Loading...

Messages

Proposals

Stuck in your homework and missing deadline? Get urgent help in $10/Page with 24 hours deadline

Get Urgent Writing Help In Your Essays, Assignments, Homeworks, Dissertation, Thesis Or Coursework & Achieve A+ Grades.

Privacy Guaranteed - 100% Plagiarism Free Writing - Free Turnitin Report - Professional And Experienced Writers - 24/7 Online Support

Genitalia soap note

08/01/2021 Client: saad24vbs Deadline: 7 Days

IT IS A SOAP NOTE, PROFESSOR ONLY ACCEPTED CLASS RESOURCES.

Patients are frequently uncomfortable discussing with health care 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 assignment, you will consider case studies that describe abnormal findings in patients seen in a clinical setting.


In this assignment, you will analyze a SOAP 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.


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 over 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

Allergies: NKDA

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)

Objective:


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 with a healed episiotomy scar present. 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

Assessment:


Chancre

PLAN: This section is not required for the assignments in this course (NURS 6512) but will be required for future courses.

To prepare:


With regard to the SOAP note case study provided:


Review this week’s Learning Resources, and consider the insights they provide about the case study.

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.

To complete:


Refer to Chapter 5 of the Sullivan text. Analyze the SOAP note case study. Using evidence based resources, 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 3 different references from current evidence based literature.

CALSS RESOURCES


Learning Resources

Note: To access this week's required library resources, please click on the link to the Course Readings List, found in the Course Materials section of your Syllabus.

Required Readings

Ball, J. W., Dains, J. E., Flynn, J. A., Solomon, B. S., & Stewart, R. W. (2015). Seidel's guide to physical examination (8th ed.). St. Louis, MO: Elsevier Mosby.

Chapter 16, “Breasts and Axillae” (pp. 350-369)

This chapter focuses on examining the breasts and axillae. The authors describe the examination procedures and the anatomy and physiology of breasts.


Chapter 18, “Female Genitalia” (pp. 416-465)

In this chapter, the authors explain how to conduct an examination of female genitalia. The chapter also describes the form and function of female genitalia.


Chapter 19, “Male Genitalia” (pp. 466-484)

The authors explain the biology of the penis, testicles, epididymides, scrotum, prostate gland, and seminal vesicles. Additionally, the chapter explains how to perform an exam of these areas.


Chapter 20, “Anus, Rectum, and Prostate” (pp. 485-500)

This chapter focuses on performing an exam of the anus, rectum, and prostate. The authors also explain the anatomy and physiology of the anus, rectum, and prostate.

Dains, J. E., Baumann, L. C., & Scheibel, P. (2016). Advanced health assessment and clinical diagnosis in primary care (5th ed.). St. Louis, MO: Elsevier Mosby.

Chapter 5, “Amenorrhea” (pp. 47-60)

Amenorrhea, or the absence of menstruation, is the focus of this chapter. The authors include key questions to ask patients when taking histories and explain what to look for in the physical exam.


Chapter 6, “Breast Lumps and Nipple Discharge” (pp. 61-72)

This chapter focuses on the important topic of breast lumps and nipple discharge. Because breast cancer is the most common type of cancer in women, it is important to get an accurate diagnosis. Information in the chapter includes key questions to ask and what to look for in the physical exam.


Chapter 7, “Breast Pain” (pp. 73-80)

Determining the cause of breast pain can be difficult. This chapter examines how to determine the likely cause of the pain through diagnostic tests, physical examination, and careful analysis of a patient’s health history.


Chapter 27, “Penile Discharge” (pp. 318-324)

The focus of this chapter is on how to diagnose the causes of penile discharge. The authors include specific questions to ask when gathering a patient’s history to narrow down the likely diagnosis. They also give advice on performing a focused physical exam.


Chapter 36, “Vaginal Bleeding” (pp. 419-433)

In this chapter, the causes of vaginal bleeding are explored. The authors focus on symptoms outside the regular menstrual cycle. The authors discuss key questions to ask the patient, as well as specific physical examination procedures and laboratory studies that may be useful in reaching a diagnosis.


Chapter 37, “Vaginal Discharge and Itching” (pp. 434-445)

This chapter examines the process of identifying causes of vaginal discharge and itching. The authors include questions on the characteristics of the discharge, the possibility of the issues being the result of a sexually transmitted infection, and how often the discharge occurs. A chart highlights potential diagnoses based on patient history, physical findings, and diagnostic studies.

Sullivan, D. D. (2012). Guide to clinical documentation (2nd ed.). Philadelphia, PA: F. A. Davis.

Chapter 3, "Adult Preventative Care Visits" ("Gender Specific Screenings"; pp. 48–49)Note: Download the Physical Examination Objective Data Checklist to use as you complete the Head-to-Toe Physical Assessment Video assignment.

Seidel, H. M., Ball, J. W., Dains, J. E., Flynn, J. A., Solomon, B. S., & Stewart, R. W. (2011). Physical examination objective data checklist. In Mosby's guide to physical examination (7th ed.). St. Louis, MO: Elsevier Mosby.


This Physical Examination Objective Data Checklist was published as a companion to Seidel's guide to physical examination (8th ed.), by Ball, J. W., Dains, J. E., & Flynn, J. A. Copyright Elsevier (2015). From https://evolve.elsevier.com/

Cucci, E. Santoro, A., DiGesu, C., DiCerce, R., & Sallustio, G. (2015). Sclerosing adenosis of the breast: Report of two cases and review of the literature. Polish Journal of Radiology, 80, 122–127. doi:10.12659/PJR.892706. Retrieved from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4356184/

Sabbagh, C., Mauvis, F., Vecten, A., Ainseba, N., Cosse, C., Diouf, M., & Regimbeau, J. M. (2014). What is the best position for analyzing the lower and middle rectum and sphincter function in a digital rectal examination? A randomized, controlled study in men. Digestive and Liver Disease, 46(12), 1082–1085. doi:10.1016/j.dld.2014.08.045

Retrieved from the Walden Library Databases.

Westhoff, C. L., Jones, H. E., & Guiahi, M. (2011). Do new guidelines and technology make the routine pelvic examination obsolete? Journal of Women’s Health, 20(1), 5–10.

Retrieved from the Walden Library databases.

This article describes the benefits of new technology and guidelines for pelvic exams. The authors also detail which guidelines and technology may become obsolete.

Centers for Disease Control and Prevention. (2012). Sexually transmitted diseases (STDs). Retrieved from http://www.cdc.gov/std/#


This section of the CDC website provides a range of information on sexually transmitted diseases (STDs). The website includes reports on STDs, related projects and initiatives, treatment information, and program tools.

University of Virginia. (n.d.). Introduction to radiology: An online interactive tutorial. Retrieved from http://www.med-ed.virginia.edu/courses/rad/index.html


This website provides an introduction to radiology and imaging. For this week, focus on genitourinary radiology, as well as the cross-sectional female pelvis and the cross-sectional male pelvis in abdominal radiology.

Required Media

Online media for Seidel's Guide to Physical Examination


It is highly recommended that you access and view the resources included with the course text, Seidel's Guide to Physical Examination. Focus on the videos and animations in Chapters 16 and 18–20 that relate to special examinations, including breast, genital, prostate, and rectal. Refer to the Week 4 Learning Resources area for access instructions on https://evolve.elsevier.com/.

Optional Resources

LeBlond, R. F., Brown, D. D., & DeGowin, R. L. (2014). DeGowin’s diagnostic examination (10th ed.). New York, NY: McGraw Hill Medical.

Chapter 8, “The Chest: Chest Wall, Pulmonary, and Cardiovascular Systems; The Breasts” (Section 2, “The Breasts,” pp. 434–444)

Section 2 of this chapter focuses on the anatomy and physiology of breasts. The section provides descriptions of breast examinations and common breast conditions.


Chapter 11, “The Female Genitalia and Reproductive System” (pp. 541–562)

In this chapter, the authors provide an overview of the female reproductive system. The authors also describe symptoms of disorders in the reproductive system.


Chapter 12, “The Male Genitalia and Reproductive System” (pp. 563–584)

The authors of this chapter detail the anatomy of the male reproductive system. Additionally, the authors describe how to conduct an exam of the male reproductive system.


Review of Chapter 9, “The Abdomen, Perineum, Anus, and Rectosigmoid” (pp. 445–527)

Homework is Completed By:

Writer Writer Name Amount Client Comments & Rating
Instant Homework Helper

ONLINE

Instant Homework Helper

$36

She helped me in last minute in a very reasonable price. She is a lifesaver, I got A+ grade in my homework, I will surely hire her again for my next assignments, Thumbs Up!

Order & Get This Solution Within 3 Hours in $25/Page

Custom Original Solution And Get A+ Grades

  • 100% Plagiarism Free
  • Proper APA/MLA/Harvard Referencing
  • Delivery in 3 Hours After Placing Order
  • Free Turnitin Report
  • Unlimited Revisions
  • Privacy Guaranteed

Order & Get This Solution Within 6 Hours in $20/Page

Custom Original Solution And Get A+ Grades

  • 100% Plagiarism Free
  • Proper APA/MLA/Harvard Referencing
  • Delivery in 6 Hours After Placing Order
  • Free Turnitin Report
  • Unlimited Revisions
  • Privacy Guaranteed

Order & Get This Solution Within 12 Hours in $15/Page

Custom Original Solution And Get A+ Grades

  • 100% Plagiarism Free
  • Proper APA/MLA/Harvard Referencing
  • Delivery in 12 Hours After Placing Order
  • Free Turnitin Report
  • Unlimited Revisions
  • Privacy Guaranteed

6 writers have sent their proposals to do this homework:

A Grade Exams
Quick Mentor
Accounting Homework Help
Instant Assignments
Coursework Assignment Help
Financial Hub
Writer Writer Name Offer Chat
A Grade Exams

ONLINE

A Grade Exams

Hi, I have read the instructions carefully and I clearly understand what is required of the project. I always make sure I proofread and edit papers well to ensure they are free of typos, plagiarism, and grammar mistakes. Hire me for a timely delivery of a quality content.

$105 Chat With Writer
Quick Mentor

ONLINE

Quick Mentor

Hey, I have gone through your job posting and become very much interested in working with you.I can deliver professional content as per your requirements. I am a multi-skilled person with sound proficiency in the English language for being a native writer who worked on several similar projects of content writing and can deliver quality content to tight deadlines. I am available for both online and offline writing jobs with the promise of offering an incredibly responsive and supreme level of customer service. Thanks!

$105 Chat With Writer
Accounting Homework Help

ONLINE

Accounting Homework Help

I can help you with your homework & assignments to get A grade. I have helped several students multiple fields such as marketing, SWOT, PESTEL, Finance, Law, Sociology and Psychology. I know how to structure and format content with different writing styles such as MLA, APA, & Harvard. Please try me once at least. You will be satisfied.

$105 Chat With Writer
Instant Assignments

ONLINE

Instant Assignments

Good day dear client, I am a full-time freelance writer with years of experience. My strongest strengths are strong dedication to duty, reliability, quality and excellence. I am going to do an outstanding job for you, kindly PM me and let us commence. Thank you so much in anticipation of your positive response. Thank you very much.

$105 Chat With Writer
Coursework Assignment Help

ONLINE

Coursework Assignment Help

Hey, I have gone through your job posting and become very much interested in working with you.I can deliver professional content as per your requirements. I am a multi-skilled person with sound proficiency in the English language for being a native writer who worked on several similar projects of content writing and can deliver quality content to tight deadlines. I am available for both online and offline writing jobs with the promise of offering an incredibly responsive and supreme level of customer service. Thanks!

$105 Chat With Writer
Financial Hub

ONLINE

Financial Hub

Hey, I have gone through your job posting and become very much interested in working with you.I can deliver professional content as per your requirements. I am a multi-skilled person with sound proficiency in the English language for being a native writer who worked on several similar projects of content writing and can deliver quality content to tight deadlines. I am available for both online and offline writing jobs with the promise of offering an incredibly responsive and supreme level of customer service. Thanks!

$105 Chat With Writer

Let our expert academic writers to help you in achieving a+ grades in your homework, assignment, quiz or exam.

Similar Homework Questions

Ankara university engineering faculty - Learnline cdu log in - ESSAY PAPER (Doctoral Level) - Elite athlete program unimelb - The beatles ludwig bop bass drum head lamp display - Taste the rainforest worksheet answers - All ears rabbit stud - Write essay for me? - Module 06 Final Exam- Requires Respondus LockDown Browser - Fuel source for aerobic system - Scrub daddy target - Dva white card psychology - Work breakdown structure for airline reservation system - Fitness test for power - Harvey's dream stephen king sparknotes - Blobfish growth and development - Roads and maritime nsw learners test - What is the slowest form of mass wasting - How did the textile industry profit from the agricultural revolution - How to write radio script format - Hw1 - Tame v nsw summary - Groupon brad paisley jiffy lube - Ol personal leadership reflection template - Future Policy Issue - 20 1 dilution ratio - Test091720 - Network diagram critical path - 25l liquid nitrogen dewar - Uber case study questions and answers - 2 page Global Citizen issue - Compare and Contrast Benign Positional Vertigo and Meniere’s Disease - Healthcare balanced scorecard and dashboard - Kaizen advantages and disadvantages tutor2u - Developmental dysplasia of the hip rch - A machine that originally cost 15 600 - Classroom observation and teacher interview paper - ¿quién le recomendó a tito la langosta? - Into thin air page count - Cousin once removed meaning - Assignment 2: Practicum–Week 1 Journal Entry - Reflective Journal - Efficient capital markets and behavioral challenges - Grim-visaged war hath smoothed his wrinkled front - Short summary of there will come soft rains - Body mass index pros and cons - Leon siebel net worth - Chemistry - The trial of tempel anneke summary - Ramona the brave chapter 5 - Public Choice and Rent Seeking - 2 papers - Explain why most trade occurs because of comparative advantage - Hsco 506 mcminn book review - Ordinary annuity and annuity due difference - Essay assignment - Molar mass of diphosphorus pentoxide - Coca cola brotherly love lyrics - How to find the square of a matrix - Melting point of tetradecanol - Thesis statement for trifles - Elements of a play ppt - World Music - Wesley family services das program - Setting event antecedent behavior consequence - English - Synthesizing the Concepts - Cip to soc crosswalk - Diablo 2 act 3 quests - Developmental Assessment: School-Aged Child - Vce 2021 exam timetable - Bohler hl 46 t mc - Hustle bustle hey ewe - Amazing facts about rocks - Writing about movies gocsik pdf - Barberry inc manufactures a product called fruta - How to find the y intercept algebraically - Truman show final scene analysis - Essay - Virgil book 2 translation - Constructivism and international relations - Gang aft agley translation - A municipal bond carries a coupon rate of - Policy practice and digital science pdf - Broxburn academy exam results - Hp rack system e - Hyatt regency dubai wiki - How do you solve stoichiometry problems - Coursera the power of macroeconomics - Duly noted in email - Piedmont trailer manufacturing company - Is the intruder liable for what he has done - Reflection paper - Kathe kollwitz the widow analysis - Osborne in journey's end - Http www missionstatements com fortune_500_mission_statements html - In every language even deafanddumb - Disks of polycarbonate plastic from a supplier are analyzed - Betta grower mt waverley - Ultra micro gas turbine