Description

Requirements

For Week 5 of the course the faculty will not be providing a case study. Instead you will choose from an area that you have an opportunity for improvement that was identified on your APEA predictor exam. You will research that area of content in relation to complaints and disorders that commonly occur in family practice. Please work up a case study that begins with a chief complaint commonly seen in primary care based on that body system. The case should be clear and include all elements of a normal case that might be presented in class (subjective, objective, assessment, diagnostic testing and 5 point plan in part 2.The clinical logs will be helpful for this process, or notes you have taken in clinical regarding cases. The case should be clear, organized, and meet the following guidelines: 

Week 5 Part 1: Due by Tuesday 11:59 p.m. MT

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 that you haven’t learned already in the program and present your findings in the discussion threads. Push yourself to explore diagnoses in this area that are still common to primary care, but not a repeat of content learned in this or other courses.

Step 3. Respond to at least one other student’s CC work up as well as any questions posed to you by faculty.

Work up includes:

Chief complaint, PMHx, Demographics, PSHx, allergies, lifestyle, HPI

Associated risk factors/demographics that contribute to the chief complaint and differential diagnoses

Three common differential diagnoses represented by the CC including pathophysiology and rationale in the identified body system i.e., if pulmonary was your body system than a chief complaint could be persistent cough and three pulmonary differentials; 

Discuss how the three differential diagnoses differ from each other in: occurrence, pathophysiology and presentation (NOTE: Simply listing the diagnoses and their occurrence, pathophysiology 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; and 

Review of relevant National Guidelines related to the Diagnosis and Diagnostic testing for these diagnoses 

 

Solution

Week 5: APEA Predictor Assignment – Part 1

Week 5: Women Health

Chief complaint: Breast cancer

HPI:

M.A. is a 48-year-old Caucasian, premenopausal woman. She visited the clinic for her medical checkup. The patient observed a slight, non-painful lump in the upper outer quadrant of her right breast about six weeks ago. Assuming the lump was just one of the many that she developed throughout her menstrual cycle, she ignored it at the time. Her breast lumps become noticeable and uncomfortable around ten days before her period begins, she claims. She currently has four days till her official start date. Her periods have never been accompanied by dysmenorrhea.

On the other hand, the lump didn’t go away like the others and grew in size over time. When asked if she had ever had any discomfort in her breasts or had any nipple discharge, she denies these symptoms. She also denies having any lumps in her right axillary area.

Breast self-examinations are practiced by the patient, although not regularly. She hasn’t gotten a mammogram in her lifetime. Fibrocystic alterations were seen in a breast biopsy she had done some years ago. Two years ago, she had her first Pap smear, and the results were averaged. Mother-of-three Mrs. M.A. is married and has three children, aged 4, 9, and 11. she breastfed all three children. When she was 35 years old…………Kindly  click the purchase icon to purchase full solution at $10