Assignment: Lab Assignment: Assessing the Genitalia and Rectum.
Patients are frequently uncomfortable discussing with healthcare
professional’s issues that involve the genitalia and rectum; however,
gathering an adequate history and properly conducting a physical exam
are vital. Examining case studies of genital and rectal abnormalities
can help prepare advanced practice nurses to accurately assess patients
with problems in these areas.In this Lab Assignment, you will analyze
an Episodic note case study that describes abnormal findings in
patients seen in a clinical setting. You will consider what history
should be collected from the patients, as well as which physical exams
and diagnostic tests should be conducted. You will also formulate a
differential diagnosis with several possible conditions.
Review the Episodic note case study your instructor provides you for
this week’s Assignment. Please see the “Course Announcements” section
of the classroom for your Episodic note case study.Based on the
Episodic note case study:
Review this week’s Learning Resources, and consider the insights they
provide about the case study. Refer to Chapter 3 of the Sullivan
resource to guide you as you complete your Lab Assignment.
Search the Walden library or the Internet for evidence-based resources to support your answers to the questions provided.
Consider what history would be necessary to collect from the patient in the case study.
Consider what physical exams and diagnostic tests would be
appropriate to gather more information about the patient’s condition.
How would the results be used to make a diagnosis?
Identify at least five possible conditions that may be considered in a differential diagnosis for the patient.
The Lab Assignment
Using evidence-based resources from your search, answer the following
questions and support your answers using current evidence from the
Analyze the subjective portion of the note.
List additional information that should be included in the documentation.Analyze the objective portion of the note.
List additional information that should be included in the documentation.
Is the assessment supported by the subjective and objective information? Why or why not?
Would diagnostics be appropriate for this case, and how would the results be used to make a diagnosis?
Would you reject/accept the current diagnosis? Why or why not?
Identify three possible conditions that may be considered as a differential diagnosis for this patient.
Explain your reasoning using at least three different references from current evidence-based literature.
•CC: “I have bumps on my bottom that I want to have checked out.”
•HPI: AB, a 21-year-old WF college student reports to your clinic
with external bumps on her genital area. She states the bumps are
painless and feel rough. She states she is sexually active and has had
more than one partner during the past year. Her initial sexual contact
occurred at age 18. She reports no abnormal vaginal discharge. She is
unsure how long the bumps have been there but noticed them about a week
ago. Her last Pap smear exam was 3 years ago, and no dysplasia was
found; the exam results were normal. She reports one sexually
transmitted infection (chlamydia) about 2 years ago. She completed the
treatment for chlamydia as prescribed.
•PMH: Asthma•Medications: Symbicort 160/4.5mcg
•FH: No hx of breast or cervical cancer, Father hx HTN, Mother hx HTN, GERD
•Social: Denies tobacco use; occasional etoh, married, 3 children (1 girl, 2 boys)
•VS: Temp 98.6; BP 120/86; RR 16; P 92; HT 5’10”; WT 169lbs•Heart: RRR, no murmurs
•Lungs: CTA, chest wall symmetrical
•Genital: Normal female hair pattern distribution; no masses or
swelling. Urethral meatus intact without erythema or discharge.
Perineum intact. Vaginal mucosa pink and moist with rugae present, pos
for firm, round, small, painless ulcer noted on external labia
•Abd: soft, normoactive bowel sounds, neg rebound, neg murphy’s, neg McBurney
•Diagnostics: HSV specimen obtained
Plan: This section is not required for the assignments in this course (NURS 6512) but will be required for future courses.
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