MN568 All Discussion (except wk 4) latest 2017 december

Click [Start a New Thread] to post to the Discussion, then click [Post] once complete. Be sure to post a response to all Discussion topics. Please review the Discussion Board participation grading rubric under Course Resources. This is important information that will ensure that you earn maximum points. Your postings should be qualitative and provide substantive depth that advances the discussion. Please see the Writing Center for assistance with writing, APA, and online communication.

This week you will create a 12–15-slide PowerPoint.

For your assigned topic(s), you are to discuss the incidence and prevalence of the disorder, pathophysiology from an advanced practice perspective, physical assessment and examination, evidence-based treatment plan and patient education, as well as follow up and evaluation to assess the efficacy and outcomes of the evidence-based treatment plan for management of an episodic, acute, and chronic case involving the pathology(s) you are sharing. List any diagnostic studies or laboratory test(s) you need to rule in or rule out a diagnosis. The entry should be posted as an attachment. Please pick one of the following topics for your post: Allergic rhinitis, conjunctivitis, blepharitis, sinusitis, hordeolum, chalazion, otitis media, otitis externa, pharyngitis, tonsillitis, glossitis, TMJ. Please respond to two your classmates’ postings.

Topic: Selected Disorders of the Neurologic and Musculoskeletal Systems

You will be assigned one or more topics from the list below.

For your assigned topic(s), you are to discuss the incidence and prevalence of the disorder, pathophysiology from an advanced practice perspective, physical assessment and examination, evidence-based treatment plan and patient education, as well as follow up and evaluation to assess the efficacy and outcomes of the evidence-based treatment plan for management of an episodic, acute, and chronic case involving the pathology(s) you are sharing. You will share your information on the topic(s) you are assigned in the Unit 2 Discussion as your discussion entry. The entry should be posted in the Discussion space; do not post the Discussion as an attachment.

Neurologic System Topics:

1. Headaches
2. Seizures
3. Confusion
4. Dizziness
5. Dementia
6. Parkinson’s Disease
7. Alzheimer’s Disease
8. Trigeminal Neuralgia
9. Temporal Arteritis

Musculoskeletal System Topics:

1. Osteoarthritis
2. Osteoporosis
3. Osteopenia
4. Fibromyalgia
5. Degenerative Joint Disease

Topic: Respiratory and Cardiovascular System

You will be assigned one or more topics from the list below.

For your assigned topic(s), you are to discuss the incidence and prevalence of the disorder, pathophysiology from an advanced practice perspective, physical assessment and examination, evidence-based treatment plan and patient education, as well as follow up and evaluation to assess the efficacy and outcomes of the evidence-based treatment plan for management of an episodic, acute, and chronic case involving the pathology(s) you are sharing. The entry should be posted in the Discussion space; do not post the Discussion as an attachment.

Respiratory

1. Pneumonia
   1. Community — Acquired
   2. Pneumococcal
2. Chronic Obstructive Pulmonary Disease
3. Interstitial Lung Disease
4. Sleep Apnea
5. Cough

Cardiovascular

1. Valvular Disease
2. Dyslipidemia
3. Atherosclerotic Coronary Artery Disease
4. Acute Coronary Syndrome
5. Peripheral Artery Disease
6. Deep Vein Thrombosis
7. Chronic Venous Insufficiency

Topic: Renal Disease and Men’s Health Issues
(respond to only one of the topics)

Topic 1

K.N. is a 24-year-old woman who presents to the family practice clinic complaining of sudden urgency to urinate, back pain, frequent urination, and pain with urination. Symptoms began approximately 48 hours ago. She awoke from sleep with urgency and suprapubic discomfort 2 nights ago. Her urine now has a strong odor and a cloudy appearance. She has an allergy to Bactrim.

1. What are some appropriate questions to ask the patient?
2. What are three differential diagnoses for the patient?
3. What physical examination would you perform?
4. What diagnostics would you include?
5. Create an evidenced-based plan of care. Include pharmacological and non-pharmacological treatments.

Urine dipstick results: Color, dark yellow, specific gravity 1.035, ph 5.5, protein (-), Ketones (-), Bilirubin (-), Trace blood, Leukoesterase (+), Nitrites (+), Urobilinogen (-)

Topic 2

Mr. J.R. is a 73-year-old man who presents to the office with a 3-day history of nausea, vomiting, and diarrhea. He also has some weakness and dizziness and a bothersome metallic taste in his mouth. The patient is pale and sweaty. He had been fine until 3 days ago when he began to experience severe nausea several hours after eating out at a restaurant. He has taken Kaopectate several times without relief. Since yesterday he has had six to seven watery stools.

1. What are some appropriate questions to ask the patient?
2. What are three differential diagnoses for the patient?
3. What physical examination would you perform?
4. What diagnostics would you include?
5. Create an evidenced based plan of care. Include pharmacological and non-pharmacological treatments.

Urine dipstick: Clear, pale yellow urine, Microscopy was negative for cells, casts, pigments and crystals, SG 1.019, (-) bacteria, (-) glucose, (-) protein, WBC 1/HPF with no eosinophils, RBC 1/HPF, Na concentration= 14 meq/L, Osmolality= 769 mOsm/kg H2O. Na 144 meq/L, K 4.7 meq/L, Cl 111 meq/L, HCO3 57 mg/dL, Cr 2.6 mg/dL, Glucose random 155mg/dL, Ca 9.1 mg/dL, Phos 4.1 mg/dL, Mg 2.8 mg/dL, Alb 4.3 g/dL, H

Topic 3

Mr. E.D. is a 63-year-old retired mail carrier who presents to his primary care provider for a routine follow up for his hypertension. He complains of a 4-day history of dysuria, increased urinary frequency, and nocturia. He states that he has been having fever and chills. Denies any recent sexual activity. On examination, his temperature is 99.5 F., pulse 75 and regular, respiratory rate 16 and unlabored, and blood pressure 135/85. He does not appear acutely ill and is in no apparent distress. Examination of the abdomen was normal. A digital rectal exam revealed a moderately enlarged, firm, non-tender prostate gland. He states that he has severe urgency and difficulty urinating.

1. What are some appropriate questions to ask the patient?
2. What are three differential diagnoses for the patient?
3. What physical examination would you perform?
4. What diagnostics would you include?
5. Create an evidenced-based plan of care. Include pharmacological and non-pharmacological treatments.

Topic 4

T.R. is a 51-year-old male who presents to his PCP with the complaint of having some problems in the bedroom. He states that for the past 7 months he has only been able to achieve temporary, partial erections that are insufficient for intercourse. This issue has caused T.R. and his wife to have some marital issues. He was diagnosed with hypertension. He is currently taking Hydrochlorothiazide 25 mg daily.

1. What are some appropriate questions to ask the patient?
2. What are three differential diagnoses for the patient?
3. What physical examination would you perform?
4. What diagnostics would you include?
5. Create an evidenced-based plan of care. Include pharmacological and non-pharmacological treatments.

Topic: Common Skin Issues on Primary Care

For your assigned topic(s), you are to discuss the incidence and prevalence of the disorder, pathophysiology from an advanced practice perspective, physical assessment and examination, evidence-based treatment plan and patient education, as well as follow up and evaluation to assess the efficacy and outcomes of the evidence-based treatment plan for management of an episodic, acute, and chronic case involving the pathology(s) you are sharing. The entry should be posted in the Discussion space; do not post the Discussion as an attachment.

Please select one of the topics from the list:

• Candidiasis cutaneous
• Contact dermatitis
• Erythema multiforme
• Cellulitis
• Impetigo
• Eczema
• Scabies
• Tinea pedis
• Lichens simplex chronicus
• Tinea versicolor
• Tinea pedis
• Tinea capitis
• Tinea cruris
• Tinea corporis
• Shingles
• Psoriasis
• Rosacea

Topic: Disorders of the Musculoskeletal System

You will be assigned one or more topics from the list below.

For your assigned topic(s), you are to discuss the incidence and prevalence of the disorder, pathophysiology from an advanced practice perspective, physical assessment and examination, evidence-based treatment plan and patient education, as well as follow up and evaluation to assess the efficacy and outcomes of the evidence-based treatment plan for management of an episodic, acute, and chronic case involving the pathology(s) you are sharing. You will share your information on the topic(s) you are assigned in the Unit 8 Discussion as your discussion entry. The entry should be posted in the Discussion space; do not post the Discussion as an attachment.

• Bursitis
• Arthritis rheumatoid
• Osteoarthritis
• Costochondritis
• Osteoporosis
• Lumbar spinal stenosis
• Carpal Tunnel Syndrome
• Ganglion cyst

Topic: Disorders of the Musculoskeletal System

You will be assigned one or more topics from the list below.

For your assigned topic(s), you are to discuss the incidence and prevalence of the disorder, pathophysiology from an advanced practice perspective, physical assessment and examination, evidence-based treatment plan and patient education, as well as follow up and evaluation to assess the efficacy and outcomes of the evidence-based treatment plan for management of an episodic, acute, and chronic case involving the pathology(s) you are sharing. You will share your information on the topic(s) you are assigned in the Unit 8 Discussion as your discussion entry. The entry should be posted in the Discussion space; do not post the Discussion as an attachment.

• Bursitis
• Arthritis rheumatoid
• Osteoarthritis
• Costochondritis
• Osteoporosis
• Lumbar spinal stenosis
• Carpal Tunnel Syndrome
• Ganglion cyst

Topic: Psychosocial Disorders

You will be assigned one or more topics from the list below. For your assigned topic(s), you are to discuss the incidence and prevalence of the disorder, pathophysiology from an advanced practice perspective, physical assessment and examination, evidence-based treatment plan and patient education, as well as follow up and evaluation to assess the efficacy and outcomes of the evidence-based treatment plan for management of an episodic, acute, and chronic case involving the pathology(s) you are sharing. You will share your information on the topic(s) you are assigned in the Unit 9 Discussion as your discussion entry. The entry should be posted in the Discussion space; do not post the Discussion as an attachment.

Psychosocial

1. Depression
2. Anxiety
3. Generalized anxiety disorder
4. Substance abuse, dependence, and addictions
5. Bipolar disorder
6. Bulimia nervosa
7. Anorexia nervosa
8. Obsessive compulsive disorder
9. Post-traumatic stress disorder
10. Panic disorder
11. Adult onset attention deficit hyperactivity disorder
12. Schizophrenia
13. Restless legs syndrome
14. Cerebrovascular accident
15. Migraine headaches
16. Tension headaches
17. Cluster headaches
18. Meningitis
19. Bell’s palsy

Topic: Self Reflection

This Discussion topic is based on your review and self-reflection of how you have met each of the MN568 course outcomes in this course.

The purpose of this Discussion is to review the six course outcomes for MN568. The five MN568 course outcomes are:

MN568-1: Demonstrate a consistent approach to the evaluation and management of illnesses and conditions for patients presenting in primary care setting.

MN568-2: Order and interpret diagnostic testing based on the history and physical assessment for patients presenting with acute, episodic, and chronic illness in the primary care setting.

MN568-3: Formulate an evidence-based management plan for patients in the primary care setting with acute, episodic, and chronic illnesses.

MN568-4: Design age appropriate health maintenance and screening plans for adult primary care patients.

MN568-5: Form a collaborative relationship with the patient, family and other health care providers.

MN568-6: Apply principles of informatics to primary care setting.

Provide one example of how you met each of the five course outcomes during this course.