Cases Studies 3 & 4 – Primary Care A 47-year-old male patient (A) presents to your office c/o painful and bleeding defecation that started a couple of days ago. Pt also states that he noticed some intermittent pruritus on his back. Pt comes accompanied by his male husband of 45 years old (B), who states that he had noticed a painless “blister” on his genital area, but he is not quite sure when it appeared. Patient A: with no past or family relevant history and NKA Patient B: PMH of seasonal allergic rhinitis and NKS. No other family or relevant history. On complete physical examination: On Patient A: a visible anal fissure in the inferior region of the sphincter was noted. It is also noticed disseminated papules in the trunk and macules on palms and soles. Patient B: A visible ulceration in the genital area noted and patient denies pain on palpation. No adenopathy noted or reported by patient (B). Since patients are a marital couple, you proceed with serological testing for each patient (A &B) because you suspect a sexually transmitted disease. Both patients deny having or being treating in the past for STD’s Lab Results: Patient A: Leukocytosis - Treponema (Positive) – Non-Treponema (Positive) – HIV (Negative) – Hepatitis (Negative) Patient B: Treponema (Positive) – Non-treponema (Negative) – HIV (negative) – Hepatitis (Negative) --------------------- Do not include the above section in your paper. ONLY THE QUESTIONS BELOW------- Please answer the following questions in APA format and include in-text references. 1) What serological lab works would you order to obtain the above results? (Be specific with the lab names) 2) What is the diagnosis for Patient A? 3) What is the diagnosis for Patient B? 4) What would it be the differential diagnosis for patient A and patient B? 5) How are you going to treat Patient A? (Be specific and include the time of treatment) 6) How are you going to treat Patient B? (Be specific and include the time of treatment) 7) What would be the possible cause of this infection if both patients did not have any sexual encounter outside their relationship in the last year? Research Writing Assignment Guide English 1302 Immersed in an academic writing situation, a problem solver begins from a point-of-view, relies on inductive analysis, and communicates findings through descriptive writing skills that develop a viable theory. Objectives • Utilize inductive reasoning and analytical writing forms • Ensure well-developed paragraphs and coherence in MLA research style • Navigate the research writing process Directions 1. Complete assigned lessons in eCampus 2. Complete a rough draft 3. Complete the Peer Review Assignment 4. Complete revisions with the help of the Writing Center, tutors, and editors 5. Submit your final composition to eCampus before the deadline Required Sources You are required to cite at l ...

1. Cases Studies 3 & 4 – Primary Care
A 47-year-old male patient (A) presents to your office c/o
painful and bleeding defecation that started a
couple of days ago. Pt also states that he noticed some
intermittent pruritus on his back. Pt comes
accompanied by his male husband of 45 years old (B), who
states that he had noticed a painless “blister”
on his genital area, but he is not quite sure when it appeared.
Patient A: with no past or family relevant history and NKA
Patient B: PMH of seasonal allergic rhinitis and NKS. No other
family or relevant history.
On complete physical examination:
On Patient A: a visible anal fissure in the inferior region of the
sphincter was noted. It is also noticed
disseminated papules in the trunk and macules on palms and
soles.
Patient B: A visible ulceration in the genital area noted and
patient denies pain on palpation. No
adenopathy noted or reported by patient (B).

2. Since patients are a marital couple, you proceed with
serological testing for each patient (A &B) because
you suspect a sexually transmitted disease. Both patients deny
having or being treating in the past for
STD’s
Lab Results:
Patient A: Leukocytosis - Treponema (Positive) – Non-
Treponema (Positive) – HIV (Negative) – Hepatitis
(Negative)
Patient B: Treponema (Positive) – Non-treponema (Negative) –
HIV (negative) – Hepatitis (Negative)
--------------------- Do not include the above section in your
paper. ONLY THE QUESTIONS BELOW-------
Please answer the following questions in APA format and
include in-text references.
1) What serological lab works would you order to obtain the
above results? (Be specific with the lab
names)
2) What is the diagnosis for Patient A?

3. 3) What is the diagnosis for Patient B?
4) What would it be the differential diagnosis for patient A and
patient B?
5) How are you going to treat Patient A? (Be specific and
include the time of treatment)
6) How are you going to treat Patient B? (Be specific and
include the time of treatment)
7) What would be the possible cause of this infection if both
patients did not have any sexual encounter
outside their relationship in the last year?
Research Writing Assignment Guide
English 1302
Immersed in an academic writing situation, a problem solver
begins from a point-of-view, relies on inductive
analysis, and communicates findings through descriptive writing
skills that develop a viable theory.
Objectives
• Utilize inductive reasoning and analytical writing forms

4. • Ensure well-developed paragraphs and coherence in MLA
research style
• Navigate the research writing process
Directions
1. Complete assigned lessons in eCampus
2. Complete a rough draft
3. Complete the Peer Review Assignment
4. Complete revisions with the help of the Writing Center,
tutors, and editors
5. Submit your final composition to eCampus before the
deadline
Required Sources
You are required to cite at least five sources, one from each of
the following categories:
One observation source: Observe the setting and participants
involved in your research project,
create notes of your observations, and quote these notes in your
paper.
One interview source: Interview an expert related to your
research project, transcribe your questions
and your interviewee’s answers into an interview transcript, and
quote your interviewee in your paper.

5. One book source: Find and cite one book from a library
(college, personal, city) or bookstore.
One peer-reviewed article source: Find and cite one peer-
reviewed journal article from the college
library’s database. NOTE: Newspapers, magazines,
encyclopedias, dictionaries, and websites are not
peer-reviewed.
One photo, artistic representation, graph, table, or similar visual
source:
Embed and cite a visual image as a source. Capture a
photograph or personally create an illustration,
table, or graph. Do not copy images from the internet. You
must create and own any image you
embed in your paper. All other images will be rejected.
Artifacts and Source Verification Process
You are required to share your artifacts and verify your sources
by attaching your Observation Notes,

6. Interview Transcript, and photographs of your book and journal
article passages in the following manner:
1. Create a set of Observation Notes and at least one Interview
Transcript and attach them behind your
Works Cited page.
2. Photograph the cover, title page, and all pages you are citing
from your book source.
3. Photograph the title page and pages you are citing from your
journal article.
4. Highlight the text you are citing from your book and journal
article using your favorite software.
5. Paste your photographed sources behind your Observati on
Notes and Interview Transcript.
WARNING: If I cannot match your sources to your in-text
citations, then I will assume you are plagiarizing
and/or refusing to meet the objectives of the assignment, and I
will reject your paper.
Format
Write a minimum of 1200 words and a maximum of 1500 words
according to MLA guidelines for research
papers. Include a Works Cited page, but do not include a cover
page.

7. Final Submission and Extra-credit
1. If you worked with the Writing Center and wish to receive
extra-credit, attach a photograph of your
Writing Center stamp or OWL report at the end of your digital
copy.
2. Click the Submit Compositions button, click the submission
link, and upload your digital copy before
the deadline.
WARNING: Do not upload multiple files to eCampus. Do not
email me photos of your sources. I will
accept, open, and grade one file only.
Penalties or Rejection
Compositions will be penalized or rejected in the following
cases:
• Plagiarized paper
• Does not address one of the required topics and/or the
objectives
• Late or missing submission to eCampus
• Incorrectly formatted in MLA (incorrect file format and/or
rhetorical form)

8. • Missing documentation (missing sources, missing Works Cited
page, missing in-text citations)
• Missing source verification (missing transcripts and/or
missing photographed sources)
• Unverifiable sources (no highlighting to match sources and/or
I cannot match sources)
• Missing one or more of the required sources
Research Topics
You are required to choose one of the following research topics.
If the following descriptions do not meet
your needs, please ask for clarification or propose an
adjustment before proceeding with your project.
Research an Interesting Person
Research aspects of a person’s life experience either in the past
or the present. This should be something
unique, extraordinary, or impressive. Focus on discovering and
understanding how this person experienced or
is experiencing life. For example, you may ask the question,
“How does Jenny experience cancer, and what
does survival mean for her?” Include a photo or artistic
representation of Jenny living through her health

9. challenge. Do not tell Jenny’s life story; rather, focus on how
and why her experience with cancer shapes her
life, creates an identity for her, and helps her know herself.
Other ideas include researching a person who volunteers at a
prison, a food pantry, or an animal sanctuary.
You may research a person with an exceptionally dangerous job,
a former inmate who now helps convicts
assimilate into society, a person who lobbies politicians, or a
person who fights climate change. Maybe you
would like to research a person with a very interesting hobby
such as skydiving (unless you are too chicken to
try it). Capture photos or create artistic interpretations of the
experience.
You must have access to this person. Do not research a famous
person such as the president of the United
States, a movie star, or war hero unless you personally know
this person and you can interview him or her for
this research project.
Research an Interesting Space, Place, or Environment
Go to a park, a wildlife sanctuar y, the Apple Store, a building, a
bus depot, a homeless shelter, or any
interesting place. Observe the environment and begin to
discover and understand this place. Observe your

10. relationship or another person’s relationship to this space and
interview that person interacting and living in
this space. For example, you may ask, “How do North Lake
students experience the college’s landscape?”
Search your own perceptions and discover how other students
see the landscape. Or, you may ask, “How does
the city council view the downtown park?” The park may be a
potential source of income (the city can charge
visitors a fee), but a homeless person sees the park as shelter.
You may see the park as a second home, a
place where you play basketball with your friends. What do
these various perspectives mean? Research the
meaning of this space by creating and capturing images.
Research an Interesting Event
Reflect on an interesting event you experienced in the past or
you are currently experiencing now. This may
include a concert, a Quinceanera, an awkward wedding, a
shocking funeral, immigration to America, a political
rally, a protest, a near death experience. Please do not research
your summer vacation; rather, research how
and why an interesting event is shaping your life now, provides
meaning to you, and helps fashion your
identity. You may ask, “How do I experience Beyoncé

11. concerts?” Consider who you go with, when and why
you go with particular people, and how you might think or feel
both at the concert and after the concert. You
may use old photos or capture new ones as artifacts.
Official NLC English Department Research Rubric
Criteria Unacceptable (0-7) Developing (8-13) Average (14-
15) Good (16-17) Exemplary (18-20)
Topic/
Thesis/
Content
Lacks a debatable thesis.
Topic is inappropriate
for the assignment
Represents a seemingly
random collection of
information.
A debatable claim is
not evident.
Analysis is vague or
not evident and/or
the paragraphs are
not well developed.
Reader is confused or

12. may be misinformed.
Topic may be
inappropriate for the
assignment
Thesis is focused on
an appropriate topic
and is adequately
stated. Essay’s
purpose is evident
and paragraphs are
well developed.
Information
supports an
argument but
sometimes may drift
off point. Analysis is
basic or general.
Reader gains a few
insights.
Thesis is clearly, logically,
and effectively stated and
developed. Essay achieves
its purpose. Information
provides reasonable
support for an argument
and displays evidence of a
basic analysis of a
significant topic. Reader
gains some meaningful
insights. Shows imagination
in its approach to its topic.
Creatively, clearly, and
logically states and develops

13. its thesis and achieves its
purpose. Presents clear,
logical, and thought-
provoking ideas. Balanced
presentation of relevant and
legitimate information that
clearly the argument and
shows a reasoned in-depth
analysis of a significant
topic. Reader gains
important insights.
Organization Illogically organized.
The reader cannot
identify a line of
reasoning and loses
interest.
The writing is not
logically organized.
Frequently, ideas fail
to make sense
together. Lacks
transitions.
The writing is
arranged logically
and uses adequate
transitions, although
occasionally ideas
may fail to make
sense together. The
reader is clear about

14. what the writer
intends.
Ideas are arranged logically
and clearly linked to each
other to support the
argument so the reader can
follow the line of reasoning.
Consistently employs
appropriate transitions.
The ideas are arranged
logically to support the
argument. They flow
smoothly from one to
another and are clearly
linked to each other. The
reader can follow the line of
reasoning. Uses surprising
but appropriate transitions.
Quality of
References
There are virtually no
sources that are
professionally reliable.
The reader seriously
doubts the value of the
material and stops
reading.
Many of the sources
are questionable or

15. are incorrectly used.
The reader questions
the value of the
material.
Some of the
references are from
sources that are not
peer-reviewed and
have uncertain
reliability. The reader
doubts the accuracy
of some of the
material presented.
Although most of the
references are professionally
legitimate, a few are
questionable (e.g., trade
books, popular magazines,
etc.). The reader is uncertain
of the reliability of some of
the sources.
References are primarily
peer- reviewed professional
journals or other approved.
The reader is confident that
the information and ideas
can be trusted.
Use of Sources/
MLA
Documentation
References are missing

16. or incorrectly used.
Information is cited to
the wrong source or is
plagiarized. No
adherence to MLA
guidelines. No
Work Cited page.
References are
seldom cited to
support statements.
Attribution and
quotation marks are
missing where
required. Inaccurate
Work Cited page.
Lack of adherence to
MLA guidelines
undermines integrity
of essay.
Attribution usually
given, but some
statements may be
undocumented
causing confusion
about the source of
some information and
ideas. Work/s Cited
may contain
inaccuracies which do
not compromise the
integrity of essay.
Professionally legitimate
sources that support claims

17. are generally present and
attribution is, for the most
part, clear and fairly
represented. Consistent
adherence to MLA
guidelines; accurate Works
Cited page.
Compelling evidence from
professionally legitimate
sources supports claims.
Attribution is clear.
Consistent adherence to
MLA guidelines; accurate
Work Cited page.
Grammar/
Mechanics
Contains errors in
spelling, punctuation,
and grammar that
interfere with
understanding.
Contains distracting
errors in spelling,
punctuation, and
grammar that reduce
understanding.
Contains few errors
in spelling,
punctuation, and
grammar.

18. Contains infrequent
errors in spelling,
punctuation, and/or
grammar.
Writing is free from
distracting errors in spelling,
punctuation, and grammar.
Research Writing Assignment
GuideObjectivesDirectionsRequired SourcesArtifacts and
Source Verification ProcessFormatFinal Submission and Extra-
creditPenalties or RejectionResearch TopicsResearch an
Interesting PersonResearch an Interesting Space, Place, or
EnvironmentResearch an Interesting EventReflect on an
interesting event you experienced in the past or you are
currently experiencing now. This may include a concert, a
Quinceanera, an awkward wedding, a shocking funeral,
immigration to America, a political rally, a protest, a near death
e...