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Description Case 1: An 89-year-old female complains of a ...


Description Case 1: An 89-year-old female complains of a "stabbing chest pain" and points to the area just below her scapula at the right mid-clavicular line. She states that she had an upper respiratory infection last week that "just seems to hang on." No other complaints.? Case 2: A 58-year-old male presents with a complaint of severe chest pain over the last hour. He states that he did not call 911 because he cannot afford an ambulance.? Case 3: A 15-year-old immigrant was brought to the clinic by her mother because client complains of shortness of breath, chest pains, diaphoresis and easy fatiguability. She claims she has had on and off bouts of tonsillitis since she was a child that resulted in tonsillectomy surgery when she was 12. Last week, she was unable to participate in the cheer leading tryouts because of knee pain and a rash that she noticed on her trunk for the past 2 weeks.  1 attachments Slide 1 of 1 attachment_1 attachment_1 UNFORMATTED ATTACHMENT PREVIEW Physical Assessment Case Study Template Name: ________________________________________ Week of Class (1-8): ______ Body System focus area (i.e., cardiovascular): _____________________________ Case Study: (copy/paste here please) Note: Include in-text citations as needed (author, year). Questions (if data is unavailable, indicate “unavailable”): 1. What is the client’s chief complaint? 2. What questions would you ask the client? o o o o o HPI (history of present illness) ROS (review of systems) Medical/Surgical/Psych History Family History Other 3. What physical examinations would you include? Body System General survey HEENT (head, eyes, ears, nose, throat/thyroid) Cardiovascular Include? ? (yes) or - (not indicated) ? ? Auscultate heart sounds (stethoscope to actual skin) ? Auscultate lung sounds (stethoscope to actual skin) – anterior and posterior Peripheral Vascular Breasts Lymphatic Pulmonary Gastrointestinal/Abdominal Genitourinary/Pregnancy Integumentary Notes Musculoskeletal Neurological 4. What are pertinent positive physical assessment findings? 5. What are the pertinent negative physical assessment findings? 6. What are at least 3 differential diagnoses (use Up-to-Date App if needed)? o o o 7. What is your primary diagnosis? 8. What is your treatment plan? o o o o o o Diagnostic procedures Labs Client education (including lifestyle modifications, if applicable) Pharmacotherapy (including complementary and alternative therapies) Health promotion (preventative care, anticipatory guidance) Follow-Up References (within last 5 years, scholarly, include clinical practice guidelines if available) APA format please, at least one reference Purchase answer to see full attachment User generated content is uploaded by users for the purposes of learning and should be used following Studypool's honor code & terms of service.





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Case 1: 89-year-old Female with Stabbing Chest Pain

1. Client’s Chief Complaint: The patient, an 89-year-old female, complains of a "stabbing chest pain" located just below her scapula at the right mid-clavicular line. She mentions having had an upper respiratory infection the previous week, which has "just seemed to hang on."

2. Questions to Ask the Client:

  • History of Present Illness (HPI): "Can you describe the chest pain in more detail? Does it radiate anywhere, like to your arm or jaw? How severe is the pain on a scale of 1-10?" "Did the pain start suddenly or gradually?"
  • Review of Systems (ROS): "Have you had any shortness of breath, cough, fever, or a change in your breathing pattern since your infection?" "Do you have any swelling in your legs or difficulty breathing while lying down?"
  • Medical History: "Do you have a history of heart disease, hypertension, or any previous heart problems like a heart attack?" "Have you had any respiratory conditions like asthma, COPD, or pneumonia?"
  • Surgical History: "Have you had any surgeries in the past, particularly involving your chest or lungs?"
  • Family History: "Does anyone in your family have a history of heart disease, respiratory issues, or strokes?"
  • Social History: "Do you smoke or have a history of smoking? How active are you on a daily basis?"

3. Physical Examinations:

General Survey:

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