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For this Discussion, your instructor assigned you a case number #1
Case 1 Case 2 Case 3
T.R. is a 45-year-old female patient who came to your office complaining of intermittent and bilateral clear nipple discharge for the last two weeks. She thinks is not related to manipulation of the breast but definitively increases with it.
She notes that it comes from more than one duct. On health history you documented that patient also has frequent headaches and she has noted some visual problems.
R.T. is a 35-year-old female patient who was seen in the clinic because she has been trying to get pregnant for about 7 months but she has not been successful.
Only positive gynecologic history for R.T. has been three episodes of pelvic inflammatory disease in the last five years. Woman comes in complaining of a breast mass she found on breast self-examination. You have performed a comprehensive assessment and conclude that it is benign. Questions for the case
Discuss the diagnostic test appropriate for T.R. and the rationale. Discuss your presumptive diagnoses and ICD 10 number.
Develop the management plan (pharmacological and nonpharmacological). Discuss three differential diagnoses for with ICD 10 numbers for each.
Discuss a diagnostic plan for R.T. and the rationale.
Discuss your presumptive diagnoses and ICD 10 number.
Develop the management plan (pharmacological and nonpharmacological). Name some of the complications of PID.
Discuss the different types of benign mass.
Discuss how do you differentiate them.
Discuss the different types breast tissue sampling procedures done for these masses.
Discuss the clinical presentations of malignant Breast Cancer.
Once you received your case number; answer the specific question on the table above. Then, continue to discuss the 3 topics listed below for your case:
An effective health assessment incorporates not only physiological parameters; please suggest other parameters that should be considered and included on health assessments to reach maximal health potential on individuals.
Name the different family developmental stages and give examples of each one.
Describe family structure and function and the relationship with health care.
Your instructor assigned you the case number 1 and you will post on the case number you have been assigned.
You will reply to the other two case studies (One of each).
Your initial post should be at least 500 words, formatted and cited in current APA style with support from at least 2 academic sources. Your initial post is worth 8 points.
You should respond to at least two of your peers by extending, refuting/correcting, or adding additional nuance to their posts. Your reply posts are worth 2 points (1 point per response.) Due date Saturday after peer posts.
All replies must be constructive and use literature where possible.
Grading Rubric Your assignment will be graded according to the grading rubric.
Criteria Ratings Points
Identification of Main Issues, Problems, and Concepts
Distinguished – 5 points
Identify and demonstrate a sophisticated understanding of the issues, problems, and concepts.
Excellent – 4 points
Identifies and demonstrate an accomplished understanding of most of issues, problems, and concepts.
Fair – 2 points
Identifies and demonstrate an acceptable understanding of most of issues, problems, and concepts.
Poor – 1 point
Identifies and demonstrate an unacceptable understanding of most of issues, problems, and concepts.
Use of Citations, Writing Mechanics and APA Formatting Guidelines
Distinguished – 3 points
Effectively uses the literature and other resources to inform their work. Exceptional use of citations and extended referencing. High level of APA precision and free of grammar and spelling errors.
Excellent – 2 points
Effectively uses the literature and other resources to inform their work. Moderate use of citations and extended referencing. Moderate level of APA precision and free of grammar and spelling errors.
Fair – 1 point
Ineffectively uses the literature and other resources to inform their work. Moderate use of citations and extended referencing. APA style and writing mechanics need more precision and attention to detail.
Poor – 0 points
Ineffectively uses the literature and other resources to inform their work. An unacceptable use of citations and extended referencing. APA style and writing mechanics need serious attention.
Response to Posts of Peers
Distinguished – 2 points
Student constructively responded to two other posts and either extended, expanded or provided a rebuttal to each.
Fair – 1 point
Student constructively responded to one other post and either extended, expanded or provided a rebuttal.
Poor – 0 points
Student provided no response to a peer’s post.
Total Points 10