Assessing the Genitalia and Rectum NURS 6512 Week 10 Essay

Assessing the Genitalia and Rectum NURS 6512 Week 10 Essay Discussion Assignment Paper

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. To Prepare • 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.

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• Based on the Episodic note case study: o 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. o Search the Walden library or the Internet for evidence-based resources to support your answers to the questions provided. o Consider what history would be necessary to collect from the patient in the case study. o 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? o 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 literature. • 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. Week 10: assigned case assignment Special Examinations—Breast, Genital, Prostate, and Rectal GENITALIA ASSESSMENT Subjective: • 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.

The physician should assure the patient that the pelvic examination will be done as gently as possible. The examination usually begins by inspection and gentle palpation of the lower abdomen for masses, tenderness, distention, hernias, and incisions. Note should also be made of the pubic hair and its distribution as well as the amount and distribution of facial and axillary hair.

Assessing the Genitalia and Rectum NURS 6512 Week 10 Essay Discussion Assignment Paper

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