Clinical Case Presentations No Plagiarism, Similarity Less T

Question

Clinical Case Presentations No Plagiarism Similarity Less Than 10stu Students must post one interesting case that he/she has seen in the clinical setting via Discussion Board in the online part of this course. The case should be an unusual diagnosis, or a complex case that required in-depth evaluation on the student’s part. The case should be posted in the SOAP format, with references for the patient diagnosis, differential diagnoses (there should be at least 3), and the treatment plan. Notes will be graded as "pass/fail". In order to receive grade points for SOAP notes, the notes must be approved by the deadlines specified on the course assignments page. The student will lose the opportunity for points on any SOAP notes not approved by the specified deadlines. The posting does not have to be written in APA format, but should be written with correct spelling and grammar. References should be in APA format. The selected references should reflect current evidence – dated within the past 5 years.

Dr. Jack HW Helper · Accepted Answer

SOAP Note: Complex Case of Unexplained Hematuria in a Young Adult S - Subjective The patient is a 25-year-old male presenting with intermittent painless hematuria over the past three weeks. He reports no pain, dysuria, or fever. He denies recent trauma, strenuous exercise, or recent infections. The patient has no significant past medical history and is not on any medications. He occasionally consumes alcohol and smokes cigarettes socially. Family history is unremarkable for renal or urinary tract issues. O - Objective Vital signs: BP 120/80 mm Hg, HR 72 bpm, Temp 98.6°F Physical exam: Unremarkable abdominal and genitourinary examination, no palpable masses or tenderness Urinalysis: Positive for blood, no protein or presence of bacteria Laboratory tests: Complete blood count within normal limits, renal function tests normal Imaging: Ultrasound of kidneys and bladder shows no abnormalities A - Assessment The differential diagnoses for painless hematuria in a young adult include: Benign familial hematuria (Thin Basement Membrane Nephropathy) Urinary tract neoplasm (less likely given age but needs consideration) Post-inflammatory glomerulonephritis Considering the absence of other symptoms and normal initial work-up, benign causes such as thin basement membrane nephropathy are high on the list. However, further evaluation is necessary to rule out other causes. P - Plan Order a repeat urinalysis and microscopic examination periodically to monitor for persistent hematuria Refer the patient to a nephrologist for potential renal biopsy if hematuria persists beyond three months Genetic testing for hereditary nephritis if family history becomes positive or if symptoms progress Advise the patient to avoid strenuous exercise and to report any new symptoms such as flank pain, dysuria, or hematuria severity changes References: Chang, A. R., & Alper, S. L. (2018). Hematuria: a review of the clinical approach. American Journal of Kidney Diseases, 71(2), 243–253. Robinson, B. M.

Clinical Case Presentations No Plagiarism, Similarity Less T ✓ Solved

Clinical Case Presentations No Plagiarism Similarity Less Than 10stu

Sample Paper For Above instruction

S - Subjective

O - Objective

A - Assessment

P - Plan

References