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6005 Week 9 Assignment 1
Discussion Latest SU
Select
one of the two questions from the discussion questions listed below .By Week 9,
Day 3, respond to the selected discussion question and submit your response to
this Discussion Area .
Be
sure to respond to the question using the lessons and vocabulary found in the
reading .Justify your answers using examples and reasoning .Support your
answers with examples and research and cite your research using APA format .In
addition to your textbook, consult the Sanford Guide to help you identify
appropriate treatment for specific infections .
Start
reviewing and responding to the postings of your classmates as early in the
week as possible .Respond to at least two of your classmates\’ posts .Participate in
the discussion by asking a question, providing a statement of clarification,
providing a point of view with a rationale, challenging an aspect of the
discussion, or indicating a relationship between two or more lines of reasoning
in the discussion .
Discussion
Question 1
JT
is a fifty-five-year-old man with a three-day history of worsening shortness of
breath, fever, chills, right-sided chest pain, and productive cough .He states
that the initial symptoms started approximately one week ago .He has been
taking over-the-counter (OTC) medications to control the fever and the cough
.He comes in today because he feels that he is getting worse .He is coughing up
rust-colored mucus, and the chest pain has started to make breathing even more
difficult .His physical exam is normal, with the exception of tachypnea,
labored breathing, coarse rhonchi through the right lung field, and decreased
breath sounds on the right .Answer the following questions:
What
additional laboratory or radiological tests would be indicated and why? What
would you expect to find?
What
is your diagnosis?
What
medication would be given and for what period of time?
Discussion
Question 2
LN
is a twenty-six-year-old married woman who presents at the clinic with symptoms
of dysuria, frequency, and urgency .Further history yields two days of these
symptoms but no fever, chills, or flank pain .She describes a burning
discomfort during and immediately following urination and feeling the need to
void every half hour .There is no vaginal discharge, itching, or odor .She is
not using birth control at this time .She requests “a urine culture and
some sulfa pills .” When asked to explain, she says she has had many “bladder infections” over the past three
years and “sulfa pills usually work .” She was evaluated
approximately five years ago with an IV pyelography and cystogram, and “nothing was wrong .” All her vital signs
are normal .Answer the following questions:
What
additional information would you like to collect?
What
is your working diagnosis?
What
are the contributing factors to this potential diagnosis?
What
treatment would you implement and why?
What
type of follow-up would you recommend?
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