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Question Description

Case 1 Case 2 Case 3
Chief Complaint
(CC)
“I am here today due to frequent and watery bowel movements” “I have pain in my belly” “neck swelling”
History of Present Illness (HPI) A 37-year-oldEuropean American female presents to your practice with “loose stools”for about three days. One event about every three hours A 25-year-oldfemale presents to the emergency room (ER) with complaints of severeabdominal pain for 2 weeks . The pain is sharp and crampy It hurts if Irun, sit down hard, or if I have sex A 42-year-oldAfrican American female who refers that she has been noticing slow andprogressive swelling on her neck for about a year. Also she stated shehas lost weight without any food restriction
PMH No contributory Patient denies Patient denies
PSH Appendectomy at the age of 14 Surgical removal of benign left breast nodule 2 years ago
Drug Hx
No meds Birth control No medication at the time
Allergies Penicillin NKA NKA
Subjective Fever and chills, Lost appetite Flatulence No mucus or blood on stools Nausea andvomiting, Last menstrual period 5 days ago, New sexual partner about 2months ago, No condoms, he hates them No pain, blood or difficulty withurination Mild difficult to shallow, Neck feels tight, Pt states she feels Palpitations
Objective Data
PE B/P 188/96; Pulse 89; RR 16; Temp 99.0; Ht 5,6; wt 110; BMI 17.8 B/P 138/90; temperature 99°F; (RR) 20; (HR) 110, regular; oxygen saturation (PO2) 96%; pain 5/10 B/P 158/90; Pulse 102; RR 20; Temp 99.2; Ht 5,4; wt 114; BMI 19.6
General well-developed female in no acute distress, appears slightly fatigued acute distress and severe pain 42-year-old female appears thin. She is anxious – pacing in the room and fidgeting, but in no acute distress.
HEENT Atraumatic,normocephalic, PERRLA, EOMI, arcus senilus bilaterally, conjunctiva andsclera clear, nares patent, nasopharynx clear, edentulous. Atraumatic,normocephalic, PERRLA, EOMI, conjunctiva and sclera clear; nares patent,nasopharynx clear, good dentition. Piercing in her right nostril andlower lip. Bulging eyes
Neck Supple Diffuse enlargement of the thyroid gland
Lungs CTA AP&L CTA AP&L CTA AP&L
Card S1S2 without rub or gallop S1S2 without rub or gallop S1S2 without rub, Tachycardia
Abd positive bowelsounds (BS) in all four quadrants; no masses; no organomegaly noted;diffuse, mild, bilateral lower quadrant pain noted Mild diffusetenderness.

• INSPECTION: no masses or thrillsnoted; no discoloration and skin is warm to; no tattoos or piercings;abdomen is nondistended and round
• AUSCULTATION: bowel sounds (BS) are normal in all four quadrants, no bruits noted
•PALPATION: on palpation, abdomen is tender to touch in four quadrants;tenderness noted on light palpation, deep palpation reveals no masses,spleen and liver unremarkable
• PERCUSSION: tympany heard in all quadrants, no dullness noted in abdominal area

benign, normoactive bowel sounds x 4
GU Non contributory • EXTERNAL: mature hair distribution; no external lesions on labia
• INTROITUS: slight green-gray discharge, no lesions
• VAGINAL: normal rugae; moderate amount of green discharge on vaginal walls
• CERVIX: nulliparous os with small amount of purulent discharge from os with positive cervical motion tenderness (CMT)
• UTERUS: ante-flexed, normal size, shape, and position
• ADNEXA: bilateral tenderness with fullness; both ovaries without masses
• RECTAL: deferred
• VAGINAL DISCHARGE: green in color
Non contributory
Ext no cyanosis, clubbing or edema no cyanosis, clubbing or edema no cyanosis, clubbing or edema
Integument good skin turgor noted, moist mucous membranes intact without lesions masses or rashes Thin skin, Increase moisture
Neuro No obvious deformities, CN grossly intact II-XII No obvious deficits and CN grossly intact II-XII No obvious deficits and CN grossly intact II-XII

  1. What other subjective data would you obtain?
  2. What other objective findings would you look for?
  3. What diagnostic exams do you want to order?
  4. Name 3 differential diagnoses based on this patient presenting symptoms?
  5. Give rationales for your each differential diagnosis.

Your initial post should be at least 500 words, formatted and cited incurrent APA style with support from at least 2 academic sources.