Posted: September 16th, 2022
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A 34-y.o. female presents with the complaint of a sudden excruciating pain in her back and points to her flank area on the right side. She rates the pain as 10 on a scale of 1 to 10, with 10 being the worst. She also complains of nausea with the pain. She states that she has never had anything like this before, and the pain is subsiding a little now. 1. What additional questions should you ask the patient and why? 2. What should be included in the physical examination at this visit? 3. What are the possible differential diagnoses at this time? 4. What tests should you order and why? 5. How should this patient be managed? Submission Instructions: • Your initial post should be 500 words, formatted and cited in current APA 7th style with support from at least 3 academic sources. • Turnitin similarity should be less than 14% • Quotes “…” cannot be used at a higher learning level for your assignments, so sentences need to be paraphrased and referenced. • Acceptable references include scholarly journal articles or primary legal sources (statutes, court opinions), journal articles, and books published in the last five years. No websites to be referenced without prior approval. TEXTBOOK Dunphy, M. L, Winland-Brown, E. J, Porter, O. B, & Thomas, J. D. (2019). Primary Care: Art and Science of Advanced Practice. (5th ed.). Philadelphia, PA: F.A. Davis Company. ISBN: 978-0-8036-6718-1 Read • Dunphy, Winland-Brown, Porter, & Thomas o Chapter 6, 7, 9 and 43-45 o Chapter 06-10 (Section 1).pptx Download Chapter 06-10 (Section 1).pptx o Chapter 43-45 (Section 8).pptx Download Chapter 43-45 (Section 8).pptx Online Materials & Resources • Visit the CINAHL Complete under the A-to-Z Databases on the University Library’s website, locate and read the articles below: o CURRAN, D., DELANCEY, J. O., & HAEFNER, H. K. (2018). Dysuria, painful lesions in 26-year-old woman: What’s your diagnosis and treatment plan for this patient? Contemporary OB/GYN, 63(4), 16–38. o Moreno, J., Yuste, C., Gutiérrez, E., Sevillano, Á., Rubio-Navarro, A., Amaro-Villalobos, J., … Egido, J. (2016). Haematuria as a risk factor for chronic kidney disease progression in glomerular diseases: A review. Pediatric Nephrology, 31(4), 523–533. https://doi.org/10.1007/s00467-015-3119-1 (Links to an external site.) o Morris, D. (2012). Management and treatment of proteinuria. Nurse Prescribing, 10(3), 118–121. o Blome, K. (2017). Treatment of Chronic Tension-Type Headache with Balance Acupuncture: A Case Study. Journal of Chinese Medicine, (115), 25–29 o Gironell, A., Pascual-Sedano, B., Aracil, I., Marín-Lahoz, J., Pagonabarraga, J., & Kulisevsky, J. (2018). Tremor Types in Parkinson Disease: A Descriptive Study Using a New Classification. Parkinson’s Disease (20420080), 1–5. https://doi.org/10.1155/2018/4327597.
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