For this Discussion, you will take on

For this Discussion, you will take on the role of a clinician who is building a health history for one of the following cases. Your instructor will assign you your case number. Case 1 Case 2 Case 3 Chief Complaint (CC) “neck swelling” History of Present Illness (HPI) A 42-year-old African American female who refers that she has been noticing slow and progressive swelling on her neck for about a year. Also she stated she has lost weight without any food restriction PMH Patient denies PSH Surgical removal of benign left breast nodule 2 years ago Drug Hx No medication at the time Allergies NKA Subjective Mild difficult to shallow, Neck feels tight, Pt states she feels Palpitations Objective Data PE B/P 158/90; Pulse 102; RR 20; Temp 99.2; Ht 5,4; wt 114; BMI 19.6 General 42-year-old female appears thin. She is anxious – pacing in the room and fidgeting, but in no acute distress. HEENT Bulging eyes Neck Diffuse enlargement of the thyroid gland Lungs CTA AP&L Card S1S2 without rub, Tachycardia Abd benign, normoactive bowel sounds x 4 GU Non contributory Ext no cyanosis, clubbing or edema Integument Thin skin, Increase moisture Neuro No obvious deficits and CN grossly intact II-XII Once you received your case number, answer the following questions: What other subjective data would you obtain? What other objective findings would you look for? What diagnostic exams do you want to order? Name 3 differential diagnoses based on this patient presenting symptoms? Give rationales for your each differential diagnosis. SCIENCE HEALTH SCIENCE NURSING NUR 504

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