Westcoast NURS663B 2021 October Week 3 Forum Latest

NURS663B Primary Care Adult and Geriatric Patient Theory

Week 3 Forum

Select one of the following case studies to address. In the subject line of your post, please identify which prompt you are responding to, for example,  #1 45-year-old woman, intermittent fevers.

Discuss what questions you would ask the patient, what physical exam elements you would include, what further testing you would want to have performed, differential and working diagnosis, treatment plan, including inclusion of complementary and OTC therapy, referrals, and other team members needed to complete patient care.

In your peer replies, please reply to at least one peer who chose a different case study.

Case Studies

1. K is a 42-year-old female who runs marathons 3 to 4 times a year and maintains a very active lifestyle. She complains of decreased energy levels for the past 4 to 6 months with a six pound weight gain over the past six months and she has noted some hair loss in the shower. She states that she is sleeping well, but does not feel refreshed in the morning.

2. A 32-year-old obese female presents with complaints of a vaginal infection and nocturia for the past two weeks. She said she has used over-the-counter treatment for the vaginal infection, but it keeps coming back. She states that she is always thirsty and cannot get any rest because she has to get up to use the bathroom three to four times a night.

3. A 54-year-old male presents with pain to both feet, with swelling to his right big toe. He has a temperature of 100, and also complains of hand pain. The patient states that he has had pain in his feet before. His wife usually gives him ginger tea, and it goes away in a day or two, but it hasn’t helped this time. Your assessment demonstrates a tender and swollen right first MTP with redness and pain throughout the midfoot. There is also pain to the left midfoot. The patient also has a history of essential hypertension and takes HCTZ 25mg daily.