Chief Complaint (CC)
“neck swelling”
PMH
Patient denies
PSH
Surgical removal of benign left breast nodule 2 years ago
Drug Hx
No medication at the time
Allergies
NKA
Subjective
Mild difficult to shallow, Neck feels tight, Pt states she feels Palpitations
PE
B/P 158/90; Pulse 102; RR 20; Temp 99.2; Ht 5,4; wt 114; BMI 19.6
General
42-year-old female appears thin. She is anxious – pacing in the room and fidgeting, but in no acute distress.
HEENT
Bulging eyes
Neck
Diffuse enlargement of the thyroid gland
Lungs
CTA AP&L
Card
S1S2 without rub, Tachycardia
Abd
benign, normoactive bowel sounds x 4
GU
Non contributory
Ext
no cyanosis, clubbing or edema
Integument
Thin skin, Increase moisture
Neuro
No obvious deficits and CN grossly intact II-XII
Once you received your case number, answer the following questions:
- What other subjective data would you obtain?
- What other objective findings would you look for?
- What diagnostic exams do you want to order?
- Name 3 differential diagnoses based on this patient presenting symptoms?
- Give rationales for your each differential diagnosis.
Submission Instructions:
- Your instructor will assign you your case number and you will post on the case number you have been assigned.
- You will reply to the other two case studies (One of each).
- Your initial post should be at least 500 words, formatted and cited in current APA style with support from at least 2 academic sources. Your initial post is worth 8 points.
- You should respond to at least two of your peers by extending, refuting/correcting, or adding additional nuance to their posts. Your reply posts are worth 2 points (1 point per response.)
- All replies must be constructive and use literature where possible.
Identify and demonstrate a sophisticated understanding of the issues, problems, and concepts.
Effectively uses the literature and other resources to inform their work. Exceptional use of citations and extended referencing. High level of APA precision and free of grammar and spelling errors.