Step 1. Review your Week 4 APEA Predictor Exam Results and focus on the “Percent Correct By Knowledge Area” Choose a Knowledge Area on which you scored the lowest to work on this week.
Step 2. Once you’ve chosen the subject, research and work up a common chief complaint from that system and present your findings in the discussion by Wednesday, 11:59 p.m. MT of Week 5.
Work up includes:
-Associated risk factors/demographics that contribute to the chief complaint
-Three common differential diagnoses represented by the CC including pathophysiology and rationale
-Discuss how the 3 diff dx differ from each other in: occurrence, pathophysiology and presentation (NOTE: Simply listing the diagnoses and their occurrence, patho and presentations separately does not confer an understanding of how they differ. Your discussion should compare and contrast these items against each other among the three differentials chosen)
-relevant testing required to diagnose/evaluate severity of the three differential diagnoses
-Review of relevant National Guidelines related to the Diagnosis, Diagnostic testing and/or treatment of the final diagnosis.
CC: “My vagina has been itching and producing a discharge with foul odor for the past five days”
HPI: K.M, a 22-year old Hispanic American female presents to the clinic with complaints of vaginal itchiness with the production of thin, gray discharge for the past five days. She verbalizes that the vaginal discharge has a very strong foul fishy odor which becomes stronger particularly after sexual intercourse. Patient adds that she feels burning sensation on urination and reports that she came to seek treatment as she cannot stand the discharge, odor, and burning. Patient denies chills, fever, nausea, and vomiting.
Duration: 5 days.
Quality: Itchiness, burning on urination, gray vaginal discharge with strong fishy foul odor. Radiation: None
Severity: 8/10 on a scale of 1-10….Please click the icon below to purchase full solution at $10