WestCoast NURS664B 2022 October Week 3 Discussion Latest

NURS664B Primary Care Women's Health Theory

Week 3 Discussion

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, #2 a post-menopausal 57-year old woman.

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.

Use at least one scholarly source other than your textbook to connect your response to national guidelines and evidence-based research in support of your ideas.  Please refer to evidence-based guidelines to support your decision-making.

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

1.  A 41-year-old female complains of a small lump she feels in her right breast. Upon physical examination, you palpate an approximately 2x2 cm firm, non-tender, immobile mass in the right upper outer quadrant of the right breast at approximately 10 o’clock, 1 cm above the areola.

What additional information is needed from this patient?

What are your differential diagnoses?

What are your next steps and plan of care for this patient, and why?

2.  A 36-year-old female complains of rapid swelling of her left breast over the last month with an orange peel type texture to the skin of that breast and a rash that does not respond to topical creams.

What concerns you the most about this patient presentation?

What are your differential diagnoses for this patient?

What is your plan of care, and why?

3.  A 31-year-old G0 P0 female complains of mastalgia. She reports it is intermittent and sometimes she thinks she feels lumps in the outer quadrants of her breasts. She has no family or personal history of cancers, she menstruates regularly, is not pregnant, and uses condoms consistently for BCM and STI protection.

What additional information do you need from this patient?

What information is most important in determining whether this is a potentially serious or benign issue?

Describe the steps in assessment of mastalgia.

Describe any recommendations you would provide for this patient.