Week 6 discussion

Case Scenario 2 Table 1 Definition and how does this test work Pelvic UltrasoundAbdominal Ultrasound Pelvic UltrasoundTransvaginal Ultrasound Saline infusion Sonohysterography Hysteroscopy HSGhysterosalpingogram Laparoscopy Endometrial Biopsy (EMB) Colposcopy Endocervical Curettage (ECC) Dilation and curettage (D&C) What medical conditions or diagnoses are best suited for this test Any special considerations or instructions prior to or during the test Donna is 35-year-old African American female who comes to the clinic complaining of pelvic pain that started as intermittent, but now is almost constant. She also complains of irregular vaginal bleeding/spotting that has occurred in between her monthly menses for the last six months. She has no family history of breast or ovarian cancer. Her vital signs (VS) and BMI are all within normal limits (WNL), but upon physical examination, you palpate a firm, raised area on her uterus. You note no cervical motion tenderness (CMT), no adnexal tenderness (AT), and no other abnormalities. She is G2 P2 with both normal spontaneous vaginal deliveries (NSVD) 10 and 8 years ago. Write a brief SOAP note regarding this patient. Make sure to include your answers to these questions in your SOAP note. 1. Subjective: a. What other relevant questions should you ask regarding the HPI? b. What other medical history questions should you ask? c. What other social history questions should you ask? d. What other family history questions should you ask? 2. Objective: a. Write a detailed focused physical assessment on this patient. b. Explain what test(s) you will order and perform, and discuss your rationale for ordering and performing each test. 3. Assessment/ Diagnosis: a. What is your presumptive diagnosis? Why? Which diagnostic test will confirm your diagnosis? b. Any other diagnosis or differential diagnosis you would like to add? 4. Plan: a. How will you manage this patient? What treatment or medication would you prescribe and why? b. Explain treatment guidelines including any possible side effects and/or considerations of the treatment. c. What patient education is important to include for this patient? (Consider including pharmacological, supplements, and non pharmacological recommendations and education) d. What is the follow-up plan of care? e. Explain complications that can occur if patient does not comply with treatment regimen.

Week 6 discussion

We offer the best custom writing paper services. We have answered this question before and we can also do it for you.

GET STARTED TODAY AND GET A 20% DISCOUNT coupon code DISC20

Leave a Comment