WestCoast NURS664B 2022 October Week 4 Discussion Latest

NURS664B Primary Care Women's Health Theory

Week 4 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 49-year-old woman comes to the clinic complaining of an itching and scaling over her left nipple for two months that has not cleared with the topical creams she was provided for dermatitis.

What are your differential diagnoses?

What is your working diagnosis, and why?

What is your plan of care?

2. A 28-year-old woman tells you her mother was diagnosed with ovarian cancer at age 42 and her 35-year-old sister has just been diagnosed with breast cancer. She asks you if there is anything she should be doing to screen for and assess her own risk for breast and ovarian cancers. However, she tells you that she does not carry health insurance.

What do you advise this patient based on current recommendations for screening for potential genetically inherited mutation cancers?

What options would you consider for this patient who does not carry any type of health insurance?

3. A 50-year-old female complains of spontaneous nipple discharge from her left nipple. She has no personal or family history of cancers. She is G3 P3, all uncomplicated pregnancies and vaginal deliveries. She continues to have regular menses and is not pregnant.

What additional information do you need to ask this patient?

Describe the most likely benign and pathologic conditions (one of each) that could be causing this symptom.

What are your treatment options?