Will pay $10

 

Sophie, an 82-year-old from assisted living, is brought in to see you. She has deteriorated in the last 3 days and has become mildly confused, making mealtimes difficult, as the patient has begun refusing food. Sophie has a low-grade temperature. Her caregiver has noted that she frequently grabs at her abdomen and groans as if in pain, and there may have been blood in her last void, an hour ago. There is no one to confirm when the patient’s last BM was. Sophie has been a fairly healthy lady. Her PMH is significant for lumbar disc disease, and PSH is positive for a cholecystectomy. Upon physical examination, you find that she has left, lower quadrant abdominal pain with palpation that appears to radiate to her left flank. By the time you assessed for CVA tenderness, Sophie was groaning with any attempted physical examination, even straight leg raises.

Identify five other questions you would ask her caregiver, providing rationale. She’s 82, so these need to make sense based on the presenting information. (15 points: 3 points each)

You conduct a physical examination. Describe 2 body systems (vital signs don’t count) that you would include in your assessment. Be specific when describing your exam and provide your rationale (10 points).

Identify three differential diagnoses. Provide your rationale (6 points) and determine what you think is the most probable diagnosis, providing a brief description of the pathophysiology (4 points). (10 points total). Think outside the box. Don’t let them all be related to the same body system.

Identify 1 diagnostic test you would order, providing your rationale (5 points). Do not use any laboratory studies.

Identify 1 pharmacologic treatment, including dose/duration, based on your most probable diagnosis and provide your rationale. (5 points). YOU MUST USE A NATIONALLY RECOGNIZED TREATMENT GUIDELINE. DO NOT use the PDR, or Epocrates. These are not treatment guidelines, but medication references. This is based on outpatient treatment, not inpatient care, so do not recommend IV medications.

Place your order
(550 words)

Approximate price: $22

Calculate the price of your order

550 words
We'll send you the first draft for approval by September 11, 2018 at 10:52 AM
Total price:
$26
The price is based on these factors:
Academic level
Number of pages
Urgency
Basic features
  • Free title page and bibliography
  • Unlimited revisions
  • Plagiarism-free guarantee
  • Money-back guarantee
  • 24/7 support
On-demand options
  • Writer’s samples
  • Part-by-part delivery
  • Overnight delivery
  • Copies of used sources
  • Expert Proofreading
Paper format
  • 275 words per page
  • 12 pt Arial/Times New Roman
  • Double line spacing
  • Any citation style (APA, MLA, Chicago/Turabian, Harvard)

Our guarantees

Delivering a high-quality product at a reasonable price is not enough anymore.
That’s why we have developed 5 beneficial guarantees that will make your experience with our service enjoyable, easy, and safe.

Money-back guarantee

You have to be 100% sure of the quality of your product to give a money-back guarantee. This describes us perfectly. Make sure that this guarantee is totally transparent.

Read more

Zero-plagiarism guarantee

Each paper is composed from scratch, according to your instructions. It is then checked by our plagiarism-detection software. There is no gap where plagiarism could squeeze in.

Read more

Free-revision policy

Thanks to our free revisions, there is no way for you to be unsatisfied. We will work on your paper until you are completely happy with the result.

Read more

Privacy policy

Your email is safe, as we store it according to international data protection rules. Your bank details are secure, as we use only reliable payment systems.

Read more

Fair-cooperation guarantee

By sending us your money, you buy the service we provide. Check out our terms and conditions if you prefer business talks to be laid out in official language.

Read more