se Chosen:

 Case 3

Outline Subjective data.

 

 

Identify data provided in your chosen case and any additional data needed.

Outline

 

Objective findings.

 

Identify findings provided in your chosen case and any additional data needed.

Identify diagnostic tests, procedures, laboratory work indicated.

 

 

Describe the rationale for each test or intervention with supporting references.

Distinguish at least three differential diagnoses.

 

 

Describe the rationales for your choice of each diagnosis with supporting references.

Identify appropriate medications, treatments or other interventions associated with each differential diagnosis.

 

 

Describe rationales and supporting references for each.

 

Explain key

 

Social Determinants of Heath (SDoH) for your chosen case.

Describe collaborative care referrals and patient education needs for your chosen case.

 

 

Describe rationales and supporting references for each.

 

·         A 36-year-old Hispanic female gravida 2 para 1 at 24-week gestation.

 

·         Her only complaint during this visit is weight gain in this current pregnancy.

·         In her first pregnancy, she reports that she delivered a 9 lbs viable male infant via spontaneous vaginal delivery after 10 hours of labor.

·         She also denies any complications during the pregnancy, delivery, and postpartum.

·         There is a family history of diabetes in the paternal grandfather and aunt.

·         There is an additional family history of obesity in the father and mother.

 

 

From the history, I would also wish to know:

1.      If the patient has been experiencing polydipsia, excessive thirst, or polyuria.

2.      If there was history of gestational diabetes mellitus in the first pregnancy (Nakshine et al., 2023).

3.      The gestation age at delivery in her first pregnancy.

4.      If the patient has had any prior diabetes mellitus screening.

5.      If the patient engages in any exercises while at home

6.      The kind of diet they take.

7.      If the patient has been experiencing any urinary symptoms such as dysuria, increased frequency, and urgency.

·         Vitals: sitting BP of140/84 and HR-92/min

 

·         Height 5’2”, Weight 170 lbs, BMI 31.1.

·         Head and ENT examination had normal findings.

·         The neck was supple without adenopathy and thyromegaly.

·         The lungs were eupneic and clear on auscultation bilaterally.

·         The CVS exam had RRR, soft systolic murmur Grade II/VI, no rubs noted, 2+ peripheral pulses, and no edema noted

·         The breasts were soft and had fibrocystic changes bilaterally without masses, dimpling, discharge, redness, or inflammation noted.

·         The genitourinary examination revealed uterus size at umbilicus-approximately 24 weeks’ gestation that was size that w

Online class and exam help

Struggling with online classes or exams? Get expert help to ace your coursework, assignments, and tests stress-free!