NUR 631 Topic 16 Discussion Question 1

Select a chief complaint from the following list and provide a list of differential diagnoses and an initial workup for the patient, including laboratory tests, imaging studies, and medications.

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1. Left lower quadrant pain
2. Dizziness
3. Altered mental status
4. Dysuria
5. Chest pain
6. Numbness in an ipsilateral extremities
7. Blurring vision that is sudden
8. Cold, blue toes
9. Thirstiness
10. Tachycardia/Palpitations
11. Heavy, off-scheduled vaginal bleeding
12. Genitourinary puss
13. Fever
14. Shortness of breath
15. Diarrhea
16. Low back pain
17. Radiating paresthesia inthe back of the legs
18. Infectious process requiring antibiotic treatment

NUR 631 Topic 16 Discussion Question 2

Create a list of three differential diagnoses and explain why you would include them on your list, based on the following information:

You are working with an 82-year-old male, David Smith, who will be having coronary artery bypass surgery in 5 days. David has experienced a very complicated road leading to his surgery. He remains on ventilator support and just started nutritional supplementation. He remains sedated for apparent agitation and is taking multiple medications for cardiovascular support.

You must proofread your paper. But do not strictly rely on your computer’s spell-checker and grammar-checker; failure to do so indicates a lack of effort on your part and you can expect your grade to suffer accordingly. Papers with numerous misspelled words and grammatical mistakes will be penalized. Read over your paper – in silence and then aloud – before handing it in and make corrections as necessary. Often it is advantageous to have a friend proofread your paper for obvious errors. Handwritten corrections are preferable to uncorrected mistakes.

Use a standard 10 to 12 point (10 to 12 characters per inch) typeface. Smaller or compressed type and papers with small margins or single-spacing are hard to read. It is better to let your essay run over the recommended number of pages than to try to compress it into fewer pages.

Likewise, large type, large margins, large indentations, triple-spacing, increased leading (space between lines), increased kerning (space between letters), and any other such attempts at “padding” to increase the length of a paper are unacceptable, wasteful of trees, and will not fool your professor.

The paper must be neatly formatted, double-spaced with a one-inch margin on the top, bottom, and sides of each page. When submitting hard copy, be sure to use white paper and print out using dark ink. If it is hard to read your essay, it will also be hard to follow your argument.

ADDITIONAL INFORMATION;

Discuss heavy, off-scheduled vaginal bleeding

Introduction

If you’re aged 25 or older, it’s important to know about heavy, off-scheduled vaginal bleeding. This can be a symptom of cervical cancer. The HPV vaccine is a safe and effective way to protect against some strains of the virus that cause cervical cancer.

Heavy, off-scheduled vaginal bleeding can be a symptom of cervical cancer.

Heavy, off-schedule vaginal bleeding can be a symptom of cervical cancer. Cervical cancer is a type of cancer that affects the cervix. The cervix is the lower part of your uterus (womb). It’s where you attach to give birth to your baby during labor and delivery. When HPV goes into your body and starts growing there, it can cause changes in cells around it so they don’t work properly anymore—and eventually lead to cervical cancer if left untreated.

If you have been diagnosed with HPV infection in your mouth or throat area but not yet had any symptoms like abnormal pap smears or tests showing high levels of antibodies against HPV, this means that many people will get infected with this virus without knowing it! Most people get it when they are young children through sexual contact between two adults who are already infected; however some people may contract them from other sources including kissing someone else’s cheeky bits (which would make sense because we’re all going through puberty at one point or another).”

It’s a common problem, and more than one in five women have experienced it.

Vaginal bleeding is one of the most common gynecological problems. It can be caused by a number of different things, including uterine fibroids or endometriosis, but it’s important to get it checked out by your doctor if you’re experiencing heavy vaginal bleeding.

• It’s a common problem: More than one in five women have experienced some level of vaginal bleeding at some point in their lives; however, many don’t realize they’re having an abnormality until they seek treatment from their doctors.*It can happen during normal activities like exercise and intercourse.*It may also occur after sex or periods.*Vaginal discharge may also change color and texture over time.*If left untreated for an extended period of time (more than two weeks), this condition could lead to infection and infertility

Other symptoms of cervical cancer include pain during sex, a change in bladder control and heavy vaginal discharge.

Other symptoms of cervical cancer include pain during sex, a change in bladder control and heavy vaginal discharge.

• Pain during sex: Cervical cancer can cause pain in the pelvis or lower back. You may not feel this pain until it’s too late to treat.

• Change in bladder control: Taking off your pants after urinating is difficult if you have cervical cancer because you have to lift up your pelvis to get the urine out without letting go of your pants first.

• Heavy vaginal discharge: The type of bleeding will depend on where the tumor is located inside your body (the cervix). In some cases, there may be no blood at all; however, other types of bleeding may occur from time to time like spotting or light bleeding that doesn’t soak through pads but more than just spotting

As with many cancers, early diagnosis is vital to treat cervical cancer successfully.

As with many cancers, early diagnosis is vital to treat cervical cancer successfully. The earlier you are diagnosed, the better your chances of being cured. If left untreated and undetected until it has spread further into your body (metastasized), cervical cancer can be fatal.

When should I get screened?

Screening tests can help identify changes in the cervix so that they can be detected at an early stage when treatment options are more likely to work well for you. Screening depends on where you live and what your age group is: teenagers should have regular pelvic exams by their doctor every year from age 16 onwards; women aged 25-29 years old should also have annual screening tests between 25 and 29 years old; while women aged 30-65 years old should also be screened annually between 30 and 65 years older than 65 years old

The HPV vaccine is a safe and effective way to protect against some strains of the virus that cause cervical cancer.

The HPV vaccine is a safe and effective way to protect against some strains of the virus that cause cervical cancer. It’s given in three doses, usually over six months. The first dose should be given before starting sexual activity; the second dose can be given up to two months after the first one; and the third dose should be received no later than six months after receiving two doses.

The American Cancer Society recommends that girls aged 12–13 receive at least two doses of this vaccine (either 1 or 2), but many doctors recommend getting it done all at once instead of spreading out these shots. This can be especially helpful if you’re traveling internationally you may need extra protection abroad, especially if you plan on having sex with someone who isn’t vaccinated yet!

Women aged 25 or older who haven’t had their first smear test should ask their doctor about having one.

If you’re a woman aged 25 or older who hasn’t had your first smear test, ask your doctor about having one.

Women aged 20 to 24 should have a smear test every 5 years. If you haven’t had one by the time of this consultation, talk with your doctor about when it’s best for you to get one.

If you’ve never been screened for cervical cancer, your doctor will probably recommend that you start having regular smear tests. Your first test should be performed within 6 months of starting sexual activity.

Discuss heavy, off-scheduled vaginal bleeding with your doctor as soon as possible.

If you have heavy, off-scheduled vaginal bleeding, it’s important to see a doctor. Your doctor will be able to tell you what the cause of your bleeding is and how best to treat it. If you’re diagnosed with cervical cancer, it’s important that you get treatment as soon as possible so that your cancer doesn’t spread further into other parts of your body (metastasis). You may also want to consider getting screened for ovarian cancer if there are any symptoms or signs that suggest this could be happening.

Conclusion

If you’re concerned that your heavy, off-scheduled vaginal bleeding might be a sign of cervical cancer, discuss it with your doctor as soon as possible. The sooner an abnormal Pap smear result is detected, the more likely it is that treatment will be effective.