Normal and Abnormal Findings of Physical Exam Assignment
Normal and Abnormal Findings of Physical Exam Assignment
Case Study 1:
The nurse practitioner in the outpatient orthopedic clinic is reviewing the medical records of several patients being seen in the clinic today. A 67-year-old, moderately obese woman examined today for increasing back and left shoulder pain. Limited circumduction of left arm noted in comparison with right arm. Strength of left arm is less than right, with less muscle definition in the left arm. Normal and Abnormal Findings of Physical Examination of back indicates significant kyphosis, and the patient states that she is shrinking. A bone density test was ordered.,
How does the nurse PR actioner interpret limited circumduction in the left arm?
When the patient arrives, the nurse practitioner correlates the kyphosis with what physical finding? What causes kyphosis in the older adult?
What is the rationale for ordering bone d in this patient
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Case Study 2:
A 19 yr. female patient presents to your student health clinic complaining of a rash and says that she thinks she has the flu or something. She returned 3 weeks ago from a spring break trip to the beach. The rash started out like acne, located on her face, back, and chest. She now thinks she must have caught something during her trip, as she has developed joint pain in addition to the rash. The pain is most notable in her hands, although she has some stiffness and pain in both of her wrists, ankles, and knees. She describes the rash as generalized all over her arms and abdominal area. solid raised area with district borders. She denies any vesicles or weeping to rash. She notes that warm baths make her feel better.
Perform and document a focused skin assessment on this patient Do not forget that your exam has to be done in a systematic way. Think Inspection, Palpation, Percussion, and Auscultation (if indicated).
What three conditions would be considered in your differential diagnosis, with most likely condition listed first (with rationale)?
