nsg 6340 Common Conditions in The Adolescent Client DQ

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nsg 6340 Common Conditions in The Adolescent Client DQ

nsg 6340 Common Conditions in The Adolescent Client DQ

This week you learned about common
conditions in the adolescent client.
Please review the following case study and answer the following
questions.

A fifteen-year-old female presents to your
clinic complaining of shortness of breath and a nonproductive nocturnal cough.
She states she used to feel this way only with extreme exercise, but lately,
she has felt this way continuously. She denies any other upper respiratory
symptoms, chest pain, gastrointestinal symptoms, or urinary tract symptoms. Her
past medical history is significant only for seasonal allergies, for which she
takes a nasal steroid spray but is otherwise on no other medications. She has
had no surgeries. Her mother has allergies and eczema, and her father has high
blood pressure. She is the only child. She denies smoking and illegal drug use.
On examination, she is in no acute distress and her vital signs are: T 98.6, BP
120/80, pulse 80, and respirations 20. Her head, eyes, ears, nose, and throat
examinations are essentially normal. Inspection of her anterior and posterior
chest shows no abnormalities. On auscultation of her chest, there is decreased
air movement and high-pitched whistling on expiration in all lobes. Percussion
reveals resonant lungs.

What is the chief complaint?

Based on the subjective and objective
information provided what are your 3 top differential diagnosis listing the
presumptive final diagnosis first?

What treatment plan would you consider
utilizing current evidence based practice guidelines?

Submission Details:

Post your response to the Discussion Area
by the due date assigned. Respond to at least two posts by the end of the week.

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An 18 year old white female presents to your clinic today with a 2 week history of intermittent abdominal pain. She also is positive for periodic cramping and diarrhea as well as low grade fever. She also notes reduced appetite. She notes that She admits smoking ½ PPD for the last 2 years. Denies any illegal drug or alcohol use. Does note a positive history of Crohn’s Disease. Based on the information provided answer the following questions:

What are the top 3 differentials you would consider with the presumptive final diagnosis listed first?

What focused physical exam findings would be beneficial to know?

What diagnostic testing needs completed if any to confirm diagnosis?

Using evidence based treatment guidelines note a treatment plan.

Question 2

A fifteen-year-old female presents to your clinic complaining of shortness of breath and a nonproductive nocturnal cough. She states she used to feel this way only with extreme exercise, but lately, she has felt this way continuously. She denies any other upper respiratory symptoms, chest pain, gastrointestinal symptoms, or urinary tract symptoms. Her past medical history is significant only for seasonal allergies, for which she takes a nasal steroid spray but is otherwise on no other medications. She has had no surgeries. Her mother has allergies and eczema, and her father has high blood pressure. She is the only child. She denies smoking and illegal drug use. On examination, she is in no acute distress and her vital signs are: T 98.6, BP 120/80, pulse 80, and respirations 20. Her head, eyes, ears, nose, and throat examinations are essentially normal. Inspection of her anterior and posterior chest shows no abnormalities. On auscultation of her chest, there is decreased air movement and high-pitched whistling on expiration in all lobes. Percussion reveals resonant lungs.

What is the chief complaint?

Based on the subjective and objective information provided what are your 3 top differential diagnosis listing the presumptive final diagnosis first?

What treatment plan would you consider utilizing current evidence based practice guidelines?

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