions:

    • 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.

    Discussion 2

    Advocacy

    What examples of advocacy do you see in your own nursing practice? List and discuss 2
    examples.

    Submission Instructions:

    • 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.

    Discussion 3

    ACA and Health-Care Outcomes & Costs

    What components of the ACA do you think will have a positive effect on improving health care
    outcomes and decreasing costs?

    Submission Instructions:

    • 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.

    Discussion 4

    Local, State & Federal Advocacy

    • What are specific actions that health professionals can take regardless of their practice
    area and site to promote population and community health?

    • What advocacy actions might you take to improve health care through legislation at the
    state or federal level?

    Submission Instructions:

    • 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.

    Discussion 5

    Issues in Today's Workforce Culture

    Based on your reading in chapter 60, why do you think the issues presented in this chapter persist
    in today’s workforce culture?

    Submission Instructions:

    • 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.

    Discussion 6

    Health Care Disparities in LGBTQ

    Discuss how to close the health care disparities gap in the LGBTQ community?

    Submission Instructions:

    • 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.

    **## NUR504Dis4.pdf**

    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 2

    Case 1 Case 2 Case 3
    Chief
    Compl
    aint
    (CC)

    “I am here today due
    to frequent and watery
    bowel movements”

    “I have pain in my
    belly” “neck swelling”

    Histor
    y of
    Prese
    nt
    Illness
    (HPI)

    A 37-year-old
    European American
    female presents to
    your practice with
    “loose stools” for
    about three days. One
    event about every
    three hours

    A 25-year-old female
    presents to the
    emergency room (ER)
    with complaints of
    severe abdominal pain
    for 2 weeks . The pain
    is sharp and crampy It
    hurts if I run, sit down
    hard, or if I have sex

    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 No contributory Patient denies Patient denies

    PSH Appendectomy at the
    age of 14

    Surgical removal of
    benign left breast

    Drug
    Hx No meds Birth control No medication at the

    time
    Allergi
    es Penicillin NKA NKA

    Subje
    ctive

    Fever and chills, Lost
    appetite Flatulence No
    mucus or blood on
    stools

    Nausea and vomiting,
    Last menstrual period
    sexual partner about 2
    months ago, No
    condoms, he hates
    them No pain, blood
    or difficulty with
    urination

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

    Objective Data

    PE
    B/P 188/96; Pulse 89;
    RR 16; Temp 99.0; Ht
    5,6; wt 110; BMI 17.8

    B/P 138/90;
    temperature 99°F;
    (RR) 20; (HR) 110,
    regular; oxygen
    saturation (PO2) 96%;
    pain 5/10

    B/P 158/90; Pulse
    102; RR 20; Temp
    99.2; Ht 5,4; wt 114;
    BMI 19.6

    Gener
    al

    well-developed female
    in no acute distress,
    appears slightly
    fatigued

    acute distress and
    severe pain

    42-year-old female
    appears thin. She is
    anxious – pacing in
    the room and
    fidgeting, but in no
    acute distress.

    HEEN
    T

    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.
    Piercing in her right
    nostril and lower lip.

    Bulging eyes

    Neck Supple Diffuse enlargement of
    the thyroid gland

    Lungs CTA AP&L CTA AP&L CTA AP&L

    Card S1S2 without rub or
    gallop

    S1S2 without rub or
    gallop

    S1S2 without rub,
    Tachycardia

    Abd

    positive bowel sounds
    (BS) in all four
    quadrants; no masses;
    no organomegaly
    noted; diffuse, mild,
    bilateral lower
    quadrant pain noted
    Mild diffuse
    tenderness.

    • INSPECTION: no
    masses or thrills
    noted; no
    discoloration and skin
    is warm to; no tattoos
    or piercings; abdomen
    is nondistended and
    round
    • AUSCULTATION:
    bowel sounds (BS) are
    normal in all four
    quadrants, no bruits
    noted
    • PALPATION: on
    palpation, abdomen is
    tender to touch in four
    quadrants; tenderness
    noted on light
    palpation, deep
    palpation reveals no
    masses, spleen and
    liver unremarkable
    • PERCUSSION:
    tympany heard in all
    quadrants, no dullness
    noted in abdominal
    area

    benign, normoactive
    bowel sounds x 4

    GU Non contributory

    • EXTERNAL: mature
    hair distribution; no
    external lesions on
    labia

    • INTROITUS: slight
    green-gray discharge,
    no lesions

    • VAGINAL: normal
    rugae; moderate
    amount of green
    discharge on vaginal
    walls

    • CERVIX: nulliparous
    os with small amount
    of purulent discharge
    from os with positive
    cervical motion
    tenderness (CMT)

    • UTERUS: ante-
    flexed, normal size,
    shape, and position

    • ADNEXA: bilateral
    tenderness with
    fullness; both ovaries
    without masses

    • RECTAL: deferred

    • VAGINAL
    DISCHARGE: green in
    color

    Non contributory

    Ext no cyanosis, clubbing
    or edema

    no cyanosis, clubbing
    or edema

    no cyanosis, clubbing
    or edema

    Integu
    ment

    good skin turgor
    noted, moist mucous
    membranes

    intact without lesions
    masses or rashes

    Thin skin, Increase
    moisture

    Neuro
    No obvious
    deformities, CN
    grossly intact II-XII

    No obvious deficits
    and CN grossly intact
    II-XII

    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.

    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
    possibl

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