course materials

1. Discussion: Prostate Cancer
Discussion: Prostate CancerDiscussion: Prostate CancerAssignments turned in late will have
1 point taken off for every day assignment is late, after 7 days assignment will get grade of
0. No exceptions Follow the MRU Soap Note Rubric as a guideUse APA format and must
include minimum of 2 Scholarly Citations.Soap notes will be uploaded to Moodle and put
through TURN-It-In (anti-Plagiarism program)Turn it in Score must be less than 50% or
will not be accepted for credit, must be your own work and in your own words. You can
resubmit, Final submission will be accepted if less than 50%. Copy paste from websites or
textbooks will not be accepted or tolerated. Please see College Handbook with reference to
Academic Misconduct Statement.The use of tempates is ok with regards of Turn it in, but the
Patient History, CC, HPI, The Assessment and Plan should be of your own work and
individualized to your made up patient.ORDER NOW FOR CUSTOMIZED, PLAGIARISM-FREE
PAPERSImmunizations: Influenza last 2018-year, tetanus, and hepatitis A and B 4 years
ago.Preventive Care: Coloscopy 5 years ago (Negative)Surgical History: Appendectomy 47
years ago.Family History: Father- died 81 does not report informationMother-alive, 88
years old, Diabetes Mellitus, HTNDaughter-alive, 34 years old, healthySocial History: No
smoking history or illicit drug use, occasional alcoholic beverage consumption on social
celebrations. Retired, widow, he lives alone.Sexual Orientation: StraightNutrition History:
Diets off and on, Does not each seafoodSubjective Data:Chief Complaint: “headaches” that
started two weeks agoSymptom analysis/HPI:The patient is 65 years old male who
complaining of episodes of headaches and on 3 different occasions blood pressure was
measured, which was high (159/100, 158/98 and 160/100 respectively). Patient noticed
the problem started two weeks ago and sometimes it is accompanied by dizziness. He states
that he has been under stress in his workplace for the last month. Patient denies chest pain,
palpitation, shortness of breath, nausea or vomiting.Review of Systems
(ROS)CONSTITUTIONAL: Denies fever or chills. Denies weakness or weight loss.
NEUROLOGIC: Headache and dizziness as describe above. Denies changes in LOC. Denies
history of tremors or seizures.HEENT: HEAD: Denies any head injury, or change in LOC.
Eyes: Denies any changes in vision, diplopia or blurred vision. Ear: Denies pain in the ears.
Denies loss of hearing or drainage. Nose: Denies nasal drainage, congestion. THROAT:
Denies throat or neck pain, hoarseness, difficulty swallowing.RESPIRATORY: Patient denies
shortness of breath, cough or hemoptysis.CARDIOVASCULAR: No chest pain, tachycardia. No
orthopnea or paroxysmal nocturnal Discussion: Prostate
Cancerdyspnea.GASTROINTESTINAL: Denies abdominal pain or discomfort. Denies

2. flatulence, nausea, vomiting ordiarrhea.GENITOURINARY: Denies hematuria, dysuria or
change in urinary frequency. Denies difficulty starting/stopping stream of urine or
incontinence.MUSCULOSKELETAL: Denies falls or pain. Denies hearing a clicking or
snapping sound.SKIN: No change of coloration such as cyanosis or jaundice, no rashes or
pruritus.Objective Data:VITAL SIGNS: Temperature: 98.5 °F, Pulse: 87, BP: 159/92 mmhg,
RR 20, PO2-98% on room air, Ht- 6’4”, Wt 200 lb, BMI 25. Report pain 2/10.GENERAL
APPREARANCE: The patient is alert and oriented x 3. No acute distress noted.
NEUROLOGIC: Alert, CNII-XII grossly intact, oriented to person, place, and time. Sensation
intact to bilateral upper and lower extremities. Bilateral UE/LE strength 5/5.HEENT: Head:
Normocephalic, atraumatic, symmetric, non-tender. Maxillary sinuses no tenderness. Eyes:
No conjunctival injection, no icterus, visual acuity and extraocular eye movements intact. No
nystagmus noted. Ears: Bilateral canals patent without erythema, edema, or exudate.
Bilateral tympanic membranes intact, pearly gray with sharp cone of light. Maxillary sinuses
no tenderness. Nasal mucosa moist without bleeding. Oral mucosa moist without lesions,.
Lids non-remarkable and appropriate for race.Neck: supple without cervical
lymphadenopathy, no jugular vein distention, no thyroid swelling or
masses.CARDIOVASCULAR: S1S2, regular rate and rhythm, no murmur or gallop noted.
Capillary refill < 2 sec.RESPIRATORY: No dyspnea or use of accessory muscles observed. No
egophony, whispered pectoriloquy or tactile fremitus on palpation. Breath sounds presents
and clear bilaterally on auscultation.GASTROINTESTINAL: No mass or hernia observed.
Upon auscultation, bowel sounds present in all four quadrants, no bruits over renal and
aorta arteries. Abdomen soft non-tender, no guarding, no rebound no distention or
organomegaly noted on palpationMUSKULOSKELETAL: No pain to palpation. Active and
passive ROM within normal limits, no stiffness.INTEGUMENTARY: intact, no lesions or
rashes, no cyanosis or jaundice.ASSESSMENT:Main DiagnosisEssential (Primary)
Hypertension (ICD10 I10): Given the symptoms and high blood pressure (156/92 mmhg),
classified as stage 2. Once the organic cause of hypertension has been ruled out, such as
renal, adrenal or thyroid, this diagnosis is confirmed (Codina Leik, 2015). Diagnosis is based
on the clinical evaluation through history, physical examination, and routine laboratory
tests to assess risk factors, reveal identifiable causes and detect target-organ damage,
including evidence of cardiovascular disease (Domino et al,. 2017).