Students Must Post One Interesting Case They Have Seen

Question

Students Must Post One Interesting Case That Heshe Has Seen In The Cl 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. See rubric in the syllabus section.

Dr. Jack HW Helper · Accepted Answer

In the clinical practice of nursing, the ability to analyze and manage complex cases is vital for ensuring effective patient care. Sharing one interesting case, especially one involving an unusual diagnosis or a complex presentation, provides an invaluable opportunity for clinical learning and peer discussion. This paper details a recent case encountered in a clinical setting, presented in the SOAP (Subjective, Objective, Assessment, Plan) format, accompanied by relevant references that support the diagnosis, differential diagnoses, and treatment plan. Subjective: The patient, a 45-year-old male, presented with complaints of persistent fatigue, intermittent chest pain, and shortness of breath over the past four weeks. He reported that the chest pain was dull, localized to the left mid-sternum, and aggravated by exertion. The patient also noted occasional dizziness and palpitations but denied recent weight loss, fever, or cough. His medical history included hypertension and hyperlipidemia, both managed with medications. He was a former smoker with a 20-pack-year history and consumed alcohol socially. The patient expressed concern about his symptoms worsening and was worried about potential cardiac issues. Objective: Vital signs recorded upon examination showed a blood pressure of 140/88 mm Hg, heart rate of 92 bpm, respiratory rate of 18 breaths per minute, and temperature of 98.6°F. Physical examination revealed an alert and oriented patient with no signs of distress. Cardiac examination indicated normal S1 and S2 heart sounds, with no murmurs or gallops. Lung auscultation was clear bilaterally. No peripheral edema or cyanosis was noted. Initial laboratory tests included a complete blood count (CBC), lipid profile, and basic metabolic panel, all within normal limits. An electrocardiogram (ECG) revealed nonspecific T-wave abnormalities, and a stress test was ordered for further evaluation. Assessment: The presentation suggested possible ischemic heart disease, given

Students Must Post One Interesting Case They Have Seen

Students Must Post One Interesting Case That Heshe Has Seen In The Cl

Paper For Above instruction

Subjective:

Objective:

Assessment:

Plan:

References