NURS680B Advanced Health/Physical Assessment

Week 1 Discussion

Select one of the following case studies to address. In the subject line of your post, please identify which prompt you are responding to, for example, choice #2 19-year old male.

A 23-year old female complains of severe left lower abdominal/pelvic pain for 6 hours. States her last menstrual period was “about 3 or 4 weeks ago”. She is sexually active and denies using any contraceptive method.

A 19-year old male complains of “burning sometimes, when I pee”. Is sexually active and denies using any contraceptive method.

A 32-year old male complains of severe pain to the left flank pain for approx. 2 hours. Was playing volleyball at the beach when it occurred. Admits to drinking 5-6 cans of beer throughout the day and denies other fluid intake.

For the case you have chosen, post to the discussion:

Discuss what questions you would ask the patient, what physical exam elements you would include, and what further testing you would want to have performed.

In SOAP format, list:

Pertinent positive and negative information

Differential and working diagnosis

Treatment plan, including: pharmacotherapy with complementary and OTC therapy, diagnostics (labs and testing), health education and lifestyle changes, age-appropriate preventive care, and follow-up to this visit.

Use at least one scholarly source other than your textbook to connect your response to national guidelines and evidence-based research in support of your ideas.

In your peer replies, please reply to at least one peer who chose a different case study.