Author: Liu
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NR 603 Week 3 Reflection IHUMAN Reflection: Week 3 NR603 – Brecken Moore
In this week’s reflection, I reviewed the case of a patient suspected of having Chronic Obstructive Pulmonary Disease (COPD). The total cost of the diagnostic workup for this patient, including an EKG, Echo, CT scan, chest X-ray, CBC, D-Dimer, BNP, ABG, and Pulmonary Function Test (PFT), amounted to $4,124. This considerable expense necessitates a strategic…
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2. List any relevant labs/diagnostic tests and link them to Larry’s specific case. Remember to include evidence-based support for any testing you order along with rationale if you feel no testing is warranted.
Answer: For Larry M.’s case, the following labs and diagnostic tests are relevant: Troponin Levels: Serial troponin measurements are essential as they are the gold standard biomarkers for myocardial injury. Elevated troponin levels would confirm myocardial infarction, differentiating NSTEMI from other causes of chest pain. Complete Blood Count (CBC): This test helps rule out anemia…
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NR 603 Week 3TD1 Questions and Answers 1. What is your primary diagnosis causing Larry M.’s chest pain? Include ICD 10 codes (no differentials).
What other secondary diagnoses does Larry M. have that need to be addressed? Answer: Larry M. likely has several secondary diagnoses that need to be managed alongside his NSTEMI: Hypertension (ICD-10: I10): Hypertension is a major risk factor for coronary artery disease and myocardial infarction. Larry’s blood pressure should be closely monitored and managed to…
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NR NR224 Unit 8 Clinical Preparation Worksheet
What is an H&P? H&P stands for History and Physical. It is a comprehensive medical evaluation that includes the patient’s medical history and the findings from a physical examination. What might have triggered this patient’s GI bleed? The GI bleed could have been triggered by factors such as peptic ulcers, gastritis, use of NSAIDs…
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NR NR603 Week 6: Case Presentation – SOAP Note Chamberlain UniversityNR603: Advanced Clinical Diagnosis and Practice Across the Lifespan
March 2018 Patient Information: Initials: S.C. Age: 48-year-old Sex: Female Race: Caucasian Insurance: Unknown Subjective (S): Chief Complaint (CC): “Increasing weight despite dieting.” History of Present Illness (HPI): S.C. is a 48-year-old white woman presenting with complaints of increasing weight gain over the past 4 months despite dieting. She reports having less energy than usual,…
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NR603 iHuman Reflection Week 7 Kailey Simpson Chamberlain University: Family Nurse Practitioner Track iHuman Reflection Week 7
In this week’s iHuman case scenario, the patient presented with chronic lower abdominal pain, necessitating a thorough diagnostic approach to rule out various potential causes. To achieve a comprehensive assessment, I initially considered ordering a complete blood count (CBC), C-reactive protein (CRP), thyroid-stimulating hormone (TSH), free T4, and an abdominal computed tomography (CT) scan.…
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HPI: H.M. is a 28-year-old Caucasian female who presents with complaints of intermittent abdominal pain and bloating for the past six months. Her mother reports observing unusual eating patterns since H.M. moved back home three months ago after a breakup. H.M. attributes her recent weight gain to her job as a catering manager, where she is constantly exposed to food. Six months ago, H.M. began vomiting after eating large meals to prevent weight gain, which she continues to do at least three times a week. She also exercises rigorously, attending yoga and exercise classes six times a week. Despite being on a low-calorie diet, H.M. reports a loss of control over her eating habits and feels bad when she overeats. PMHx: H.M. has no significant past medical history reported.
Week 5 APEA Case Study subjective objective NR603 20 August 2024 Subjective: Chief Complaint (CC): Abdominal pain and bloating. HPI: H.M. is a 28-year-old Caucasian female who presents with complaints of intermittent abdominal pain and bloating for the past six months. Her mother reports observing unusual eating patterns since H.M. moved back home three months…
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NR603 Week 4 iHuman Cardiopulmonary Case Study Summary Patient Information: Initials: C.B. Age: 70 years old Race: Caucasian Sex: Female Medical History: Hypertension, 26-year history of smoking (1 pack per day)
Chief Complaint: The patient presents with worsening shortness of breath (SOB) over several years, which is now progressively worsening, particularly with exertion. The patient also reports some swelling in her feet and ankles, along with fatigue. Subjective Data: Shortness of Breath: Worse with exertion, improves with rest. Swelling: Reports bilateral lower extremity swelling (feet and…
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NR603 Week 1 Quiz Study Guide: Migraine Assessment Assessment:
NR603 Week 1 Quiz Study Guide: Migraine Assessment Assessment: Characterization of Headache: Patients should describe the headache in terms of duration, quality, and location of the pain. Medication Profile: Essential to know all medications, especially those used previously for headache control, including the number of over-the-counter (OTC) medications taken monthly. Targeted Physical Examination: Important to…
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Vise Call NR 603 Referral Referral Call to Neuro-Surgical Specialist Patient Information: Patient Age: 51-year-old female Chief Complaint: The patient is experiencing severe lower back pain radiating down both legs, accompanied by numbness in her feet.
History of Present Illness (HPI): The patient presented to my office three months ago with complaints of progressively worsening lower back pain. She reports that the pain radiates bilaterally down her lower extremities and is associated with persistent numbness in both feet. The pain has been constant for the past two months and is significantly…