No adnexal masses or tenderness. Eyes: PERRLA. Education level, occupational history, current living situation/partner/marital status, substance use/abuse, ETOH, tobacco, marijuana. Contents Pharynx is nonerythematous and without exudate. Maintains eye contact. Rectal as appropriate: no evidence of hemorrhoids, fissures, bleeding or masses. No other lesions, bruises, or suspicious moles present. Capillary refill 2 seconds. No information is shared with 3rd parties. Full ROM; no cervical lymphadenopathy; no occipital nodes. Evidenced by Inguinal or scrotal nonreducible mass with severe pain, vomiting, and constipation and scrotal ultrasound result (Fischbach & Dunning, 2014). Get a 10 % discount on an order above $ 100! The physical exam is significant for tachycardia, hypertension, diaphoresis, and severe pain in a swollen left groin. Slightly somber affect at first, then brighter later. Posture erect. EOMs intact. INT. When autocomplete results are available use up and down arrows to review and enter to select. Step 3 iHuman case titled "Jack Baldwin VE" QUESTION DESCRIPTION SOAP NOTE AND DIFFERENTIAL DIAGNOSES FOR IHUMAN CASE. Respirations regular and easy; lungs clear to auscultation bilaterally. Include three differential diagnoses and support your diagnoses with supporting literature. Gastrointestinal: Abdomen flat; BS hyper active in all 4 quadrants. Eyes: PERRLA. Nutrition: recommending better choices when eats out (Buttaro, Trybulski & Bailey, 2013). Jack Baldwin VE iHuman Episodic SOAP Note and Differential Diagnoses Examples Provide a reference for your treatment plan (in APA format). Bilateral TMs pearly grey with positive light reflex; landmarks easily visualized. Return to clinic:RTC in one week if pain persists or s/s of infection occur. Quality- We are experienced and have access to ample research materials. BMI: 24.4 Temp: 99 (Oral)BP: 170/94. Speech is soft, though clear and of normal rate and cadence; answers questions appropriately. Denies bruising or other abnormalities to skin, hair, or nails. Skin: Warm, diaphoresis, (-) Delayed healing, (-) rashes, (-) bruising, (-) bleeding or skin discolorations, (-)any changes in lesions or moles No. Clear to auscultation with no adventitous sounds bilaterally. Your payment is processed by a secure system. Full ROM; no cervical lymphadenopathy; no occipital nodes. Non-medication treatments:Maintain adequate hydratin b continuing to drink 68 glasses of water a day. Full ROM; no cervical lymphadenopathy; no occipital nodes. Overwise, PRN. Epididymitis: fever, Swelling and tenderness of the scrotum (usually located on one side), patient may get relief with elevation of scrotum, which is positive Prehns sign. Stress and a lowered immune system may precipitate a flair up. Respirations regular and easy; lungs clear to auscultation bilaterally. (Male: both testes palpable, no masses or lesions, no hernia, no uretheral discharge. Does not cross midline. Head is normocephalic, atraumatic and without lesions; hair evenly distributed. Good tone. You would not leave these in an official SOAP note. Have you every been told that you have: Diabetes, HTN, peptic ulcer disease, asthma, lung disease, heart disease, cancer, TB, thyroid problems or kidney disease or psychiatric diagnosis.. No thyromegaly or nodules. Normal penile shaft, without lesions or discharge. Pharynx is nonerythematous and without exudate. Our payment method is safe and secure. EOMs intact. Complains of rash to middle of right side of back. Scrotal ultrasound reveals the following: Normal testicular size bilaterally (Fischbach & Dunning, 2014). Posture erect. Philadelphia, PA: F.A. Educate patient to avoid heavy lifting, and gently reduce a groin hernia when the individual lies supine with hips flexed to relax the abdominal muscles (Cash, 2014). We dont just employ writers, we hire professionals. The physical exam is significant for tachycardia, hypertension, diaphoresis, and severe pain in a swollen left groin. Great! Complains of rash to middle of right side of back. The other symptoms include urethral discharge, dysuria, hematuria (Cash, 2014), Kidney Stone: Add Ct scan to determine the stone size, if the test of urine positive for renal calculi. RRR, S1 and S2 present. No conjunctival or scleral injection. Anyone diagnosed with: lung disease, heart disease, htn, cancer, TB, DM, or kidney disease. Limit Tylenol to less than 4 g per day. Treatment of kidney stone includes: pain management such as ibuprofen (Motrin, Advil), Zofran 4mg every 6 hours as needed for controlling nausea/vomiting, helping with passing the stone by using Tamsulosin (Flomax) 0.4mg daily to ease urination (Buttaro, Trybulski & Bailey, 2013). Balance stable; gait normal. Normal penile shaft, without lesions or discharge. Meaning after your purchase you will get an original copy of your assignment and you have all the rights to use the paper. Advanced health assessment NSG 6020 Health Science Science Nursing Answer & Explanation Unlock full access to Course Hero Explore over 16 million step-by-step answers from our library Get answer Complains of rash to middle of right side of back. Right side normal. Non-medication treatments: Maintain adequate hydratin b continuing to drink 68 glasses of water a day. No nail pitting or clubbing. Jul 1, 2021 - Find solution of question Jack Baldwin V5 i-human from Health Care subject by Homework Minutes experts. Capillary refill 2 seconds. Bound in a lovely and compact format, the book totes easily along in your pocket, backpack, or picnic basket. Slightly somber affect at first, then brighter later. Limit Tylenol to less than 4 g per day. Patient is appropriately dressed and cooperative in regards to all aspects of the examination. We need some time to prepare a perfect essay for you. Clear to auscultation with no . Recommend smoking cessation patient not ready (Buttaro, Trybulski & Bailey, 2013). Full ROM; no cervical lymphadenopathy; no occipital nodes. No hepatosplenomegaly. No adnexal masses or tenderness. Even though the patient is monogamous, it was important to better understand the relationship of the patient with close family members (Dains, Baumann, & Scheibel, 2015). Step 2 We will be there when a student has to work extra shifts, when the babysitter cancels, or when life simply becomes too overwhelming. Genitourinary: Bladder is non-distended; no CVA tenderness. Jack Baldwin VE iHuman Episodic SOAP Note and Differential Diagnoses Examples. Bilateral TMs pearly grey with positive light reflex; landmarks easily visualized. No nail pitting or clubbing. SOAP Note and Differential Diagnoses for iHuman Case. Step 1 Good tone. Our writers are also well trained to follow client instructions as well adhere to various writing conventional writing structures as per the demand of specific articles. He was supervised by Derek Barton, a pioneer of conformational analysis the idea that the. Pulses 3+ throughout. Our writers will help you write all your homework. Eyes: PERRLA. https://digitalbookshelf.southuniversity.edu/#/books/9780826168757/, Nursing Capstone Project Writing Services, Nursing Annotated Bibliography by Professional, Online Nursing Research Paper writing service, Mean corpuscular hemoglobin concentration (MCHC). Jack L. Baldwin <p>Jack L. Baldwin, 65, of El Cajon, California passed away on April 22, 2022 at Windsor Garden Care Center after an extended illness.</p> <p>Jack was the son of Don and Ethel Mae Baldwin of Elroy. Cancer-screening modalities for gender/age: prostate exam (Buttaro, Trybulski & Bailey, 2013). Jack Baldwin VE iHuman Episodic SOAP Note and Differential Diagnoses Examples SOAP Note and Differential Diagnoses for iHuman Case. He was on trial at Gillingham and impressed Gills boss Andy Hessenthaler after a season with . No edema. Flu shot in October 2012 and plans to get the Flu vaccine this year. Fitness: encouraging increasing exercise (Buttaro, Trybulski & Bailey, 2013). Jack Baldwin is a 50-year-old male with health conditions that relate to hypertension. Approximately 7 inches in length. Testicular torsion: sudden onset of pain which is exquisite tenderness; and a high-riding, horizontally displaced testis (Goolsby & Grubbs, 2015). Advise that a person sho has never had chicken pox may contract chicken pos by exposure to the shingles rash. Students can be assigned cases individually, in a lecture, a flipped classroom or in a team-based learning environment. Approximately 7 inches in length. PMI noted at 5thICS MCL. Provide a subjective, objective, assessment, and plan (SOAP) note on this patient and your treatment plan using the SOAP note template. Provide a reference for your treatment plan (in APA format). No edema. 34 year old male presents to office with a linear vesicular rash to the right side of his back. (2014). In writing, we will be precise and to the point and fill the paper with content as opposed to words aimed at beating the word count. Uterus is antevert and positioned behind a slightly distended bladder; no fullness, masses, or tenderness. It is possible to have shingles flair up again in the future. Jack Baldwin VE iHuman Episodic SOAP Note and Differential Diagnoses Examples, o 1- Herpes zoster without mention of complication (053.9) o 2- Rash and other nonspecific skin eruption (782.1) o 3- Other malaise and fatigue (780.79), Presumptive Diagnosis o 1- Herpes zoster without mention of complication (053.9), Diagnois: Herpes zoster without mention of complication (053.9), Medication: Valtrex 1000 mg PO q8h X 7 days, Education: Continue using Tylenol 650 mg PO to manage pain. Respirations regular and easy; lungs clear to auscultation bilaterally. Speech is soft, though clear and of normal rate and cadence; cant answer questions appropriately. Denies any heat or cold intolerance, thyroid enlargement or tenderness, unexpected weight changes, or abnormal distribution in body hair. Jack Baldwin VE iHuman Episodic SOAP Note and Differential Diagnoses Examples, Chief Complaint (CC): severe left groin pain for 6 hours. : Mosby/Elsevier. Note: For purposes of this sample SOAP note comments on what is required for each section have been left in place. Speech clear. 34 year old male presents to office with a linear vesicular rash to the right side of his back. He is well-groomed, fit, and cheerful, he is alert and orientedx4, can answer any question by himself.. Hernia inguinal K40 (ICD-10 Code Lookup, 2016). Environmental hazards: Patient denies any environmental hazards. Clear to auscultation with no adventitous sounds bilaterally. Maintains eye contact. Include three differential diagnoses and support your diagnoses with supporting literature. Maintains eye contact. Jack Baldwin VE iHuman Episodic SOAP Note and Differential Diagnoses Examples. (2016). Stress and a lowered immune system may precipitate a flair up. Tenderness is appreciated in the left inguinal canal; the scrotum is swollen on the left side; the testicles are normal in size and nontender to palpation. Balance stable; gait normal. Jack Baldwin VE iHuman Episodic SOAP Note and Differential Diagnoses Examples SOAP Note and Differential Diagnoses for iHuman Case. Posture erect. i-Human tracks every click, and every decision the student documents and provides them with instant, expert feedback along the way. This is one of the areas where nursing writing services like ours can help. Teeth are in good repair. Consider the following: Tariffs are paid by the citizens of the country, Mean corpuscular hemoglobin concentration (MCHC). A manual of laboratory and diagnostic tests. If you need any help with this tutorial, seek online assignment help from the Homework Minutes experts. Return to clinic:RTC in one week if pain persists or s/s of infection occur. Good tone. SOAP Note and Differential Diagnoses for iHuman Case. St. Louis, Mo. Jack Baldwin VE iHuman Episodic SOAP Note and Differential Diagnoses Examples, Chief Complaint (CC): severe left groin pain for 6 hours. Reason given by the patient for seeking medical care in quotes. Best Essay Writing Services- Get Quality Homework Essay Paper at Discounted Prices. My brother brought me here to get me help because I was going through a tough time. 34 year old white male who appears his stated age. It is also important to avoid people with weakened immune systems. Ticket to Enter Student Guidelines Ticket to Enter for Virtual Simulation IHuman - SCOTT BALDWIN (SEIZURE) 1. Treatment of kidney stone includes: pain management such as ibuprofen (Motrin, Advil), Zofran 4mg every 6 hours as needed for controlling nausea/vomiting, helping with passing the stone by using Tamsulosin (Flomax) 0.4mg daily to ease urination (Buttaro, Trybulski & Bailey, 2013). Tactile fremitus equal bilaterally. Psychiatric: Alert and oriented to person only. He states the patin is often as 8 or 10 out of 10 severity. Chronic Illnesses/Major traumas: Patient has a significant history for hypertension Chronic Health Problems: Immunizations: Up to date on all immunizations. Reason given by the patient for seeking medical care in quotes. 34K views 4 years ago i-Human Patients 2.1K views 7 years ago Poets & Quants 431K views 3 years ago Pulmonary. Tactile fremitus equal bilaterally. Skin is brown, warm, dry, clean and intact. They will write your papers from scratch. Teeth are in good repair. RRR, S1 and S2 present. Capillary refill 2 seconds. No extra sounds, clicks, rubs or murmurs. No relevant social history; denies use of tobacco, alcohol, or illicit drugs. This helps overcome occupational hazards brought about by fatigue. Height: 60 Pulse: 130bmp (tachycardia) RR: 18bpm, oxygen saturation is 98%, RA. Use this week's iHuman case titled "Jack Baldwin VE" and create a SOAP note with a treatment plan (located at the bottom of the SOAP note. Jack is related to James L Baldwin and Debbie Stefanko as well as 3 additional people. We are always waiting to answer all your questions. Recommend smoking cessation patient not ready (Buttaro, Trybulski & Bailey, 2013). Neck: Supple. Fischbach, F. T., & Dunning, M. B. Please note that your SOAP note has several areas that have required information. If changes are needed, request a revision. No vulvar lesions noted. Provide a subjective, objective, assessment, and plan (SOAP) note on this patient and your treatment plan using the SOAP note template. It should be surgical intervention if patient get strangulated hernias (Cash, 2014). Alert and oriented; answers questions appropriately. Remember to keep the patient's identity private; use the . Jack Baldwin VE iHuman Episodic SOAP Note and Differential Diagnoses Examples. Cancer-screening modalities for gender/age: prostate exam (Buttaro, Trybulski & Bailey, 2013). Patient is appropriately dressed and cooperative in regards to all aspects of the examination. Goolsby, M. J., & Grubbs, L. (2015). . The HPI must include: History of Present Illness: O-P-Q-R-S-T questions, Onsetandcircumstances ofOccurrenceof symptom(s), Regionof body andRadiationto other areas, Severityof symptom (0 to 10 scale, if applicable) and associatedSymptoms, Time(duration) andTemporalassociations (what is going on when symptom occurs, In addition, normal is not acceptable you must describe what you are seeing. Use this week's iHuman case titled "Jack Baldwin VE" and create a SOAP note with a treatment plan (located at the bottom of the SOAP note. He complains of generalized malaise and reports a low grade fever no higher than 100.1 F. The pain worsens with touch and movement. It is a win-win proposition; both parties gain from trade. 2022 Nursingbay.com. A:P / 2:1. Discuss the pathophysiology of this disease process/condition. Advanced assessment: Interpreting findings and formulating differential diagnoses. Select your deadline and pay for your paper. Does not cross midline. You can protect your immune system with a healthy lifestyle, and keeping your stress at manageable levels can reduce your chances of getting shingles and other. Patient reports having chicken pox when he was age 5. No nail pitting or clubbing. No extra sounds, clicks, rubs or murmurs. Philadelphia: Wolters Kluwer Health/Lippincott Williams & Wilkins. Exercise and leisure: Walks occasionally for exercise. You can contact our live agent via WhatsApp +1(209)962-2652, Reflective Analysis: Risk Management and the Role of Managed Care. Monitor for s/s of infection (increased redness, fever, pain, or purulent, fould smelling drainage). Teeth are in good repair. Complains of sharp, burning pain to the area. No palpable thrills, lifts, or heaves. Posture erect. Balance stable; gait normal. i-Human Patients Help students build diagnostic competency and clinical judgment skills With i-Human Patients, students experience safe, repeatable, fully-graded clinical patient encounters on their . Allergies:NKDAMedication Intolerances:None. Neck: Supple. Jack Baldwin VE iHuman Episodic SOAP Note and Differential Diagnoses Examples. EOMs intact. Full ROM seen in all 4 extremities as patient moved about the exam room. Introduction One of the most common ways in wh, In this discussion, we connect the key statements summarizing a firms overall financial health, assets and liabilities, activities, earnings, and disposition or use of earnings. Baldwin was born in London, and studied chemistry at Imperial College London, where he also did a PhD. Abdomen obese; BS active in all 4 quadrants. The testicles are normal in size and nontender to palpation. Bilateral TMs pearly grey with positive light reflex; landmarks easily visualized. Scrotal ultrasound reveals the following: Normal testicular size bilaterally (Fischbach & Dunning, 2014). Neck: Supple. Right side normal. Complains fo generalized malaise. Ears: Canals patent. Anyone diagnosed with: lung disease, heart disease, htn, cancer, TB, DM, or kidney disease. Does your mother, father or siblings have any medical or psychiatric illnesses? Avoid contact with infants, children, pregnant women, and adults who have never had chicken pox, until blisters are completely dry.
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