1. A woman went to the emergency room for severe abdominal
cramping. She was diagnosed with diverticulitis; however, as a
precaution, the doctor ordered a CT scan. The CT scan revealed
a growth on the pancreas, which turned out to be pancreatic
cancer—the real cause of the cramping.
Because of a high potential for misdiagnosis, determining the
precise cause of abdominal pain can be time consuming and
challenging. By analyzing case studies of abnormal abdominal
findings, nurses can prepare themselves to better diagnose
conditions in the abdomen.
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 Prepare
Review 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.
With regard to the Episodic note case study provided:
Review this week’s Learning Resources, and consider the
insights they provide about the case study.
Consider what history would be necessary to collect from the

2. 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 Assignment
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/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.

3. Chapter 6, “Vital Signs and Pain Assessment”
This chapter describes the experience of pain and its causes.
The authors also describe the process of pain assessment.
Chapter 18, “Abdomen”
In this chapter, the authors summarize the anatomy and
physiology of the abdomen. The authors also explain how to
conduct an assessment of the abdomen.
Ball, J. W., Dains, J. E., Flynn, J. A., Solomon, B. S., &
Stewart, R. W. (2019).
Seidel's guide to physical examination: An interprofessional
approach
(9th ed.). St. Louis, MO: Elsevier Mosby.
Chapter 6, “Vital Signs and Pain Assessment”
This chapter describes the experience of pain and its causes.
The authors also describe the process of pain assessment.
Chapter 18, “Abdomen”
In this chapter, the authors summarize the anatomy and
physiology of the abdomen. The authors also explain how to
conduct an assessment of the abdomen.

4. Dains, J. E., Baumann, L. C., & Scheibel, P. (2019).
Advanced health assessment and clinical diagnosis in primary
care
(6th ed.). St. Louis, MO: Elsevier Mosby.
Credit Line: Advanced Health Assessment and Clinical
Diagnosis in Primary Care, 6th Edition by Dains, J.E.,
Baumann, L. C., & Scheibel, P. Copyright 2019 by Mosby.
Reprinted by permission of Mosby via the Copyright Clearance
Center.
Rubric:
With regard to the SOAP note case study provided, address the
following:
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

5. a differenial diagnosis for this patient. Explain your reasoning
using at least three different references from current evidence-
based literature.
Written Expression and Formatting - Paragraph Development
and Organization:
Paragraphs make clear points that support well-developed ideas,
flow logically, and demonstrate continuity of ideas. Sentences
are carefully focused--neither long and rambling nor short and
lacking substance. A clear and comprehensive purpose
statement and introduction are provided that delineate all
required criteria.
Written Expression and Formatting - English writing standards:
Correct grammar, mechanics, and proper punctuation
Written Expression and Formatting - The paper follows correct
APA format for title page, headings, font, spacing, margins,
indentations, page numbers, running heads, parenthetical/in-text
citations, and reference list.