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NSG 6020 WEEK 5 QUIZ-SOUTH UNIVERSITY
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NSG 6020 WEEK 5 QUIZ-SOUTH UNIVERSITY
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NSG6020 Week 5 DiscussionDOMAIN: HISTORY
1a) How long does the pain last once it has started? Can you describe your diet on a
typical day?
1b) The first question is asked because it further explores the duration attribute of the
OLD CARTS attributes. This is important to further explore the history of present illness.
The second question is asked because it could be helpful to evaluate the diet of this
patient incase dietary modifications need to be suggested to cut down on his symptoms.
1c) The first question could reveal the extent or progression of the chief complaint by
providing more information about the duration. The second question could reveal more
about the nutritional status of the patient.
DOMAIN: PHYSICAL EXAM
For each system examined in this case;
2a) HEENT – this system must be examined because the chief complaint of epigastric
pain could influence this system. This could include swallowing difficulties, thyroid
issues, or signs of anemia.
Cardiovascular – this system needs to be examined because there could be a cardiac issue
that is presenting with epigastric pain.
Respiratory – This system should be examined for possible signs of aspiration of
difficulties breathing.
Abdominal – this is examined because it contains the gastrointestinal system, where the
chief complaint is located.
Skin – checked for signs of injury or liver dysfunction.
Extremities – evaluated because here signs of cardiac or kidney dysfunction couldj be
seen.
2b) HEENT – Abnormal exam findings could include dental abnormalities, conjunctival
pallor, swelling, bleeding, or exudate in the oral mucosa ( Bickley & Szilagyi, 2016).
Swollen lymph nodes could be suggestive of infection (Bickley & Szilagyi, 2016). Masses could
mean potential cancer (Bickley & Szilagyi, 2016).
Cardiovascular – Abnormal findings could include a heart rate lower than 60 beats per
minute or greater than 100 beats per minute, an irregular rhythm, alterations in carotid
pulses, a murmur, bruit, thrill, or absence of S1 and S2 heart sounds ( Bickley & Szilagyi,
2016).
Respiratory – Abnormal findings could include wheezing, crackles, rhonchi, barrel chest,
increase work of breathing, or use of accessory muscles (Bickley & Szilagyi, 2016).
Abdominal – Abnormal findings could be an asymmetric appearance, absence of bowel
sounds in any or all quadrants, increased tenderness, of the presence of masses ( Bickley &
Szilagyi, 2016).
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