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Uncategorized

Case Study 1 Week 5

2 min read
Posted on 
July 23rd, 2022
Home Uncategorized Case Study 1 Week 5

Learning Goal: I’m working on a nursing case study and need an explanation and answer to help me learn.

Case 1

Case 1
Chief Complaint
(CC)
“It burns when I urinate”
History of Present Illness (HPI) A 68-year-old Caucasian male who reports to have increase on the frequency of urination with urgency for the last 5 days. He also present dysuria and nocturia.
PMH Benning prostatic hyperplasia diagnosed 3 years ago, UTI 6 months ago, Lithotripsy left kidney 10 years ago. No issues after treatment
Drug Hx Rosuvastatin 20 mg
Olmesartan 20 mg
Subjective Fever and chills, no changes in vision or hearing, no difficulty chewing or swallowing. No sexually active, nocturia, dysuria.
Yellowish urethral secretion.
Objective Data
VS B/P 150/96; Pulse 89; RR 16; Temp 99.4; Ht 6,1; wt 180;
General well-developed male, no acute distress
HEENT Atraumatic, normocephalic, PERRLA, EOMI, arcus senilus bilaterally, conjunctiva and sclera clear, nares patent, nasopharynx clear, edentulous.
Lungs CTA AP&L
Card S1S2 without rub or gallop S4 present
Abd No tenderness normoactive bowel sounds x 4;
Rectal exam Warm, swollen and painful prostate gland
Integument good skin turgor noted, moist mucous membranes
Neuro No obvious deformities, CN grossly intact II-XII

Once you received your case number, answer the following questions:

  • What other subjective data would you obtain?
  • What other objective findings would you look for?
  • What diagnostic exams do you want to order?
  • Name 3 differential diagnoses based on this patient presenting symptoms?
  • Give rationales for your each differential diagnosis.
  • What teachings will you provide?

Submission Instructions:

  • Your initial post should be at least 500 words, formatted and cited in current APA style with support from at least 2 academic sources.

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