For this Discussion, you will take on the role of a clinician who is building a health history for one of the following cases. Your instructor will assign you your case number.
Case 3
Chief Complaint
(CC)
“neck swelling”
History of Present Illness (HPIs
A 42-year-old African American female who refers that she has been noticing slow and progressive swelling on her neck for about a year. Also she stated she has lost weight without any food restriction
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
Objective Data
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-XIIa
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 initial post should be at least 550 words, formatted and cited in current APA style with support from at least 2 academic sources.
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.
For this Discussion, you will take on the role of a clinician who is building a
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