Chief Complaint(CC)- ‘neck swelling’ History of Present Illness (HPI)-, A 42-year-old African American female who refers that she has been noticing…
Question Answered step-by-step Chief Complaint (CC) – History of Present Illness (HPI)- ,PMH – PSH- Drug Hx- Allergies – “neck swelling” A 42-year-old African American female who refers that she has been noticing slow and progressive swelling on her neck for about a year. Also she stated she has lost weight without any food restriction Patient denies Surgical removal of benign left breast nodule 2 years ago No medication at the time NKA Subjective – Mild difficult to shallow, Neck feels tight, Pt states she feels Palpitations Objective Data PE – B/P 158/90; Pulse 102; RR 20; Temp 99.2; Ht 5,4; wt 114; BMI 19.6 General – 42-year-old female appears thin. She is anxious – pacing in the room and fidgeting, but in no acute distress. HEENT – Bulging eyes Neck- Diffuse enlargement of the thyroid gland Lungs- CTA AP&L Card- S1S2 without rub, Tachycardia Abd – benign, normoactive bowel sounds x 4 GU – Non contributory Ext – no cyanosis, clubbing or edema Integument – Thin skin, Increase moisture Neuro – No obvious deficits and CN grossly intact II-XII answer the following questions: cited in current APA 7 style with support from at least 2 academic sources. What other subjective data would you obtain? What other objective findings would you look for? What diagnostic exams do you want to order? Name 3 differential diagnoses based on this patient presenting symptoms? Give rationales for your each differential diagnosis. Health Science Science Nursing HLTH 3574 Share QuestionEmailCopy link Comments (0)
