Below, you will be presented with a patient case situation. After reviewing the patient case, answer the following questions listed. What differential diagnoses are you considering?
What abnormals are observed from the diagnostic tests, and what are your interpretations?
What evidence-based treatment plan are you considering?
It is important to note that the only problems the patients in the case studies have been identified. This means if it is not stated you can assume it is normal and you should describe what you would expect normal to be as applicable in your post. Each portion of the case study should be written as you would in a Focus SOAP note (an example of a SOAP note was shared in the Week 01 tips tab. A 55-year-old male presents to the clinic with a chief complaint of painful, red, left eye. He states that “both eyelids are sticking together”. He complains of nasal congestion for 3 days and is taking triprolidine and pseudoephedrine. He also states that he began self-treating with sulfacetamide eye drops that he used with a previous eye infection 2 days ago. His past medical history revealed hypertension for 20 years and an eye infection 2 years ago. He states his hypertension has been well controlled until this visit. His wife died 6 months ago and he lives alone. He denies any use of tobacco but does drink alcohol occasionally. He has an allergy to Penicillin (causes rash).
Current Medications-
Triprolidine and pseudoephedrine, 2 tables PO QID X 2 days
Hydrochlorothiazide, 25 mg PO QD
Sulfacetamide eye drops, 2 drops both eyes Q6h X 2 days
Potassium chloride tablets, 10 mEq 2 tablets PO BID (states he stopped taking it several months ago)
His physical exam revealed a well-groomed male, slightly male malnourished and dehydrated; left eye is red with purulent discharge accumulated on the lashes. His vital signs are BP 155/96 and HR 65 supine, BP 130/80 and HR 100 standing, RR 23, T 98.9 F, Wt. 125.6 lbs, Ht 6 ft 2 inches. He is in sinus tachycardia. EENT exam revealed left eye brilliant red in appearance, more intense at limbus, mucopurulent discharge; right eye marginally red; both eyelids swollen; no evidence of trauma, but a well circumscribed gray lesion can be seen with fluorescein stain. Pupils react mildly to light, slightly dilated.
Labs were drawn as well as a conjunctival swab. Results are below.
Na 144, K 3.0, CL 85, HCO3 30, Bun 14, Cr 1.7, Hct 0.44, Hgb 23, Lkcs 11.4 X 109, Plts 350 X 109, Glu 101, LFT: Normal, CXR: Normal
Conjunctival swab: Gram’s stain: gram-positive lancet-shaped cocci in pairs; culture and sensitivities pending.
Category: Medicine
Read:
1. Balbin and Rosso (2021).
https://www.animateyour.science/post/how-to-design-an-effective-graphical-abstract-the-ultimate-guide 2. Jambor and Bornhäuser (2024) https://journals.plos.org/ploscompbiol/article?id=10.1371/journal.pcbi.1011789 3. Cell Press (2024)
https://www.cell.com/pb/assets/raw/shared/figureguidelines/GA_guide.pdf
Pick: a primary research article — not a review, perspective, or synthesis paper — about any area of evolutionary medicine that is of interest to you and does not already have a graphical abstract.
Design: a graphical abstract for the paper you chose. Write: one page or less describing (1) the story you are trying to tell with your graphical abstract and (2) how and why you made the design choices that you did. Submit: as a single document, your graphical abstract, your one-page descriiption, and a pdf copy of the paper you created a graphical abstract for.
**Read:
1. Balbin and Rosso (2021)
https://www.animateyour.science/post/how-to-design-an-effective-graphical-abstract-the-ultimate-guide
2. Jambor and Bornhäuser (2024)
https://journals.plos.org/ploscompbiol/article?id=10.1371/journal.pcbi.1011789
3. Cell Press (2024)
https://www.cell.com/pb/assets/raw/shared/figureguidelines/GA_guide.pdf
**Then pick: a primary research article — NOT a review, perspective, or synthesis paper — about any area of evolutionary medicine that is of interest to you and does not already have a graphical abstract.
**Design: a graphical abstract for the paper you chose.
**Write: one page or less describing (1) the story you are trying to tell with your graphical abstract and (2) how and why you made the design choices that you did.
**Submit: as a single document, your graphical abstract, your one-page descriiption, and a pdf copy of the paper you created a graphical abstract for.
Instructions:
For this assignment, you will create a narrated PowerPoint presentation and submit it to this discussion forum for peer review and grading. Please follow these instructions:
1. Select a relevant and complex healthcare ethical dilemma facing APRNs.
2. Conduct an in-depth exploration of the literature on the ethical dilemma you have selected.
3. Identify Stakeholders relevant to the selected dilemma and explore their individual perspectives.
Presentation Requirements
Your presentation needs to include the following:
1. Introduction:
1. Provide an overview of healthcare ethics and its importance in the healthcare field.
2. Introduce the selected dilemma and its relevance to ethical problem-solving.
2. Ethical Problem Analysis:
1. Discuss the ethical principles, applying relevant theories or frameworks as appropriate.
2. Analyze the conflicting values and perspectives of the stakeholders.
3. Conclusion:
1. Summarize the main points discussed in the presentation.
Maintain the principles of an effective presentation including, readability, text, and design. The notes section should be used to further explore your subject matter.
**SPEAKER NOTES ARE REQUIRED** @ 100 words per slide
Please use the case below to write the assignment. I attached two examples below. Please follow the instructions and everything written in the instructions and guidelines files. Thanks
Your patient comes into the office one week after surgery. He complains that he is not sleeping well due to pain from the surgery. When you ask what he is taking for the pain, he explains that when he went to get his prescriptions filled the pharmacist told him the drugs were opiates. He has heard about opiates on the news. He did not get the prescriptions filled because he did not want to get “hooked” on anything. This patient has no history of substance abuse.
1. What do you say to this patient?
2. What do you recommend that your patient do for his pain?
unfortunately, theliterature review article has to be of less word limits and the abstract has to include brief information about the whole article including title, objective, hypothesis, study design method, results and conclusion and it should be withing 250 words (abstract only). The whole literature review should not be more than 5000 words excluding tables, footnotes, references, figures etc.
Is it possible to kindly review the literature review that you have completed late last year and amend as mentioned.
Here is an example for your consideration https://www.ranzcp.org/getmedia/0b87341a-724b-450f-919c-fb8d3339783a/literature-review-gambling-indigenous-communities.pdf
I have provided a PDF with all information and please let me know if you have any questions. I have typed out some of the essay as well.
I need to write a compelling statement to request the Chan e to retake my exist medical exam and continue my studies in the current school I’m in now. Thank you.
My paper is very above the 5300 character deadline. Please help me write an eye-catching introduction, make the essay more specific to my passion for medicine, more reflection for the stories (main takeaways) and cut it down to the required word count. I included the essay itself and the feedback I received from others but am not sure how to incorporate that feedback onto the essay. Thank you so much!!!