Height: 5 feet 7 inches Weight: 170 pounds Waist Circumference – 32 inches BP 130/84 T 98.0 po P 92 regular R 22, non-labored.Evidence of prior cataract surgery in both eyes. PERRLA, EOMI, cerumen impaction bilateral ears.
HEENT: normocephalic, symmetric. Evidence of prior cataract surgery in both eyes. PERRLA, EOMI, cerumen impaction bilateral ears. Several broken teeth, loose partial plate.
NECK: Neck supple; non-palpable lymph nodes; no carotid bruits.
LUNGS: Decreased breath sounds bases bilaterally, clear to auscultation
HEART: RRR with regular without S3, S4, murmurs or rubs.
ABDOMEN: Bloated appearance, active bowel sounds, LLQ tenderness and 6 cm x 7 cm mass.
PV: Pulses are 2+ BL in upper and lower extremities; no edema
GENITOURINARY: no CVA tenderness
MUSCULOSKELETAL: gait fluid and steady. No muscle atrophy or asymmetry. Full ROM all joints. Strength 5/5 and equal bilaterally.
Hips: Discomfort on flexion in both hips; extensor and flexor strength symmetrical.
Knees: Left knee discomfort with weight bearing. No redness, warmth or edema. Full ROM in both knees with symmetrical extensor and flexor strength. Crepitus on extension of left knee.
Hands: No redness or swelling. Bilateral joint tenderness of the distal interphalangeal and proximal interphalangeal joints of the 2nd and 3rd digits.
Calf circumference-31 cm; Mid-arm circumference- 22 cm
PSYCH: normal affect
SKIN: Pale. Areas of healing ecchymosis: Left knee- 3 cm x 2 cm x 0 cm. Right knee -2 cm x 2.5 cm x 0 cm.
Discussion Part Two:
Summarize the history and results of the physical exam. Discuss the differential diagnosis and rationale for choosing the primary diagnosis. Include one evidence-based journal article that supports your rationale and include a complete treatment plan that includes medications, possible referrals, patient education, ICD 10 Codes, and plan for follow-up. I have the primary diagnosis as colon cancer.
PLACE THIS ORDER OR A SIMILAR ORDER WITH TODAY AND GET AN AMAZING DISCOUNT
The post Height: 5 feet 7 inches Weight: 170 pounds Waist Circumference – 32 inches BP 130/84 T 98.0 po P 92 regular R 22, non-labored.Evidence of prior cataract surgery in both eyes. PERRLA, EOMI, cerumen impaction bilateral ears. appeared first on Nursing Nursing.
Ask your questions to our best tutors for quality and timely answers whenever you need. Learn fast and seek help from our solution library that grooms your concepts with over 500 courses. When you place an order with us, be sure that the content will be authentic and free from plagiarism. Moreover, we do make sure that the content is research-based!
From essays to dissertations, we have writing experts for all your assignment needs!