Measures of Dispersion and Variability: Range, QD, AD and SD
Case Analysis For Genitalia and Rectum Essay Paper.docx
1. Case Analysis For Genitalia and Rectum Essay Paper
Case Analysis For Genitalia and Rectum Essay PaperSubjective Portion AnalysisWhen
dealing with subjective information, the goal is to make certain that one asks all of the
pertinent questions in order to compile all of the information they need in order to arrive at
a definitive diagnosis and devise a productive therapy strategy. The knowledge of any
known allergies or other intolerances that their clients may have must be continually
sought out by clinicians. Some additional features that should be included in the subjective
data include: Case Analysis For Genitalia and Rectum Essay PaperInformation on the pain,
including when it began, where it was located what it was, how it shifted over time, and if it
was spreading.Urine appearance and smell.The frequency, recurrence, or consistency of the
symptoms.Blood or discharge from the vagina.Pregnant and gynecological history.Whether
there is a risk of exposure to hazardous chemicals.The family's medical history.ORDER A
PLAGIARISM-FREE PAPER HEREObjective Portion AnalysisIt is essential to carry out a
detailed physical examination after gathering an exhaustive medical history in regard to the
principal complaint. The vital indicators will be updated to include her heart rate shortly.
The patient's physical examination may be made better by providing any extra information
that would be helpful in making a diagnosis of the condition being experienced by the
patient. Additionally, diagnostic tests and their findings should be included in the objective
portion. The general survey has to be included as well, and it needs to cover the patient's
overall look, cleanliness, attire, and any facial grimacing that may be present Case Analysis
For Genitalia and Rectum Essay Paper.Whether the assessment is supported by the
subjective and objective informationAlthough the subjective and objective information are
lacking some details, the assessment of the patient of having UTI and STD is a very strong
possibility. On the episodic note, the patient was having dysuria and urinary frequency, now
with intermittent fever and chills. Despite the absence of some information in both the
subjective and objective reports, the likelihood of the client having a UTI or an STD is quite
high. According to the SOAP note, the client was experiencing urination frequency and
dysuria, and she was also feeling chills and fever intermittently. It is noted in the objective
section of the note that a urine test in addition to an STD test was carried out. On the other
hand, the findings of the tests that were performed on the objective part of the note were
not provided.Diagnostic TestsIn order to verify a diagnosis or eliminate possible causes,
diagnostic testing is essential. In accordance with the provided SOAP note, the symptoms of
an STD and a UTI are very comparable to one another. Therefore, diagnostic testing will
assist in determining which of the two conditions the patient suffers from (Behzadi, et al.,
2. 2019). A urinalysis test should be ordered, in which the following components of the urine
are analyzed: the pH level, bacterial STIs, red blood cells, epithelial cells, protein, white
blood cells, nitrite, the presence of glucose, and ketones, and the specific gravity. In addition,
I will include testing for hepatitis C, a complete STD panel, and HIV.Differential
diagnosisThe diagnosis of a urinary tract infection is one that I am willing to accept. There
was sufficient evidence in the SOAP note to lead me to the conclusion that the patient had a
urinary tract infection (UTI), despite the fact that the information it included was both
restricted and inadequate. Individuals who have a urinary tract infection often exhibit a
number of symptoms, including dysuria, flank pain, urine frequency and urgency, chills, and
fevers. Another potential alternative diagnosis that I will consider is a pelvic inflammatory
disease. It is a condition that affects the upper part of the female genital tract and is
characterized by infection and inflammation. Females who do not utilize birth control and
have a history of having several sexual partners are considered to be greatly at risk of UTI
(Behzadi, et al., 2019). Among the signs and symptoms include acute discomfort in the
pelvis and lower abdomen, a low-grade fever, nausea, and vomiting (Mayo Clinic, 2018).
Acute Pyelonephritis is another potential diagnosis. It is a bacterial infection of the kidney
tissues that often originates in the lower urinary system and progresses upwards
(Belyayeva & Jeong, 2019)Case Analysis For Genitalia and Rectum Essay Paper. Hematuria,
fever, discomfort at the costovertebral joint, vomiting, or nausea are some of the
symptoms.ReferencesBehzadi, P., Behzadi, E., & Pawlak-Adamska, E. A. (2019). Urinary tract
infections (UTIs) or genital tract infections (GTIs)? It's the diagnostics that count. GMS
hygiene and infection control, 14.
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6449866/Belyayeva, M., & Jeong, J. M.
(2019). Acute pyelonephritis. StatPearls
Publishing. https://www.ncbi.nlm.nih.gov/books/NBK519537/Mayo Clinic. (2018). Pelvic
inflammatory disease (PID) - Symptoms and causes. Mayo
Clinic. https://www.mayoclinic.org/diseases-conditions/pelvicinflammatory-
disease/symptoms-causes/syc-20352594Evaluate abnormal findings on the genitalia and
rectumApply concepts, theories, and principles relating to health assessment techniques
and diagnoses for the breasts, genitalia, prostate, and rectumThis week you will have an
analysis of a SOAP note. It is important to remember that this is not to be in SOAP note
format. This should be a narrative paper.Here is the case that you will base this
on:GENITALIA ASSESSMENTSubjective:CC: dysuria and urinary frequencyHPI: RG is a 30
year old female with increase urinary frequency and dysuria that began 3 days ago. Pain is
intermittent and described a burning only in urination, but c/o flank pain since last night.
Reports intermittent chills and fever. Used Tylenol for pain with no relief. She rates her pain
6/10 on urination. Reports a similar episode 3 years ago.PMH: UTI 3 years agoPSHx:
Hysterectomy at 25 yearsMedication: Tylenol 1000 mg PO every 6 hours for painFHx:
Mother breast cancer ( alive) Father hypertension (alive)Social: Single, no tobacco , works
as a bartender, positive for ETOHAllergies: PCN and SulfaLMP: N/AReview of Symptoms:
Case Analysis For Genitalia and Rectum Essay PaperGeneral: Denies weight change, positive
for sleeping difficulty because e the flank pain. Feels warm.Abdominal: Denies nausea and
vomiting. No appetiteObjective:VS: Temp 100.9; BP: 136/80; RR 18; HT 6’.0”; WT
3. 135lbsAbdominal: Bowel sounds present x 4. Palpation pain in both lower quadrants. CVA
tendernessDiagnostics: Urine specimen collected, STD testingAssessment:ORDER
TODAYUTISTDPLAN: This section is not required for the assignments in this course (NURS
6512) but will be required for future courses.Patients are frequently uncomfortable
discussing with healthcare professional’s issues that involve the genitalia and rectum;
however, gathering an adequate history and properly conducting a physical exam are vital.
Examining case studies of genital and rectal abnormalities can help prepare advanced
practice nurses to accurately assess patients with problems in these areas.In this Lab
Assignment, you will analyze an Episodic note case study that describes abnormal findings
in patients seen in a clinical setting. You will consider what history should be collected from
the patients, as well as which physical exams and diagnostic tests should be conducted. You
will also formulate a differential diagnosis with several possible conditions.To
PrepareReview the Episodic note case study your instructor provides you for this week’s
Assignment. Please see the “Course Announcements” section of the classroom for your
Episodic note case study.Based on the Episodic note case study: Case Analysis For Genitalia
and Rectum Essay PaperReview this week’s Learning Resources, and consider the insights
they provide about the case study. Refer to Chapter 3 of the Sullivan resource to guide you
as you complete your Lab Assignment.Search the Walden library or the Internet for
evidence-based resources to support your answers to the questions provided.Consider
what history would be necessary to collect from the patient in the case study.Consider what
physical exams and diagnostic tests would be appropriate to gather more information about
the patient’s condition. How would the results be used to make a diagnosis?Identify at least
five possible conditions that may be considered in a differential diagnosis for the
patient.The Lab AssignmentUsing evidence-based resources from your search, answer the
following questions and support your answers using current evidence from the
literature.Analyze the subjective portion of the note. List additional information that should
be included in the documentation.Analyze the objective portion of the note. List additional
information that should be included in the documentation.Is the assessment supported by
the subjective and objective information? Why or why not?Would diagnostics be
appropriate for this case, and how would the results be used to make a diagnosis?Would
you reject/accept the current diagnosis? Why or why not? Identify three possible conditions
that may be considered as a differential diagnosis for this patient. Explain your reasoning
using at least three different references from current evidence-based literature Case
Analysis For Genitalia and Rectum Essay Paper.Rubric Points: With regard to the SOAP note
case study provided and using evidence-based resources from your search, answer the
following questions and support your answers using current evidence from the literature:·
Analyze the subjective portion of the note. List additional information that should be
included in the documentation.Analyze the objective portion of the note. List additional
information that should be included in the documentation.· Is the assessment supported by
the subjective and objective information? Why or why not?·What diagnostic tests would be
appropriate for this case, and how would the results be used to make a diagnosis?· Would
you reject or accept the current diagnosis? Why or why not?· Identify three possible
conditions that may be considered as a differential diagnosis for this patient. Explain your
4. reasoning using at least three different references from current evidence-based literature.
Case Analysis For Genitalia and Rectum Essay Paper