*NURSING > CASE STUDY > NR 511 Week 6 Case Study Part One Differential Diagnosis and Primacy Care Practicum (All)

NR 511 Week 6 Case Study Part One Differential Diagnosis and Primacy Care Practicum

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Running head: Week six case study 1 Differential Diagnosis and Primacy Care Practicum Chamberlain College of Nursing Course Number: NR 511 1. Summarize the ... history and physical (H&P) findings: date of visit: November 7, 2017 56 y/o Caucasian female presented with history of hypertension and depression. She reports to clinic with CC of fatigue for the past 2-3 months. She describes herself as not feeling well rested even after 8 hours a sleep per night. She is constantly tired, lacks energy to perform daily activities. The fatigue is worsens with exertion and she has not identified any alleviating factors or interventions to improve her energy levels. HPI: constipation, generalized weakness, and muscle cramping intermittently to calves, cold intolerance, as well as worsening depression due to feeling unproductive. She denies sleep disorders and any complaints of sleep apnea. Denies suicidal or homicidal ideation. Denies polyuria and polydipsia. ROS/PE On physical exam, she is alert and oriented, no apparent distress. Skin dry skin, hair course and thick, nails without abnormality. HEENT unremarkable. Thyroid was noted to be midline, small and firm with no palpable mases. Heart and lung sounds normal, Abdomen unremarkable. Strength of extremities 5/5 throughout and DTRs there were 2+ at bilateral biceps, but 1+ at both knees and ankles. BP 146/95, Height 5”7” and Weight 180 pounds. She has a family history of Type 2 DM, HTN, HLD and heart disease. She has a 24 year old child with bipolar depression, ADHD, anxiety. SxH Tonsillectomy. PSH married, with 2 kids (adult). She is an office manager in a physician office full time. Nnon- smoker, drinks infrequently Allergies include iodine dyes. Current medications: Prozac 20mg, Bisoprolol-HCTZ 2.5mg/6.25mg, Multivitamin, B-Complex, Calcium 500mg + Vit D3 400IU. 2. Provide a differential diagnosis (minimum of 3) which might explain the patient’s chief complaint along with a brief statement of pathophysiology for each ....................................................................................continued........................................................................................... [Show More]

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