SOAP NOTE SAMPLE FORMAT FOR MRCName LPDate.docx
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SOAP NOTE SAMPLE FORMAT FOR MRC Name: LP Date: Time: 1315 Age: 30 Sex: F SUBJECTIVE CC: “I am having vaginal itching and pain in my lower abdomen.” HPI: Pt is a 30y/o AA female, who is a new patient that has recently moved to Miami. She seeks treatment today after unsuccessful self-treatment of vaginal itching, burning upon urination, and lower abdominal pain. She is concerned for the presence of a vaginal or bladder infection, or an STD. Pt denies fever. She reports the itching and burning with urination has been present for 3 weeks, and the abdominal pain has been intermittent since months ago. Pt has tried OTC products for the itching, including Monistat and Vagisil. She denies any other urinary symptoms, including urgency or frequency. She describes the abdominal pain as either sharp or dull. The pain level goes as high as 8 out of 10 at times. 200mg of PO Advil PRN reduces the pain to a 7/10. Pt denies any aggravating factors for the pain. Pt reports that she did start her menstrual cycle this morning, but denies any other discharge other that light bleeding beginning today. Pt denies douching or the use of any vaginal irritants. She reports that she is in a stable sexual relationship, and denies any new sexual partners in the last 90 days. She denies any recent or historic known exposure to STDs. She reports the use of condoms with every coital experience, as well as this being her only form of contraceptive. She reports normal monthly menstrual cycles that last 3-4 days. She reports dysmenorrhea, which she also takes Advil for. She reports her last PAP smear was in 7/2016, was normal, and reports never having an abnormal PAP smear result. Pt denies any hx of pregnancies. Other medical hx includes GERD. She reports that she has an Rx for Protonix, but she does not take it every day. Her family hx includes the presence of DM and HTN. Current Medications: Protonix 40mg PO Daily for GERD MTV OTC PO Daily Advil 200mg OTC PO PRN for pain PMHx: Allergies: NKA & NKDA Medication Intolerances: Denies Chronic Illnesses/Major traumas GERD Hospitalizations/Surgeries Denies Family History Father- DM & HTN; Mother- HTN; Older sister- DM & HTN; Maternal and paternal grandparents without known medical issues; 1 brother and 3 other sisters without known medical issues; No children. Social History Lives alone. Currently in a stable sexual relationship with one man. Works for DEFACS. Reports occasional alcohol use, but denies tobacco or illicit drug use. ROS General Denies weight change, fatigue, fever, night sweats Cardiovascular Denies chest pain and edema. Reports rare palpitations that are relieved by drinking water Skin Denies any wounds, rashes, bruising, bleeding or skin discolorations, any changes in lesions Respiratory Denies cough. Reports dyspnea that accompanies the rare palpitati.
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SOAP NOTE SAMPLE FORMAT FOR MRCName LPDateTime 1315.docx
SOAP NOTE SAMPLE FORMAT FOR MRC
Name: LP
Date:
Time: 1315
Age: 30
Sex: F
SUBJECTIVE
CC:
“I am having vaginal itching and pain in my lower abdomen.”
HPI:
Pt is a 30y/o AA female, who is a new patient that has recently moved to Miami. She seeks treatment today after unsuccessful self-treatment of vaginal itching, burning upon urination, and lower abdominal pain. She is concerned for the presence of a vaginal or bladder infection, or an STD. Pt denies fever. She reports the itching and burning with urination has been present for 3 weeks, and the abdominal pain has been intermittent since months ago. Pt has tried OTC products for the itching, including Monistat and Vagisil. She denies any other urinary symptoms, including urgency or frequency. She describes the abdominal pain as either sharp or dull. The pain level goes as high as 8 out of 10 at times. 200mg of PO Advil PRN reduces the pain to a 7/10. Pt denies any aggravating factors for the pain. Pt reports that she did start her menstrual cycle this morning, but denies any other discharge other that light bleeding beginning today. Pt denies douching or the use of any vaginal irritants. She reports that she is in a stable sexual relationship, and denies any new sexual partners in the last 90 days. She denies any recent or historic known exposure to STDs. She reports the use of condoms with every coital experience, as well as this being her only form of contraceptive. She reports normal monthly menstrual cycles that last 3-4 days. She reports dysmenorrhea, which she also takes Advil for. She reports her last PAP smear was in 7/2016, was normal, and reports never having an abnormal PAP smear result. Pt denies any hx of pregnancies. Other medical hx includes GERD. She reports that she has an Rx for Protonix, but she does not take it every day. Her family hx includes the presence of DM and HTN.
Current Medications:
Protonix 40mg PO Daily for GERD
MTV OTC PO Daily
Advil 200mg OTC PO PRN for pain
PMHx:
Allergies:
NKA & NKDA
Medication Intolerances:
Denies
Chronic Illnesses/Major traumas
GERD
Hospitalizations/Surgeries
Denies
Family History
Father- DM & HTN; Mother- HTN; Older sister- DM & HTN; Maternal and paternal grandparents without known medical issues; 1 brother and 3 other sisters without known medical issues; No children.
Social History
Lives alone. Currently in a stable sexual relationship with one man. Works for DEFACS. Reports occasional alcohol use, but denies tobacco or illicit drug use.
ROS
General
Denies weight change, fatigue, fever, night sweats
Cardiovascular
Denies chest pain and edema. Reports rare palpitations that are relieved by drinking water
Skin
Denies any wounds, rashes, bruising, bleeding or skin discolorations, any changes in lesions
Respiratory
Denies cough. Reports dyspnea that accompanies the rare palpitations and is also relieved by drinking water
Eyes
Denies corrective lenses, blurring, visual changes of an.
Soap Note 2 Chronic ConditionsSoap Note Chronic Conditions (
Soap Note 2 Chronic Conditions
Soap Note Chronic Conditions (15 Points)
Pick any Chronic Disease from Weeks 6-10
Soap notes will be uploaded to Moodle and put through TURN-It-In (anti-Plagiarism program)
Follow the MRU Soap Note Rubric as a guide
Turn it in Score must be less than 50% or will not be accepted for credit, must be your own work and in your own words. You can resubmit, Final submission will be accepted if less than 50%. Copy paste from websites or textbooks will not be accepted or tolerated. Please see College Handbook with reference to Academic Misconduct Statement
SOAP NOTE SAMPLE FORMAT FOR MRC
Name:
LP
Date:
Time:
1315
Age:
30
Sex:
F
SUBJECTIVE
CC:
“I am having vaginal itching and pain in my lower abdomen.”
HPI:
Pt is a 30y/o AA female, who is a new patient that has recently moved to Miami. She seeks treatment today after unsuccessful self-treatment of vaginal itching, burning upon urination, and lower abdominal pain. She is concerned for the presence of a vaginal or bladder infection, or an STD. Pt denies fever. She reports the itching and burning with urination has been present for 3 weeks, and the abdominal pain has been intermittent since months ago. Pt has tried OTC products for the itching, including Monistat and Vagisil. She denies any other urinary symptoms, including urgency or frequency. She describes the abdominal pain as either sharp or dull. The pain level goes as high as 8 out of 10 at times. 200mg of PO Advil PRN reduces the pain to a 7/10. Pt denies any aggravating factors for the pain. Pt reports that she did start her menstrual cycle this morning, but denies any other discharge other that light bleeding beginning today. Pt denies douching or the use of any vaginal irritants. She reports that she is in a stable sexual relationship, and denies any new sexual partners in the last 90 days. She denies any recent or historic known exposure to STDs. She reports the use of condoms with every coital experience, as well as this being her only form of contraceptive. She reports normal monthly menstrual cycles that last 3-4 days. She reports dysmenorrhea, which she also takes Advil for. She reports her last PAP smear was in 7/2016, was normal, and reports never having an abnormal PAP smear result. Pt denies any hx of pregnancies. Other medical hx includes GERD. She reports that she has an Rx for Protonix, but she does not take it every day. Her family hx includes the presence of DM and HTN.
Current Medications:
Protonix 40mg PO Daily for GERD
MTV OTC PO Daily
Advil 200mg OTC PO PRN for pain
PMHx:
Allergies:
NKA & NKDA
Medication Intolerances:
Denies
Chronic Illnesses/Major traumas
GERD
Hospitalizations/Surgeries
Denies
Family History
Father- DM & HTN; Mother- HTN; Older sister- DM & HTN; Maternal and paternal grandparents without known medical issues; 1 brother and 3 other sisters without known med ...
SOAP NOTE SAMPLE FORMAT FOR MRCName LPDateTime 1315.docx
SOAP NOTE SAMPLE FORMAT FOR MRC
Name: LP
Date:
Time: 1315
Age: 30
Sex: F
SUBJECTIVE
CC:
“I am having vaginal itching and pain in my lower abdomen.”
HPI:
Pt is a 30y/o AA female, who is a new patient that has recently moved to Miami. She seeks treatment today after unsuccessful self-treatment of vaginal itching, burning upon urination, and lower abdominal pain. She is concerned for the presence of a vaginal or bladder infection, or an STD. Pt denies fever. She reports the itching and burning with urination has been present for 3 weeks, and the abdominal pain has been intermittent since months ago. Pt has tried OTC products for the itching, including Monistat and Vagisil. She denies any other urinary symptoms, including urgency or frequency. She describes the abdominal pain as either sharp or dull. The pain level goes as high as 8 out of 10 at times. 200mg of PO Advil PRN reduces the pain to a 7/10. Pt denies any aggravating factors for the pain. Pt reports that she did start her menstrual cycle this morning, but denies any other discharge other that light bleeding beginning today. Pt denies douching or the use of any vaginal irritants. She reports that she is in a stable sexual relationship, and denies any new sexual partners in the last 90 days. She denies any recent or historic known exposure to STDs. She reports the use of condoms with every coital experience, as well as this being her only form of contraceptive. She reports normal monthly menstrual cycles that last 3-4 days. She reports dysmenorrhea, which she also takes Advil for. She reports her last PAP smear was in 7/2016, was normal, and reports never having an abnormal PAP smear result. Pt denies any hx of pregnancies. Other medical hx includes GERD. She reports that she has an Rx for Protonix, but she does not take it every day. Her family hx includes the presence of DM and HTN.
Current Medications:
Protonix 40mg PO Daily for GERD
MTV OTC PO Daily
Advil 200mg OTC PO PRN for pain
PMHx:
Allergies:
NKA & NKDA
Medication Intolerances:
Denies
Chronic Illnesses/Major traumas
GERD
Hospitalizations/Surgeries
Denies
Family History
Father- DM & HTN; Mother- HTN; Older sister- DM & HTN; Maternal and paternal grandparents without known medical issues; 1 brother and 3 other sisters without known medical issues; No children.
Social History
Lives alone. Currently in a stable sexual relationship with one man. Works for DEFACS. Reports occasional alcohol use, but denies tobacco or illicit drug use.
ROS
General
Denies weight change, fatigue, fever, night sweats
Cardiovascular
Denies chest pain and edema. Reports rare palpitations that are relieved by drinking water
Skin
Denies any wounds, rashes, bruising, bleeding or skin discolorations, any changes in lesions
Respiratory
Denies cough. Reports dyspnea that accompanies the rare palpitations and is also relieved by drinking water
Eyes
Denies corrective lenses, blurring, visual changes of an.
Immunologic Diseases andDisorders• Guillain-BarréSyndrome•.docx
Immunologic Diseases and
Disorders
• Guillain-Barré
Syndrome
• HIV/AIDS
• Hodgkin Lymphoma
• Leukemia
• Lupus
• Multiple Myeloma
• Multiple Sclerosis
• Scleroderma
Diseases and Disorders of the
Integumentary System
• Acne
• Burns
• Dermatitis
• Impetigo
• Lyme Disease
• Melanoma
• Methicillin-Resistant
Staphylococcus Aureus
(MRSA)
• Pediculosis (Lice)
• Psoriasis
• Tinea (Capitis, Corporis,
Cruris, Pedis)
• Scabies
• Stevens-Johnson
Syndrome
Diseases and disorders of the
Circulatory System:
• Acute Coronary
Syndrome (ACS)
• Anemia
• Aneurysm of the
Abdominal Aorta (Triple
A)
• Atrial Fibrillation & Atrial
Flutter
• Carotid Stenosis
• Deep Vein Thrombosis
(DVT)
• Endocarditis
• Heart Failure
• Hemophilia
• Heparin-Induced
Thrombocytopenia
• Hypercholesterolemia
• Hypertension
• Mitral Valve Prolapse,
Regurgitation, Stenosis
• Peripheral Arterial
Disease
• Raynaud Phenomenon
• Rhabdomyolysis
• Rocky Mountain Spotted
Fever
Respiratory System
• Asthma
• Atelectasis
• Basal/Squamous Cell
Carcinoma
• Bronchitis
• Chronic Obstructive
Pulmonary Disease and
Emphysema
• Cystic Fibrosis
• Influenza
• Legionnaires' Disease
• Sleep Apnea,
Obstructive
• Pleural Effusion
Pneumonia
• Pulmonary Emboli
• Sarcoidosis
• Tuberculosis (TB)
SOAP NOTE SAMPLE FORMAT FOR MRC
Name: LP
Date:
Time: 1315
Age: 30
Sex: F
SUBJECTIVE
CC:
“I am having vaginal itching and pain in my lower abdomen.”
HPI:
Pt is a 30y/o AA female, who is a new patient that has recently moved to Miami. She seeks treatment today after unsuccessful self-treatment of vaginal itching, burning upon urination, and lower abdominal pain. She is concerned for the presence of a vaginal or bladder infection, or an STD. Pt denies fever. She reports the itching and burning with urination has been present for 3 weeks, and the abdominal pain has been intermittent since months ago. Pt has tried OTC products for the itching, including Monistat and Vagisil. She denies any other urinary symptoms, including urgency or frequency. She describes the abdominal pain as either sharp or dull. The pain level goes as high as 8 out of 10 at times. 200mg of PO Advil PRN reduces the pain to a 7/10. Pt denies any aggravating factors for the pain. Pt reports that she did start her menstrual cycle this morning, but denies any other discharge other that light bleeding beginning today. Pt denies douching or the use of any vaginal irritants. She reports that she is in a stable sexual relationship, and denies any new sexual partners in the last 90 days. She denies any recent or historic known exposure to STDs. She reports the use of condoms with every coital experience, as well as this being her only form of contraceptive. She reports normal monthly menstrual cycles that last 3-4 days. She reports dysmenorrhea, which she also takes Advil for. She reports her last PAP smear was in 7/2016, was normal, and reports never having an abnormal PAP smear result. Pt denies any hx of pregnancies. Other medical hx inc ...
SOAP NotePatient Initials RA Pt. Encounter Number .docx
SOAP Note
Patient Initials: RA Pt. Encounter Number: 1
Date: 10/1/20 Age: 23 Sex: female
Allergies: NKA Advanced Directives: none
SUBJECTIVE
CC: “I have been having heavy periods for 4-5 months now. I feel tired and dizzy most days”
HPI: 23-year-old came to the clinic today complaining of heavy menstrual periods happening for the past 4 to 5 months. Accompanying the heavy flow, patient states that she has moderate cramps. Pt describes the pain as stabbing and its 3 out of the 0-10 scale. Patient does not take any medications for the pain. The pain is decreased by applying warm compresses to the lower abdominal area. In addition, patient complains of feeling dizziness and tiredness most of the times.
Current Medications: none
PMH Medication Intolerances: NONE Chronic Illnesses/Major traumas: NONE Screening Hx/Immunizations Hx: Vaccinations up to date, most recent pap smear 12/19 – negative Hospitalizations/Surgeries: None
Family History:Father: Alive, No medical history Mother: Alive, Htn
Social History: Patient is a full-time college student and part time employee at Publix as cashier. Pt lives at home with parents and denies having had a sexual partner for the past year. Patient denies the use of cigars, alcohol, or illegal drugs.
ROS
GeneralDenies recent weight loss, fever, change in appetite or headaches. She denies chills or night sweats. CardiovascularDenies palpitations, chest pain, orthopnea, and claudication. Reports episodes of hypotension.
SkinDenies bruising, skin rash, or discoloration. Denies changes in moles or skin breakdown. RespiratoryDenies shortness of breath, abnormal sputum, cough, or wheezing.
EyesDenies pain, redness, loss of vision, double or blurred vision GastrointestinalDenies abdominal pain, decreased appetite, nausea, or vomiting. Denies food intolerances and changes in stool
EarsDenies ear pain, ear infections, or tinnitus Genitourinary/GynecologicalDenies dysuria, flank pain, and hematuria. Denies abnormal vaginal discharge or itching. Denies STI history. Reports heavy menstrual periods lasting 5 to 6 days, associated with cramping; every 28 days. OBSTETRIC/GYNECOLOGICAL Hx:Menarche: 11 years LMP: 09/15/20 G 0 T 0 P 0 A 0 L 0 Birth Control/Type: NoneMenopause: no Sexually Active: yes STD Hx: None
Nose/Mouth/ThroatDenies nasal pain, congestion, epistaxis, or postnasal drip. Denies pain in mouth, bleeding gums, or dry mouth. Denies pain in throat, hoarseness, difficulty or painful swallowing. MusculoskeletalDenies muscle pain or joint pain. Denies limited range of motion
BreastDenies breast tenderness, discharge, redness, or lumps. NeurologicalDenies headache, dizziness, seizures, or memory loss.
Heme/Lymph/EndoPt denies bruising PsychiatricDenies mood changes, irritability, or changes in concentration. Denies hav.
Soap Note 1 Acute Conditions.docx
1) The patient presented with vaginal itching, burning during urination, and lower abdominal pain for the past 3 weeks. On examination, irritation was noted in the genital area and suprapubic tenderness.
2) Differential diagnoses included bacterial vaginosis, gonorrhea, and a urinary tract infection.
3) The assessment was a urinary tract infection and vulvovaginal candidiasis. Medications were prescribed and the patient was educated on treatment, prevention, and follow up care.
SOAP NOTEName J.D.Date 03262020Time 200 pmAge 25 .docx
SOAP NOTE
Name: J.D.
Date: 03/26/2020
Time: 2:00 pm
Age: 25 y/o
Sex: F
SUBJECTIVE
CC:
” I have a lot of pain on my left side, in my lower belly”
HPI: J.D. is a 25-year-old white female that came to the office today complaining of pain in her lower abdomen. The patient has always had painful cramps with her periods but this time it is much worse being described as a 6 out of 10 and lasting up to 5 hours. The pain started 2 days ago. The pain is described as more painful cramps. It is debilitating and prevents the patient from performing most daily activities. It is localized in the lower abdominal area, and sometimes radiates down her legs, and to her lower back. The patient uses hot compresses to relieve the pain as Tylenol does not work. The patient also states that she has been feeling nauseous ever since the pain started. She also urinates more frequently and pain on urination. Denies fever, vomiting, or chills.
Medications:
2 Tylenol as needed for her pain
PMH (include-immunization status including Gardisil, GTPLA).
Current or past illnesses: No current or past illnesses
Immunizations: All vaccines updated including flu vaccine and Gardasil.
Allergies: NKDA
Medication Intolerances: None.
Chronic Illnesses/Major traumas: None.
Hospitalizations/Surgeries (include delivery of pregnancies here)
No hospitalizations.
G0P0
Family History
Mother: 49 years old, no significant health problems
Maternal Side: No significant health problems
Father: 50 years old, hypertensive
Paternal Side: no significant health problems
Social History
Patient works full-time as a research assistant at a local university. A full-time student seeking a master’s degree in biochemistry at a local university. Married. Sexually active only with husband. Always uses male condoms as contraceptive device. Does not use recreational drugs, tobacco, or electronic cigarettes. Devout follower of Christianity. Denomination: catholic.
ROS
General Patient denies fever or chills, no weight changes.
Cardiovascular Denies chest pain, or discomfort. Denies palpitations, dyspnea, or orthopnea.
Skin: Denies presences of moles, rash, or itching.
Respiratory: Denies dyspnea, cough, hemoptysis, or pleuritic pains.
Eyes Denies problems or changes in her vision; denies double or blurred vision.
Gastrointestinal Positive for nausea.Denies hemorrhoids, constipation, or diarrhea. No variation in bowel habits. Denies vomiting.
Ears Denies difficulty or changes in his hearing. Denies tinnitus, or discharges.
Genitourinary/Gynecological Menarche 11 years old. Regular menstrual periods starting around the 3rd week of every month. LMP: 03.
1) Naïve T cells have the potential to differentiate into several
1) Naïve T cells have the potential to differentiate into several types of effector cells. In the space below, describe the roles and activities of each of these cells:
TH1 cells
TH2 cells
TH17 cells
TFH cells
2) Use the following diagram to compare and contrast systemic immunity and mucosal immunity.
Systemic
Both Systemic and Mucosal
Mucosal
ordinary surface epithelia
Why is there a need for these differences in the first place?
CDC Sexually Transmitted Diseases Case Study.
Read the patient case study below
General:
The patient is a young seventeen-year-old female who came to the clinic with complaint of abdominal pain.
Chief Complaint:
Kim reports "I've been having pain in my stomach for several weeks." She describes the pain as being sharp and being constant. She stated the pain often occurs on both sides of her lower abdominal. She has been experiencing the pain for the past two weeks. The pain has gotten worse since then.
Reliability and Source of History:
The patient is alert and oriented and able to answer most of the questions.
Source & Reliability of History:
O – "I have been having pain in my stomach for several weeks now.” she stated that the pain has lasted for two weeks without any relief.
L – Both sides of her lower stomach
D – The patient reported that she has been having this bilateral lower stomach pain for the last two weeks, However, the symptoms got worse since the pain started ago.
C – She stated that since the onset of the pain, her pain has remained constant without any relieve and aggravating factor. The pain is firm regardless of the time or day or event. She further stated that her symptoms get worse. The patient states that she is unaware of what caused the pain or how the pain started; however, she stated that taking pills could relieve her stomach pain and stop her bleeding
A – She stated that the pain remains constant. She also stated that she is unaware of what caused the pain or how the pain started.
R – She stated that the pain remains steady and does not go away or radiate to other areas.
T- she reported feeling uncomfortable doing her regular shores due to the pain.
Past Medical history:
Patient is asthmatic; however, her asthma is under control. She knows known history of any other condition or never been hospitalized.
Family History:
She is the second in a family of four who are all alive and healthy. There is no history of any chronic condition in the family.
Social History:
Patient is a regularly active young woman; she is single and does moderately active exercise. However, she stated that her daily activity and chores has recently reduced due to her recent symptoms of pain. She also stated to have no appetite secondary to her recent pain. She also stated that her stress level may be related with her college. She has no history of alcohol, smoking, or had never smoked in her life. She has not used any ...
Recommended
SOAP NOTE SAMPLE FORMAT FOR MRCName LPDateTime 1315.docx
SOAP NOTE SAMPLE FORMAT FOR MRC
Name: LP
Date:
Time: 1315
Age: 30
Sex: F
SUBJECTIVE
CC:
“I am having vaginal itching and pain in my lower abdomen.”
HPI:
Pt is a 30y/o AA female, who is a new patient that has recently moved to Miami. She seeks treatment today after unsuccessful self-treatment of vaginal itching, burning upon urination, and lower abdominal pain. She is concerned for the presence of a vaginal or bladder infection, or an STD. Pt denies fever. She reports the itching and burning with urination has been present for 3 weeks, and the abdominal pain has been intermittent since months ago. Pt has tried OTC products for the itching, including Monistat and Vagisil. She denies any other urinary symptoms, including urgency or frequency. She describes the abdominal pain as either sharp or dull. The pain level goes as high as 8 out of 10 at times. 200mg of PO Advil PRN reduces the pain to a 7/10. Pt denies any aggravating factors for the pain. Pt reports that she did start her menstrual cycle this morning, but denies any other discharge other that light bleeding beginning today. Pt denies douching or the use of any vaginal irritants. She reports that she is in a stable sexual relationship, and denies any new sexual partners in the last 90 days. She denies any recent or historic known exposure to STDs. She reports the use of condoms with every coital experience, as well as this being her only form of contraceptive. She reports normal monthly menstrual cycles that last 3-4 days. She reports dysmenorrhea, which she also takes Advil for. She reports her last PAP smear was in 7/2016, was normal, and reports never having an abnormal PAP smear result. Pt denies any hx of pregnancies. Other medical hx includes GERD. She reports that she has an Rx for Protonix, but she does not take it every day. Her family hx includes the presence of DM and HTN.
Current Medications:
Protonix 40mg PO Daily for GERD
MTV OTC PO Daily
Advil 200mg OTC PO PRN for pain
PMHx:
Allergies:
NKA & NKDA
Medication Intolerances:
Denies
Chronic Illnesses/Major traumas
GERD
Hospitalizations/Surgeries
Denies
Family History
Father- DM & HTN; Mother- HTN; Older sister- DM & HTN; Maternal and paternal grandparents without known medical issues; 1 brother and 3 other sisters without known medical issues; No children.
Social History
Lives alone. Currently in a stable sexual relationship with one man. Works for DEFACS. Reports occasional alcohol use, but denies tobacco or illicit drug use.
ROS
General
Denies weight change, fatigue, fever, night sweats
Cardiovascular
Denies chest pain and edema. Reports rare palpitations that are relieved by drinking water
Skin
Denies any wounds, rashes, bruising, bleeding or skin discolorations, any changes in lesions
Respiratory
Denies cough. Reports dyspnea that accompanies the rare palpitations and is also relieved by drinking water
Eyes
Denies corrective lenses, blurring, visual changes of an.
Soap Note 2 Chronic ConditionsSoap Note Chronic Conditions (
Soap Note 2 Chronic Conditions
Soap Note Chronic Conditions (15 Points)
Pick any Chronic Disease from Weeks 6-10
Soap notes will be uploaded to Moodle and put through TURN-It-In (anti-Plagiarism program)
Follow the MRU Soap Note Rubric as a guide
Turn it in Score must be less than 50% or will not be accepted for credit, must be your own work and in your own words. You can resubmit, Final submission will be accepted if less than 50%. Copy paste from websites or textbooks will not be accepted or tolerated. Please see College Handbook with reference to Academic Misconduct Statement
SOAP NOTE SAMPLE FORMAT FOR MRC
Name:
LP
Date:
Time:
1315
Age:
30
Sex:
F
SUBJECTIVE
CC:
“I am having vaginal itching and pain in my lower abdomen.”
HPI:
Pt is a 30y/o AA female, who is a new patient that has recently moved to Miami. She seeks treatment today after unsuccessful self-treatment of vaginal itching, burning upon urination, and lower abdominal pain. She is concerned for the presence of a vaginal or bladder infection, or an STD. Pt denies fever. She reports the itching and burning with urination has been present for 3 weeks, and the abdominal pain has been intermittent since months ago. Pt has tried OTC products for the itching, including Monistat and Vagisil. She denies any other urinary symptoms, including urgency or frequency. She describes the abdominal pain as either sharp or dull. The pain level goes as high as 8 out of 10 at times. 200mg of PO Advil PRN reduces the pain to a 7/10. Pt denies any aggravating factors for the pain. Pt reports that she did start her menstrual cycle this morning, but denies any other discharge other that light bleeding beginning today. Pt denies douching or the use of any vaginal irritants. She reports that she is in a stable sexual relationship, and denies any new sexual partners in the last 90 days. She denies any recent or historic known exposure to STDs. She reports the use of condoms with every coital experience, as well as this being her only form of contraceptive. She reports normal monthly menstrual cycles that last 3-4 days. She reports dysmenorrhea, which she also takes Advil for. She reports her last PAP smear was in 7/2016, was normal, and reports never having an abnormal PAP smear result. Pt denies any hx of pregnancies. Other medical hx includes GERD. She reports that she has an Rx for Protonix, but she does not take it every day. Her family hx includes the presence of DM and HTN.
Current Medications:
Protonix 40mg PO Daily for GERD
MTV OTC PO Daily
Advil 200mg OTC PO PRN for pain
PMHx:
Allergies:
NKA & NKDA
Medication Intolerances:
Denies
Chronic Illnesses/Major traumas
GERD
Hospitalizations/Surgeries
Denies
Family History
Father- DM & HTN; Mother- HTN; Older sister- DM & HTN; Maternal and paternal grandparents without known medical issues; 1 brother and 3 other sisters without known med ...
SOAP NOTE SAMPLE FORMAT FOR MRCName LPDateTime 1315.docx
SOAP NOTE SAMPLE FORMAT FOR MRC
Name: LP
Date:
Time: 1315
Age: 30
Sex: F
SUBJECTIVE
CC:
“I am having vaginal itching and pain in my lower abdomen.”
HPI:
Pt is a 30y/o AA female, who is a new patient that has recently moved to Miami. She seeks treatment today after unsuccessful self-treatment of vaginal itching, burning upon urination, and lower abdominal pain. She is concerned for the presence of a vaginal or bladder infection, or an STD. Pt denies fever. She reports the itching and burning with urination has been present for 3 weeks, and the abdominal pain has been intermittent since months ago. Pt has tried OTC products for the itching, including Monistat and Vagisil. She denies any other urinary symptoms, including urgency or frequency. She describes the abdominal pain as either sharp or dull. The pain level goes as high as 8 out of 10 at times. 200mg of PO Advil PRN reduces the pain to a 7/10. Pt denies any aggravating factors for the pain. Pt reports that she did start her menstrual cycle this morning, but denies any other discharge other that light bleeding beginning today. Pt denies douching or the use of any vaginal irritants. She reports that she is in a stable sexual relationship, and denies any new sexual partners in the last 90 days. She denies any recent or historic known exposure to STDs. She reports the use of condoms with every coital experience, as well as this being her only form of contraceptive. She reports normal monthly menstrual cycles that last 3-4 days. She reports dysmenorrhea, which she also takes Advil for. She reports her last PAP smear was in 7/2016, was normal, and reports never having an abnormal PAP smear result. Pt denies any hx of pregnancies. Other medical hx includes GERD. She reports that she has an Rx for Protonix, but she does not take it every day. Her family hx includes the presence of DM and HTN.
Current Medications:
Protonix 40mg PO Daily for GERD
MTV OTC PO Daily
Advil 200mg OTC PO PRN for pain
PMHx:
Allergies:
NKA & NKDA
Medication Intolerances:
Denies
Chronic Illnesses/Major traumas
GERD
Hospitalizations/Surgeries
Denies
Family History
Father- DM & HTN; Mother- HTN; Older sister- DM & HTN; Maternal and paternal grandparents without known medical issues; 1 brother and 3 other sisters without known medical issues; No children.
Social History
Lives alone. Currently in a stable sexual relationship with one man. Works for DEFACS. Reports occasional alcohol use, but denies tobacco or illicit drug use.
ROS
General
Denies weight change, fatigue, fever, night sweats
Cardiovascular
Denies chest pain and edema. Reports rare palpitations that are relieved by drinking water
Skin
Denies any wounds, rashes, bruising, bleeding or skin discolorations, any changes in lesions
Respiratory
Denies cough. Reports dyspnea that accompanies the rare palpitations and is also relieved by drinking water
Eyes
Denies corrective lenses, blurring, visual changes of an.
Immunologic Diseases andDisorders• Guillain-BarréSyndrome•.docx
Immunologic Diseases and
Disorders
• Guillain-Barré
Syndrome
• HIV/AIDS
• Hodgkin Lymphoma
• Leukemia
• Lupus
• Multiple Myeloma
• Multiple Sclerosis
• Scleroderma
Diseases and Disorders of the
Integumentary System
• Acne
• Burns
• Dermatitis
• Impetigo
• Lyme Disease
• Melanoma
• Methicillin-Resistant
Staphylococcus Aureus
(MRSA)
• Pediculosis (Lice)
• Psoriasis
• Tinea (Capitis, Corporis,
Cruris, Pedis)
• Scabies
• Stevens-Johnson
Syndrome
Diseases and disorders of the
Circulatory System:
• Acute Coronary
Syndrome (ACS)
• Anemia
• Aneurysm of the
Abdominal Aorta (Triple
A)
• Atrial Fibrillation & Atrial
Flutter
• Carotid Stenosis
• Deep Vein Thrombosis
(DVT)
• Endocarditis
• Heart Failure
• Hemophilia
• Heparin-Induced
Thrombocytopenia
• Hypercholesterolemia
• Hypertension
• Mitral Valve Prolapse,
Regurgitation, Stenosis
• Peripheral Arterial
Disease
• Raynaud Phenomenon
• Rhabdomyolysis
• Rocky Mountain Spotted
Fever
Respiratory System
• Asthma
• Atelectasis
• Basal/Squamous Cell
Carcinoma
• Bronchitis
• Chronic Obstructive
Pulmonary Disease and
Emphysema
• Cystic Fibrosis
• Influenza
• Legionnaires' Disease
• Sleep Apnea,
Obstructive
• Pleural Effusion
Pneumonia
• Pulmonary Emboli
• Sarcoidosis
• Tuberculosis (TB)
SOAP NOTE SAMPLE FORMAT FOR MRC
Name: LP
Date:
Time: 1315
Age: 30
Sex: F
SUBJECTIVE
CC:
“I am having vaginal itching and pain in my lower abdomen.”
HPI:
Pt is a 30y/o AA female, who is a new patient that has recently moved to Miami. She seeks treatment today after unsuccessful self-treatment of vaginal itching, burning upon urination, and lower abdominal pain. She is concerned for the presence of a vaginal or bladder infection, or an STD. Pt denies fever. She reports the itching and burning with urination has been present for 3 weeks, and the abdominal pain has been intermittent since months ago. Pt has tried OTC products for the itching, including Monistat and Vagisil. She denies any other urinary symptoms, including urgency or frequency. She describes the abdominal pain as either sharp or dull. The pain level goes as high as 8 out of 10 at times. 200mg of PO Advil PRN reduces the pain to a 7/10. Pt denies any aggravating factors for the pain. Pt reports that she did start her menstrual cycle this morning, but denies any other discharge other that light bleeding beginning today. Pt denies douching or the use of any vaginal irritants. She reports that she is in a stable sexual relationship, and denies any new sexual partners in the last 90 days. She denies any recent or historic known exposure to STDs. She reports the use of condoms with every coital experience, as well as this being her only form of contraceptive. She reports normal monthly menstrual cycles that last 3-4 days. She reports dysmenorrhea, which she also takes Advil for. She reports her last PAP smear was in 7/2016, was normal, and reports never having an abnormal PAP smear result. Pt denies any hx of pregnancies. Other medical hx inc ...
SOAP NotePatient Initials RA Pt. Encounter Number .docx
SOAP Note
Patient Initials: RA Pt. Encounter Number: 1
Date: 10/1/20 Age: 23 Sex: female
Allergies: NKA Advanced Directives: none
SUBJECTIVE
CC: “I have been having heavy periods for 4-5 months now. I feel tired and dizzy most days”
HPI: 23-year-old came to the clinic today complaining of heavy menstrual periods happening for the past 4 to 5 months. Accompanying the heavy flow, patient states that she has moderate cramps. Pt describes the pain as stabbing and its 3 out of the 0-10 scale. Patient does not take any medications for the pain. The pain is decreased by applying warm compresses to the lower abdominal area. In addition, patient complains of feeling dizziness and tiredness most of the times.
Current Medications: none
PMH Medication Intolerances: NONE Chronic Illnesses/Major traumas: NONE Screening Hx/Immunizations Hx: Vaccinations up to date, most recent pap smear 12/19 – negative Hospitalizations/Surgeries: None
Family History:Father: Alive, No medical history Mother: Alive, Htn
Social History: Patient is a full-time college student and part time employee at Publix as cashier. Pt lives at home with parents and denies having had a sexual partner for the past year. Patient denies the use of cigars, alcohol, or illegal drugs.
ROS
GeneralDenies recent weight loss, fever, change in appetite or headaches. She denies chills or night sweats. CardiovascularDenies palpitations, chest pain, orthopnea, and claudication. Reports episodes of hypotension.
SkinDenies bruising, skin rash, or discoloration. Denies changes in moles or skin breakdown. RespiratoryDenies shortness of breath, abnormal sputum, cough, or wheezing.
EyesDenies pain, redness, loss of vision, double or blurred vision GastrointestinalDenies abdominal pain, decreased appetite, nausea, or vomiting. Denies food intolerances and changes in stool
EarsDenies ear pain, ear infections, or tinnitus Genitourinary/GynecologicalDenies dysuria, flank pain, and hematuria. Denies abnormal vaginal discharge or itching. Denies STI history. Reports heavy menstrual periods lasting 5 to 6 days, associated with cramping; every 28 days. OBSTETRIC/GYNECOLOGICAL Hx:Menarche: 11 years LMP: 09/15/20 G 0 T 0 P 0 A 0 L 0 Birth Control/Type: NoneMenopause: no Sexually Active: yes STD Hx: None
Nose/Mouth/ThroatDenies nasal pain, congestion, epistaxis, or postnasal drip. Denies pain in mouth, bleeding gums, or dry mouth. Denies pain in throat, hoarseness, difficulty or painful swallowing. MusculoskeletalDenies muscle pain or joint pain. Denies limited range of motion
BreastDenies breast tenderness, discharge, redness, or lumps. NeurologicalDenies headache, dizziness, seizures, or memory loss.
Heme/Lymph/EndoPt denies bruising PsychiatricDenies mood changes, irritability, or changes in concentration. Denies hav.
Soap Note 1 Acute Conditions.docx
1) The patient presented with vaginal itching, burning during urination, and lower abdominal pain for the past 3 weeks. On examination, irritation was noted in the genital area and suprapubic tenderness.
2) Differential diagnoses included bacterial vaginosis, gonorrhea, and a urinary tract infection.
3) The assessment was a urinary tract infection and vulvovaginal candidiasis. Medications were prescribed and the patient was educated on treatment, prevention, and follow up care.
SOAP NOTEName J.D.Date 03262020Time 200 pmAge 25 .docx
SOAP NOTE
Name: J.D.
Date: 03/26/2020
Time: 2:00 pm
Age: 25 y/o
Sex: F
SUBJECTIVE
CC:
” I have a lot of pain on my left side, in my lower belly”
HPI: J.D. is a 25-year-old white female that came to the office today complaining of pain in her lower abdomen. The patient has always had painful cramps with her periods but this time it is much worse being described as a 6 out of 10 and lasting up to 5 hours. The pain started 2 days ago. The pain is described as more painful cramps. It is debilitating and prevents the patient from performing most daily activities. It is localized in the lower abdominal area, and sometimes radiates down her legs, and to her lower back. The patient uses hot compresses to relieve the pain as Tylenol does not work. The patient also states that she has been feeling nauseous ever since the pain started. She also urinates more frequently and pain on urination. Denies fever, vomiting, or chills.
Medications:
2 Tylenol as needed for her pain
PMH (include-immunization status including Gardisil, GTPLA).
Current or past illnesses: No current or past illnesses
Immunizations: All vaccines updated including flu vaccine and Gardasil.
Allergies: NKDA
Medication Intolerances: None.
Chronic Illnesses/Major traumas: None.
Hospitalizations/Surgeries (include delivery of pregnancies here)
No hospitalizations.
G0P0
Family History
Mother: 49 years old, no significant health problems
Maternal Side: No significant health problems
Father: 50 years old, hypertensive
Paternal Side: no significant health problems
Social History
Patient works full-time as a research assistant at a local university. A full-time student seeking a master’s degree in biochemistry at a local university. Married. Sexually active only with husband. Always uses male condoms as contraceptive device. Does not use recreational drugs, tobacco, or electronic cigarettes. Devout follower of Christianity. Denomination: catholic.
ROS
General Patient denies fever or chills, no weight changes.
Cardiovascular Denies chest pain, or discomfort. Denies palpitations, dyspnea, or orthopnea.
Skin: Denies presences of moles, rash, or itching.
Respiratory: Denies dyspnea, cough, hemoptysis, or pleuritic pains.
Eyes Denies problems or changes in her vision; denies double or blurred vision.
Gastrointestinal Positive for nausea.Denies hemorrhoids, constipation, or diarrhea. No variation in bowel habits. Denies vomiting.
Ears Denies difficulty or changes in his hearing. Denies tinnitus, or discharges.
Genitourinary/Gynecological Menarche 11 years old. Regular menstrual periods starting around the 3rd week of every month. LMP: 03.
1) Naïve T cells have the potential to differentiate into several
1) Naïve T cells have the potential to differentiate into several types of effector cells. In the space below, describe the roles and activities of each of these cells:
TH1 cells
TH2 cells
TH17 cells
TFH cells
2) Use the following diagram to compare and contrast systemic immunity and mucosal immunity.
Systemic
Both Systemic and Mucosal
Mucosal
ordinary surface epithelia
Why is there a need for these differences in the first place?
CDC Sexually Transmitted Diseases Case Study.
Read the patient case study below
General:
The patient is a young seventeen-year-old female who came to the clinic with complaint of abdominal pain.
Chief Complaint:
Kim reports "I've been having pain in my stomach for several weeks." She describes the pain as being sharp and being constant. She stated the pain often occurs on both sides of her lower abdominal. She has been experiencing the pain for the past two weeks. The pain has gotten worse since then.
Reliability and Source of History:
The patient is alert and oriented and able to answer most of the questions.
Source & Reliability of History:
O – "I have been having pain in my stomach for several weeks now.” she stated that the pain has lasted for two weeks without any relief.
L – Both sides of her lower stomach
D – The patient reported that she has been having this bilateral lower stomach pain for the last two weeks, However, the symptoms got worse since the pain started ago.
C – She stated that since the onset of the pain, her pain has remained constant without any relieve and aggravating factor. The pain is firm regardless of the time or day or event. She further stated that her symptoms get worse. The patient states that she is unaware of what caused the pain or how the pain started; however, she stated that taking pills could relieve her stomach pain and stop her bleeding
A – She stated that the pain remains constant. She also stated that she is unaware of what caused the pain or how the pain started.
R – She stated that the pain remains steady and does not go away or radiate to other areas.
T- she reported feeling uncomfortable doing her regular shores due to the pain.
Past Medical history:
Patient is asthmatic; however, her asthma is under control. She knows known history of any other condition or never been hospitalized.
Family History:
She is the second in a family of four who are all alive and healthy. There is no history of any chronic condition in the family.
Social History:
Patient is a regularly active young woman; she is single and does moderately active exercise. However, she stated that her daily activity and chores has recently reduced due to her recent symptoms of pain. She also stated to have no appetite secondary to her recent pain. She also stated that her stress level may be related with her college. She has no history of alcohol, smoking, or had never smoked in her life. She has not used any ...
1) Naïve T cells have the potential to differentiate into several
1) Naïve T cells have the potential to differentiate into several types of effector cells. In the space below, describe the roles and activities of each of these cells:
TH1 cells
TH2 cells
TH17 cells
TFH cells
2) Use the following diagram to compare and contrast systemic immunity and mucosal immunity.
Systemic
Both Systemic and Mucosal
Mucosal
ordinary surface epithelia
Why is there a need for these differences in the first place?
CDC Sexually Transmitted Diseases Case Study.
Read the patient case study below
General:
The patient is a young seventeen-year-old female who came to the clinic with complaint of abdominal pain.
Chief Complaint:
Kim reports "I've been having pain in my stomach for several weeks." She describes the pain as being sharp and being constant. She stated the pain often occurs on both sides of her lower abdominal. She has been experiencing the pain for the past two weeks. The pain has gotten worse since then.
Reliability and Source of History:
The patient is alert and oriented and able to answer most of the questions.
Source & Reliability of History:
O – "I have been having pain in my stomach for several weeks now.” she stated that the pain has lasted for two weeks without any relief.
L – Both sides of her lower stomach
D – The patient reported that she has been having this bilateral lower stomach pain for the last two weeks, However, the symptoms got worse since the pain started ago.
C – She stated that since the onset of the pain, her pain has remained constant without any relieve and aggravating factor. The pain is firm regardless of the time or day or event. She further stated that her symptoms get worse. The patient states that she is unaware of what caused the pain or how the pain started; however, she stated that taking pills could relieve her stomach pain and stop her bleeding
A – She stated that the pain remains constant. She also stated that she is unaware of what caused the pain or how the pain started.
R – She stated that the pain remains steady and does not go away or radiate to other areas.
T- she reported feeling uncomfortable doing her regular shores due to the pain.
Past Medical history:
Patient is asthmatic; however, her asthma is under control. She knows known history of any other condition or never been hospitalized.
Family History:
She is the second in a family of four who are all alive and healthy. There is no history of any chronic condition in the family.
Social History:
Patient is a regularly active young woman; she is single and does moderately active exercise. However, she stated that her daily activity and chores has recently reduced due to her recent symptoms of pain. She also stated to have no appetite secondary to her recent pain. She also stated that her stress level may be related with her college. She has no history of alcohol, smoking, or had never smoked in her life. She has not used any ...
CC I have itchy white discharge”HPI Patient is a 32 African.docx
A 32-year-old African American female presented with increased vaginal itching and thick white discharge for 2 days. She reported using Monistat 3 days ago without relief and increased pain after sex. On examination, the patient had a fever and curdy white vaginal discharge with inflamed mucosa. A diagnosis of vulvovaginal candidiasis was made and a KOH smear was ordered to confirm. The patient was prescribed a single dose of oral fluconazole or topical antifungal and educated on maintaining a dry environment and use of probiotics to prevent recurrence.
Nursing information helps you to collect history of patient which is helpful
1) Ms. Rogers, a 56-year-old woman, presented to the emergency department with chest pain. She described a week history of dull, aching chest pain that radiated to her neck and was exacerbated by exertion.
2) Her medical history included hypertension diagnosed 3 years ago, a total abdominal hysterectomy and bilateral oophorectomy 6 years ago, and a family history of premature coronary artery disease.
3) On examination, she had an elevated blood pressure, a systolic murmur, and crackles in her lung bases. The assessment was that her symptoms were suggestive of unstable angina due to coronary artery disease given her risk factors.
AssignmentAnalyze the possible conditions from your colleague.docx
Assignment:
Analyze the possible conditions from your colleagues' differential diagnoses.
Determine which of the conditions you would reject and why.
Identify the most likely condition, and justify your reasoning.
42-year-old White Male
S.
Chief Complaint:
“low back pain for the past month that sometimes radiates to my left leg.”
HPI:
The patient is a 42-year-old white male who is complaining of low back pain that began one month ago. He explains that the pain will intermittently radiate to his left leg as well. He reports that the pain is constant and is also “sharp” at times. He describes the pain that radiates to his left leg as a “tingling” sensation and can sometimes even feel it “all the way down to his toes.” He rates the pain at an “8” when he is standing or walking but describes that the intensity decreases to a “4” when he is sitting or lying down. The patient complains of intermittent numbness and tingling in his left leg that seems to have gotten worse “in the past week.” He explains that the numbness and tingling is always worse first thing in the morning. He also describes the pain as almost “unbearable” after working a 12-hour shift and that he even has experienced a loss of appetite on those days after working long hours. He explains that the pain does wake him up sometimes at night. The patient explains that Aleve has been his “lifesaver,” as he does not feel that he could have worked at all if it wasn’t for taking it routinely before work. He proceeded to verbalize that the Aleve only “took the edge off,” but that he is worried about the effect it may be having on his stomach.
Current Medications:
Centrum Vitamin for Men, one PO daily; Aleve capsule, one PO every 8 hours; over-the-counter Zantac 150 mg PO, “occasionally” at bedtime for heartburn.
Allergies:
PCN- experienced hives after taking as a teenager; Denies food or environmental allergies.
PMH:
Occasional acid reflux, history of childhood asthma, hospitalized last year with pneumonia. Reports only surgery being tonsillectomy at age 5. Reports that he is current with immunizations and received a tetanus injection two years ago when he cut his finger at work.
FH:
Father died at age 60 with a heart attack, mother is living and has HTN. Maternal grandparents are living with no history of heart disease or cancer. Maternal grandmother-type 2 diabetes; Maternal grandfather- HTN, controlled with medication. Paternal grandmother- living and in excellent health, with no history of heart disease or cancer. Paternal grandfather died at age 72 with a heart attack. Reports that both children are in excellent health. Denies a history of back pain or scoliosis with maternal or paternal relatives.
SH:
Works as a nurse in the ICU at a local hospital and has been married for 15 years; they have two school-aged children. He reports that he and his family love to spend time outdoors and that they usually hike on the weekends together..
Obs Case Presentation.pptx
Erum Waqas, a 26-year-old pregnant woman, presented with complaints of itching all over her body for one week. Her liver enzymes were elevated. She was provisionally diagnosed with obstetric cholestasis given her pruritis and deranged liver function tests. She received symptomatic treatment and monitoring of her liver function and fetal wellbeing was increased. She was counselled on the diagnosis, management plan, and risks of preterm delivery or fetal distress. Delivery was planned for 37 weeks.
Case History: Guillain-Barré Syndrome
Ms. O.L. is a 62-year-old woman who presented with gradual onset of bilateral lower extremity weakness, parathesia, and radiating pain over the past week. She has also experienced increasing difficulty walking and constipation. Her symptoms are consistent with a diagnosis of Guillain-Barre Syndrome (GBS). She has no significant past medical history other than hyperlipidemia. Her review of systems is otherwise unremarkable except for her presenting neurological symptoms in the lower extremities.
Gastrointestinal reflux disease.docx
Mr. C.O. is seen for epigastric pain and a bitter taste in his mouth. He has a history of GERD, hypertension, and takes various medications including omeprazole. On examination, he has mid-epigastric tenderness. His diagnoses are GERD and the differential includes gastroenteritis given his recent diarrhea and travel history. His plan is to continue medications and lifestyle modifications.
Jasleen morning report 1
A 61-year-old male presented with abdominal pain, nausea, and vomiting for the past 3 days. On examination, he had jaundice, hepatomegaly, splenomegaly, and abdominal tenderness. Lab tests showed abnormal liver function and elevated bilirubin. Imaging found cirrhosis of the liver and hepatic metastases. A liver biopsy revealed cirrhosis with no evidence of primary or metastatic cancer. He was diagnosed with alcohol-induced cirrhosis and started on treatment and monitoring.
1[Shortened Title up to 50 Characters]16Week 9 Assignment.docx
1
[Shortened Title up to 50 Characters] 16Week 9 Assignment
Bethel U. Godwins
Walden University
NURS 6551, Section 8, Primary Care of Women
July 31, 2016
Abnormal Uterine Bleeding
Society for Reproductive Endocrinology and Infertility (SREI, 2012) described abnormal uterine bleeding as bleeding that differs in quality and quantity from normal menstrual bleeding, such as women spotting or bleeding between the women’s menstrual periods; bleeding after sex; bleeding heavier or last more days than normal; and bleeding post menopause. According to SREI (2012), factors that can cause abnormal bleeding include structural abnormalities of the reproductive system, such as uterine polyps, fibroids, and adenomyosis. Furthermore, SREI (2012) explained that vaginal, uterine or cervical lesions, miscarriage, ectopic pregnancy, endometritis, adhesions in the endometrium, and use of an intrauterine device (IUD) can also cause abnormal bleeding. Johns Hopkins Medicine (2016) specified that early recognition of abnormal bleeding, and seeing a health care provider immediately for appropriate diagnosis and treatment increase the chance of successful treatment. Therefore, the author will focus on a single patient comprehensive evaluation, which includes the patient’s personal/health history; physical examination; laboratory/diagnostic tests; diagnosis; treatment/management plan; education strategies; and follow-up care. Comment by DeAllen B Millender: Good introduction.
General Patient Information
Age: 41-year-old
Race/Ethnicity: Hispanic American
Partner Status: Married Comment by DeAllen B Millender: This information is not in APA format.
Current Health Status
Chief Complaint: “I have heavy, prolonged menstrual bleeding with severe cramping for the past one year”.
History of Present Illness (HPI): RG is a 41-year-old Hispanic American female who presented to the clinic with complaint of heavy prolonged menstrual bleeding with severe cramping for the past one year. Patient reported sharp pelvic pain during menstruation, bleeding between periods, pain with intercourse, blood clots during periods. Abdominal pain/pressure and bloating. Patient suggested that these symptoms started after her second caesarean section surgery one year ago. Patient also reported that she takes over-the counter medication, such as ibuprofen to relieve the pain. she also suggested that she uses heating pad on her abdomen/pelvic for pain relief, and she stated that she soaks in a warm sitz bath to ease pelvic pain and cramping. Patient also reported fatigue and weakness. Patient further stated that she decided to see an obstetrician and gynecologist (OB/GYN) because the heavy prolonged bleeding with severe menstrual cramp interfere with her regular activities. Patient denied nausea, vomiting, diarrhea, fever, and chills.
Timing/Onset: Patient said one year ago.
Location: The location of the problem as stated by the patient is pelvic/uterus/vaginal.
Duration: 5 to7 days d ...
Juvenile Colonic Polyp
The document describes the case of a 31⁄2 year old boy who was admitted with a 1 year history of painless rectal bleeding after bowel movements. On examination, he appeared well with no abnormalities found. A colonoscopy revealed a pedunculated polyp 20cm from the anal verge, which was removed via colonoscopic polypectomy.
1[Shortened Title up to 50 Characters]2Week 9 Assignment.docx
1
[Shortened Title up to 50 Characters] 2Week 9 Assignment
Bethel U. Godwins
Walden University
NURS 6551, Section 8, Primary Care of Women
July 31, 2016
Abnormal Uterine Bleeding
Society for Reproductive Endocrinology and Infertility (SREI, 2012) described abnormal uterine bleeding as bleeding that differs in quality and quantity from normal menstrual bleeding, such as women spotting or bleeding between the women’s menstrual periods; bleeding after sex; bleeding heavier or last more days than normal; and bleeding post menopause. According to SREI (2012), factors that can cause abnormal bleeding include structural abnormalities of the reproductive system, such as uterine polyps, fibroids, and adenomyosis. Furthermore, SREI (2012) explained that vaginal, uterine or cervical lesions, miscarriage, ectopic pregnancy, endometritis, adhesions in the endometrium, and use of an intrauterine device (IUD) can also cause abnormal bleeding. Johns Hopkins Medicine (2016) specified that early recognition of abnormal bleeding, and seeing a health care provider immediately for appropriate diagnosis and treatment increase the chance of successful treatment. Therefore, the author will focus on a single patient comprehensive evaluation, which includes the patient’s personal/health history; physical examination; laboratory/diagnostic tests; diagnosis; treatment/management plan; education strategies; and follow-up care. Comment by DeAllen B Millender: Good introduction.
General Patient Information
Age: 41-year-old
Race/Ethnicity: Hispanic American
Partner Status: Married Comment by DeAllen B Millender: This information is not in APA format.
Current Health Status
Chief Complaint: “I have heavy, prolonged menstrual bleeding with severe cramping for the past one year”.
History of Present Illness (HPI): RG is a 41-year-old Hispanic American female who presented to the clinic with complaint of heavy prolonged menstrual bleeding with severe cramping for the past one year. Patient reported sharp pelvic pain during menstruation, bleeding between periods, pain with intercourse, blood clots during periods. Abdominal pain/pressure and bloating. Patient suggested that these symptoms started after her second caesarean section surgery one year ago. Patient also reported that she takes over-the counter medication, such as ibuprofen to relieve the pain. she also suggested that she uses heating pad on her abdomen/pelvic for pain relief, and she stated that she soaks in a warm sitz bath to ease pelvic pain and cramping. Patient also reported fatigue and weakness. Patient further stated that she decided to see an obstetrician and gynecologist (OB/GYN) because the heavy prolonged bleeding with severe menstrual cramp interfere with her regular activities. Patient denied nausea, vomiting, diarrhea, fever, and chills.
Timing/Onset: Patient said one year ago.
Location: The location of the problem as stated by the patient is pelvic/uterus/vaginal.
Duration: 5 to7 days du ...
Knowledge of anatomy.docx
A 42-year-old African American male presents with lower back pain radiating to his left leg for the past month. Based on the patient's medical history and description of symptoms, the nerve roots involved could be L4, L5, or S1, which can be tested via straight leg raise test. Differential diagnoses include herniated disc, spinal stenosis, or sciatica. A physical exam and special maneuvers like straight leg raise test are needed to determine the cause and guide treatment.
WU SOAP Analysis Discussion Reply.docx
The patient, a 58-year-old African American female, presented with a 3-day history of brown vaginal discharge. Her medical history included diabetes mellitus type 2. On examination, a thin brown discharge was noted from her cervix. The primary diagnosis was likely endometrial hyperplasia given her risk factors of obesity, age, and nulliparity. She was referred to an OBGYN for an endometrial biopsy and possible hysteroscopy to assess her endometrium. The case increased the assistant's knowledge of risk factors and evaluations for postmenopausal bleeding.
4. complex febrile fit
- FA, a 2-year-old Malay girl, was admitted to the hospital due to 3 episodes of seizures associated with 2 days of fever and vomiting.
- On examination, she was conscious and alert with no abnormalities detected. Tests ruled out metabolic causes and infection.
- She received antipyretics, anti-seizure medication, and antibiotics. No further seizures occurred and she improved with treatment. Her diagnosis was complex febrile seizures presumed to be caused by meningitis.
4. Complex Febrile Fit
This document presents a case report of a 2 year old Malay girl admitted to the hospital due to fever and vomiting for 2 days prior to admission and 3 episodes of seizures on the day of admission. Upon examination and investigation, she was diagnosed with complex febrile seizures presumed to be caused by meningitis. She was treated with antibiotics and anticonvulsants and discharged after 5 days with no further seizures and good response to treatment.
case of pulmonary Hydatid cyst
LN is a 9-year old girl presenting with a 3 month history of productive cough and recent hemoptysis. She reports fever, intermittent dyspnea, chest pain and significant weight loss. On examination, she appears thin and in respiratory distress. Her lungs show decreased air entry and absent breath sounds on the left lower lobe. She is being evaluated for potential causes such as pulmonary TB, pneumonia, or a lung mass. Further testing is needed to make a diagnosis.
Case Presentation UTH EM Aug 27 JSEBooth
A 23-year-old woman presents to the emergency department with abdominal pain in her right lower quadrant and suprapubic region that began 12 hours ago. Her physical exam reveals tenderness in the right lower quadrant and suprapubic areas. Imaging and labs are ordered which ultimately reveal a ruptured corpus luteum cyst.
Give an example from your own experience or research an article or.docx
Give an example from your own experience or research an article or the media in which a business executive did something of significance that is morally right. Use APA format to cite your material from your sources.
Is there a relationship between obesity and socio-economic status? Should obese people be considered a protected class under Title VII of the Civil Rights Act?
1:
2:
3.
4.
5.
Comprehensive SOAP Exemplar
Purpose: To demonstrate what each section of the SOAP Note should include. Remember that nurse practitioners treat patients in a holistic manner, and your SOAP Note should reflect that premise.
Patient Initials: _______
Age: _______
Gender: _______
SUBJECTIVE DATA:
Chief Complaint (CC): Coughing up phlegm and fever
History of Present Illness (HPI): Sara Jones is a 65-year-old Caucasian female who presents today with a productive cough x 3 weeks and fever for the last 3 days. She reported that the “cold feels like it is descending into her chest.” The cough is nagging and productive. She brought in a few paper towels with expectorated phlegm – yellow/brown in color. She has associated symptoms of dyspnea of exertion and fever. Her Tmax was reported to be 102.4 last night. She has been taking Ibuprofen 400mg about every 6 hours and the fever breaks, but it returns after the medication wears off. She rated the severity of her symptom discomfort at 4/10.
Medications:
1.) Lisinopril 10mg daily
2.) Combivent 2 puffs every 6 hours as needed
3.) Serovent daily
4.) Salmeterol daily
5.) Over-the-counter Ibuprofen 200mg -2 PO as needed
6.) Over-the-counter Benefiber
7.) Flonase 1 spray each night as needed for allergic rhinitis symptoms
Allergies:
Sulfa drugs - rash
Past Medical History (PMH):
1.) Emphysema with recent exacerbation 1 month ago – deferred admission – RX’d with outpatient antibiotics and hand held nebulizer treatments.
2.) Hypertension – well controlled
3.) Gastroesophageal reflux (GERD) – quiet, on no medication
4.) Osteopenia
5.) Allergic rhinitis
Past Surgical History (PSH):
1.) Cholecystectomy 1994
2.) Total abdominal hysterectomy (TAH) 1998
Sexual/Reproductive History:
Heterosexual
G1P1A0
Non-menstruating – TAH 1998
Personal/Social History:
She has smoked 2 packs of cigarettes daily x 30 years; denied ETOH or illicit drug use.
Immunization History:
Her immunizations are up to date. She received the influenza vaccine last November and the Pneumococcal vaccine at the same time.
Significant Family History:
Two brothers – one with diabetes, dx at age 65, and the other with prostate CA, dx at age 62. She has one daughter in her 30s, healthy, living in nearby neighborhood.
Lifestyle:
She is retired, has been widowed x 8 years, and lives in the city in a moderate crime area with good public transportation. She is a college graduate, owns her home, and receives a pension of $50,000 annually – financially stable.
She has a primary care nurse practitioner provider and goes for annual and r ...
Responseresponse of at least 2-4 sentences in length for each.docx
A 64-year-old man is recovering from surgery in the hospital. He has been receiving heparin as a blood thinner. His platelet count has now dropped significantly, indicating he may have developed heparin-induced thrombocytopenia (HIT). HIT occurs when antibodies form against platelet factor 4 (PF4) due to exposure to heparin, causing platelets to activate and potentially form dangerous clots. The provider suspects the patient has developed HIT based on the significant drop in his platelet count and needs to discontinue heparin and start alternative anticoagulation treatment to prevent further clotting complications.
Social Media and the Modern Impact of InformaticsWrite an es.docx
Social Media and the Modern Impact of Informatics
Write an essay addressing each of the following points/questions. Be sure to completely answer all the questions for each number item. There should be three sections, one for each item number below, as well the introduction (heading is the title of the essay) and conclusion paragraphs. Separate each section in your paper with a clear heading that allows your professor to know which bullet you are addressing in that section of your paper. Support your ideas with at least three (3) scholarly citations using APA citations in your essay. Make sure to reference the citations using the APA writing style for the essay. The cover page and reference page do not count towards the minimum word amount. Review the rubric criteria for this assignment.
Most people remember the story below that made national headlines. As most Americans have smart phones, tablets, and computers the utilization of social media is common place.
Finley, T. (2017, Sept. 20). Navy hospital removes staffers for calling babies ‘mini Satan’s’ on social media.
Parenting
.
If you were writing a hospital policy on smart phone and social media usage, what should be included in the policy?
What potential ethical and legal liabilities are there for the hospital and employees in the case presented above?
In 2007, Harvard University rescinded admission to 10 students after reviewing their social media post.
Do you feel potential employers, current employers, and colleges have the right to access your social media post? Do you feel employers and universities should make decisions based on your post?
Discuss the relationship between accreditation decisions, reimbursement, quality of care, informatics.
.
Social Media and the global marketplace Web 2.0 Business .docx
Social Media and the global marketplace: Web 2.0
Business Models
Readings:
Wirtz, B.W., Schilke, O. and Ullrich, S., 2010. Strategic development of
business models: implications of the Web 2.0 for creating value on the
internet. Long Range Planning, 43(2), pp.272-290.
INB 20009 Managing the Global Marketplace
Lesson plan
• Social Media and digital business models
• Socio-cultural research (Verstehen school of thought)
1) Socio-Cultural Research: The social as capital
2) Socio-Cultural Research: The social as theatre
• Stages of Internationalisation
• A Strategic Approach to Internationalisation: A Traditional Versus a
‘Born-Global’ Approach :
• Implications and recommendations
PART 1
CONCEPTS
A BUSINESS MODEL
• The business model is a holistic management
approach that reflects the fundamental value
creation logic, value creation architecture and the
functioning of a company (Timmers 1998).
• A representation of a firm’s underlying core logic and
strategic choices for creating and capturing value
within a value network (Shafer, S.M., Smith, H.J.
and Linder, J.C., 2005 p.202).
A BUSINESS MODEL…contd
• Porter (1985) distinguishes nine value chain elements. Namely, as
primary elements inbound logistics, operations, outbound logistics,
marketing & sales, service; and as support activities technology
development, procurement, human resource management,
corporate infrastructure.
Components of a business model
Source: (Shafer, S.M., Smith, H.J. and Linder, J.C., 2005 p.202).
The 4C-Net-Business-Model typology
(Wirtz 2000; Wirtz and Lihotzky 2003, p. 522)
• A typology to structure the different business
models on the Internet within the B2C sector.
• Four basic business models are characterised
by different service offerings across Content,
Commerce, Context and Connection.
• The classification is considered as 4C-Net-
Business-Model typology (Wirtz 2000, p. 218).
Content, Commerce, Context and
Connection
• Content-orientated business models are used by firms -
such as The Wall Street Journal Online - that focus on
the collection, selection, compilation, distribution, and/or
presentation of online content.
• Their value proposition is to provide convenient, user-
friendly online access to various types of relevant
content.
Content, Commerce, Context and
Connection
• Commerce-orientated business models focus primarily
on the initiation, negotiation, payment and delivery
aspects of trade transactions using online media.
• Commerce-oriented firms, such as Amazon and Dell,
offer cost-efficient transactions for buyers and sellers of
goods and services.
• Companies focusing on this type of business model use
electronic Internet-based processes to substitute or
support traditional transaction functions and arenas,
creating direct revenue streams in the form of sales
revenues, as well as indirect revenue streams such as
commissions.
Content, Commer.
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Similar to SOAP NOTE SAMPLE FORMAT FOR MRCName LPDate.docx
1) Naïve T cells have the potential to differentiate into several
1) Naïve T cells have the potential to differentiate into several types of effector cells. In the space below, describe the roles and activities of each of these cells:
TH1 cells
TH2 cells
TH17 cells
TFH cells
2) Use the following diagram to compare and contrast systemic immunity and mucosal immunity.
Systemic
Both Systemic and Mucosal
Mucosal
ordinary surface epithelia
Why is there a need for these differences in the first place?
CDC Sexually Transmitted Diseases Case Study.
Read the patient case study below
General:
The patient is a young seventeen-year-old female who came to the clinic with complaint of abdominal pain.
Chief Complaint:
Kim reports "I've been having pain in my stomach for several weeks." She describes the pain as being sharp and being constant. She stated the pain often occurs on both sides of her lower abdominal. She has been experiencing the pain for the past two weeks. The pain has gotten worse since then.
Reliability and Source of History:
The patient is alert and oriented and able to answer most of the questions.
Source & Reliability of History:
O – "I have been having pain in my stomach for several weeks now.” she stated that the pain has lasted for two weeks without any relief.
L – Both sides of her lower stomach
D – The patient reported that she has been having this bilateral lower stomach pain for the last two weeks, However, the symptoms got worse since the pain started ago.
C – She stated that since the onset of the pain, her pain has remained constant without any relieve and aggravating factor. The pain is firm regardless of the time or day or event. She further stated that her symptoms get worse. The patient states that she is unaware of what caused the pain or how the pain started; however, she stated that taking pills could relieve her stomach pain and stop her bleeding
A – She stated that the pain remains constant. She also stated that she is unaware of what caused the pain or how the pain started.
R – She stated that the pain remains steady and does not go away or radiate to other areas.
T- she reported feeling uncomfortable doing her regular shores due to the pain.
Past Medical history:
Patient is asthmatic; however, her asthma is under control. She knows known history of any other condition or never been hospitalized.
Family History:
She is the second in a family of four who are all alive and healthy. There is no history of any chronic condition in the family.
Social History:
Patient is a regularly active young woman; she is single and does moderately active exercise. However, she stated that her daily activity and chores has recently reduced due to her recent symptoms of pain. She also stated to have no appetite secondary to her recent pain. She also stated that her stress level may be related with her college. She has no history of alcohol, smoking, or had never smoked in her life. She has not used any ...
CC I have itchy white discharge”HPI Patient is a 32 African.docx
A 32-year-old African American female presented with increased vaginal itching and thick white discharge for 2 days. She reported using Monistat 3 days ago without relief and increased pain after sex. On examination, the patient had a fever and curdy white vaginal discharge with inflamed mucosa. A diagnosis of vulvovaginal candidiasis was made and a KOH smear was ordered to confirm. The patient was prescribed a single dose of oral fluconazole or topical antifungal and educated on maintaining a dry environment and use of probiotics to prevent recurrence.
Nursing information helps you to collect history of patient which is helpful
1) Ms. Rogers, a 56-year-old woman, presented to the emergency department with chest pain. She described a week history of dull, aching chest pain that radiated to her neck and was exacerbated by exertion.
2) Her medical history included hypertension diagnosed 3 years ago, a total abdominal hysterectomy and bilateral oophorectomy 6 years ago, and a family history of premature coronary artery disease.
3) On examination, she had an elevated blood pressure, a systolic murmur, and crackles in her lung bases. The assessment was that her symptoms were suggestive of unstable angina due to coronary artery disease given her risk factors.
AssignmentAnalyze the possible conditions from your colleague.docx
Assignment:
Analyze the possible conditions from your colleagues' differential diagnoses.
Determine which of the conditions you would reject and why.
Identify the most likely condition, and justify your reasoning.
42-year-old White Male
S.
Chief Complaint:
“low back pain for the past month that sometimes radiates to my left leg.”
HPI:
The patient is a 42-year-old white male who is complaining of low back pain that began one month ago. He explains that the pain will intermittently radiate to his left leg as well. He reports that the pain is constant and is also “sharp” at times. He describes the pain that radiates to his left leg as a “tingling” sensation and can sometimes even feel it “all the way down to his toes.” He rates the pain at an “8” when he is standing or walking but describes that the intensity decreases to a “4” when he is sitting or lying down. The patient complains of intermittent numbness and tingling in his left leg that seems to have gotten worse “in the past week.” He explains that the numbness and tingling is always worse first thing in the morning. He also describes the pain as almost “unbearable” after working a 12-hour shift and that he even has experienced a loss of appetite on those days after working long hours. He explains that the pain does wake him up sometimes at night. The patient explains that Aleve has been his “lifesaver,” as he does not feel that he could have worked at all if it wasn’t for taking it routinely before work. He proceeded to verbalize that the Aleve only “took the edge off,” but that he is worried about the effect it may be having on his stomach.
Current Medications:
Centrum Vitamin for Men, one PO daily; Aleve capsule, one PO every 8 hours; over-the-counter Zantac 150 mg PO, “occasionally” at bedtime for heartburn.
Allergies:
PCN- experienced hives after taking as a teenager; Denies food or environmental allergies.
PMH:
Occasional acid reflux, history of childhood asthma, hospitalized last year with pneumonia. Reports only surgery being tonsillectomy at age 5. Reports that he is current with immunizations and received a tetanus injection two years ago when he cut his finger at work.
FH:
Father died at age 60 with a heart attack, mother is living and has HTN. Maternal grandparents are living with no history of heart disease or cancer. Maternal grandmother-type 2 diabetes; Maternal grandfather- HTN, controlled with medication. Paternal grandmother- living and in excellent health, with no history of heart disease or cancer. Paternal grandfather died at age 72 with a heart attack. Reports that both children are in excellent health. Denies a history of back pain or scoliosis with maternal or paternal relatives.
SH:
Works as a nurse in the ICU at a local hospital and has been married for 15 years; they have two school-aged children. He reports that he and his family love to spend time outdoors and that they usually hike on the weekends together..
Obs Case Presentation.pptx
Erum Waqas, a 26-year-old pregnant woman, presented with complaints of itching all over her body for one week. Her liver enzymes were elevated. She was provisionally diagnosed with obstetric cholestasis given her pruritis and deranged liver function tests. She received symptomatic treatment and monitoring of her liver function and fetal wellbeing was increased. She was counselled on the diagnosis, management plan, and risks of preterm delivery or fetal distress. Delivery was planned for 37 weeks.
Case History: Guillain-Barré Syndrome
Ms. O.L. is a 62-year-old woman who presented with gradual onset of bilateral lower extremity weakness, parathesia, and radiating pain over the past week. She has also experienced increasing difficulty walking and constipation. Her symptoms are consistent with a diagnosis of Guillain-Barre Syndrome (GBS). She has no significant past medical history other than hyperlipidemia. Her review of systems is otherwise unremarkable except for her presenting neurological symptoms in the lower extremities.
Gastrointestinal reflux disease.docx
Mr. C.O. is seen for epigastric pain and a bitter taste in his mouth. He has a history of GERD, hypertension, and takes various medications including omeprazole. On examination, he has mid-epigastric tenderness. His diagnoses are GERD and the differential includes gastroenteritis given his recent diarrhea and travel history. His plan is to continue medications and lifestyle modifications.
Jasleen morning report 1
A 61-year-old male presented with abdominal pain, nausea, and vomiting for the past 3 days. On examination, he had jaundice, hepatomegaly, splenomegaly, and abdominal tenderness. Lab tests showed abnormal liver function and elevated bilirubin. Imaging found cirrhosis of the liver and hepatic metastases. A liver biopsy revealed cirrhosis with no evidence of primary or metastatic cancer. He was diagnosed with alcohol-induced cirrhosis and started on treatment and monitoring.
1[Shortened Title up to 50 Characters]16Week 9 Assignment.docx
1
[Shortened Title up to 50 Characters] 16Week 9 Assignment
Bethel U. Godwins
Walden University
NURS 6551, Section 8, Primary Care of Women
July 31, 2016
Abnormal Uterine Bleeding
Society for Reproductive Endocrinology and Infertility (SREI, 2012) described abnormal uterine bleeding as bleeding that differs in quality and quantity from normal menstrual bleeding, such as women spotting or bleeding between the women’s menstrual periods; bleeding after sex; bleeding heavier or last more days than normal; and bleeding post menopause. According to SREI (2012), factors that can cause abnormal bleeding include structural abnormalities of the reproductive system, such as uterine polyps, fibroids, and adenomyosis. Furthermore, SREI (2012) explained that vaginal, uterine or cervical lesions, miscarriage, ectopic pregnancy, endometritis, adhesions in the endometrium, and use of an intrauterine device (IUD) can also cause abnormal bleeding. Johns Hopkins Medicine (2016) specified that early recognition of abnormal bleeding, and seeing a health care provider immediately for appropriate diagnosis and treatment increase the chance of successful treatment. Therefore, the author will focus on a single patient comprehensive evaluation, which includes the patient’s personal/health history; physical examination; laboratory/diagnostic tests; diagnosis; treatment/management plan; education strategies; and follow-up care. Comment by DeAllen B Millender: Good introduction.
General Patient Information
Age: 41-year-old
Race/Ethnicity: Hispanic American
Partner Status: Married Comment by DeAllen B Millender: This information is not in APA format.
Current Health Status
Chief Complaint: “I have heavy, prolonged menstrual bleeding with severe cramping for the past one year”.
History of Present Illness (HPI): RG is a 41-year-old Hispanic American female who presented to the clinic with complaint of heavy prolonged menstrual bleeding with severe cramping for the past one year. Patient reported sharp pelvic pain during menstruation, bleeding between periods, pain with intercourse, blood clots during periods. Abdominal pain/pressure and bloating. Patient suggested that these symptoms started after her second caesarean section surgery one year ago. Patient also reported that she takes over-the counter medication, such as ibuprofen to relieve the pain. she also suggested that she uses heating pad on her abdomen/pelvic for pain relief, and she stated that she soaks in a warm sitz bath to ease pelvic pain and cramping. Patient also reported fatigue and weakness. Patient further stated that she decided to see an obstetrician and gynecologist (OB/GYN) because the heavy prolonged bleeding with severe menstrual cramp interfere with her regular activities. Patient denied nausea, vomiting, diarrhea, fever, and chills.
Timing/Onset: Patient said one year ago.
Location: The location of the problem as stated by the patient is pelvic/uterus/vaginal.
Duration: 5 to7 days d ...
Juvenile Colonic Polyp
The document describes the case of a 31⁄2 year old boy who was admitted with a 1 year history of painless rectal bleeding after bowel movements. On examination, he appeared well with no abnormalities found. A colonoscopy revealed a pedunculated polyp 20cm from the anal verge, which was removed via colonoscopic polypectomy.
1[Shortened Title up to 50 Characters]2Week 9 Assignment.docx
1
[Shortened Title up to 50 Characters] 2Week 9 Assignment
Bethel U. Godwins
Walden University
NURS 6551, Section 8, Primary Care of Women
July 31, 2016
Abnormal Uterine Bleeding
Society for Reproductive Endocrinology and Infertility (SREI, 2012) described abnormal uterine bleeding as bleeding that differs in quality and quantity from normal menstrual bleeding, such as women spotting or bleeding between the women’s menstrual periods; bleeding after sex; bleeding heavier or last more days than normal; and bleeding post menopause. According to SREI (2012), factors that can cause abnormal bleeding include structural abnormalities of the reproductive system, such as uterine polyps, fibroids, and adenomyosis. Furthermore, SREI (2012) explained that vaginal, uterine or cervical lesions, miscarriage, ectopic pregnancy, endometritis, adhesions in the endometrium, and use of an intrauterine device (IUD) can also cause abnormal bleeding. Johns Hopkins Medicine (2016) specified that early recognition of abnormal bleeding, and seeing a health care provider immediately for appropriate diagnosis and treatment increase the chance of successful treatment. Therefore, the author will focus on a single patient comprehensive evaluation, which includes the patient’s personal/health history; physical examination; laboratory/diagnostic tests; diagnosis; treatment/management plan; education strategies; and follow-up care. Comment by DeAllen B Millender: Good introduction.
General Patient Information
Age: 41-year-old
Race/Ethnicity: Hispanic American
Partner Status: Married Comment by DeAllen B Millender: This information is not in APA format.
Current Health Status
Chief Complaint: “I have heavy, prolonged menstrual bleeding with severe cramping for the past one year”.
History of Present Illness (HPI): RG is a 41-year-old Hispanic American female who presented to the clinic with complaint of heavy prolonged menstrual bleeding with severe cramping for the past one year. Patient reported sharp pelvic pain during menstruation, bleeding between periods, pain with intercourse, blood clots during periods. Abdominal pain/pressure and bloating. Patient suggested that these symptoms started after her second caesarean section surgery one year ago. Patient also reported that she takes over-the counter medication, such as ibuprofen to relieve the pain. she also suggested that she uses heating pad on her abdomen/pelvic for pain relief, and she stated that she soaks in a warm sitz bath to ease pelvic pain and cramping. Patient also reported fatigue and weakness. Patient further stated that she decided to see an obstetrician and gynecologist (OB/GYN) because the heavy prolonged bleeding with severe menstrual cramp interfere with her regular activities. Patient denied nausea, vomiting, diarrhea, fever, and chills.
Timing/Onset: Patient said one year ago.
Location: The location of the problem as stated by the patient is pelvic/uterus/vaginal.
Duration: 5 to7 days du ...
Knowledge of anatomy.docx
A 42-year-old African American male presents with lower back pain radiating to his left leg for the past month. Based on the patient's medical history and description of symptoms, the nerve roots involved could be L4, L5, or S1, which can be tested via straight leg raise test. Differential diagnoses include herniated disc, spinal stenosis, or sciatica. A physical exam and special maneuvers like straight leg raise test are needed to determine the cause and guide treatment.
WU SOAP Analysis Discussion Reply.docx
The patient, a 58-year-old African American female, presented with a 3-day history of brown vaginal discharge. Her medical history included diabetes mellitus type 2. On examination, a thin brown discharge was noted from her cervix. The primary diagnosis was likely endometrial hyperplasia given her risk factors of obesity, age, and nulliparity. She was referred to an OBGYN for an endometrial biopsy and possible hysteroscopy to assess her endometrium. The case increased the assistant's knowledge of risk factors and evaluations for postmenopausal bleeding.
4. complex febrile fit
- FA, a 2-year-old Malay girl, was admitted to the hospital due to 3 episodes of seizures associated with 2 days of fever and vomiting.
- On examination, she was conscious and alert with no abnormalities detected. Tests ruled out metabolic causes and infection.
- She received antipyretics, anti-seizure medication, and antibiotics. No further seizures occurred and she improved with treatment. Her diagnosis was complex febrile seizures presumed to be caused by meningitis.
4. Complex Febrile Fit
This document presents a case report of a 2 year old Malay girl admitted to the hospital due to fever and vomiting for 2 days prior to admission and 3 episodes of seizures on the day of admission. Upon examination and investigation, she was diagnosed with complex febrile seizures presumed to be caused by meningitis. She was treated with antibiotics and anticonvulsants and discharged after 5 days with no further seizures and good response to treatment.
case of pulmonary Hydatid cyst
LN is a 9-year old girl presenting with a 3 month history of productive cough and recent hemoptysis. She reports fever, intermittent dyspnea, chest pain and significant weight loss. On examination, she appears thin and in respiratory distress. Her lungs show decreased air entry and absent breath sounds on the left lower lobe. She is being evaluated for potential causes such as pulmonary TB, pneumonia, or a lung mass. Further testing is needed to make a diagnosis.
Case Presentation UTH EM Aug 27 JSEBooth
A 23-year-old woman presents to the emergency department with abdominal pain in her right lower quadrant and suprapubic region that began 12 hours ago. Her physical exam reveals tenderness in the right lower quadrant and suprapubic areas. Imaging and labs are ordered which ultimately reveal a ruptured corpus luteum cyst.
Give an example from your own experience or research an article or.docx
Give an example from your own experience or research an article or the media in which a business executive did something of significance that is morally right. Use APA format to cite your material from your sources.
Is there a relationship between obesity and socio-economic status? Should obese people be considered a protected class under Title VII of the Civil Rights Act?
1:
2:
3.
4.
5.
Comprehensive SOAP Exemplar
Purpose: To demonstrate what each section of the SOAP Note should include. Remember that nurse practitioners treat patients in a holistic manner, and your SOAP Note should reflect that premise.
Patient Initials: _______
Age: _______
Gender: _______
SUBJECTIVE DATA:
Chief Complaint (CC): Coughing up phlegm and fever
History of Present Illness (HPI): Sara Jones is a 65-year-old Caucasian female who presents today with a productive cough x 3 weeks and fever for the last 3 days. She reported that the “cold feels like it is descending into her chest.” The cough is nagging and productive. She brought in a few paper towels with expectorated phlegm – yellow/brown in color. She has associated symptoms of dyspnea of exertion and fever. Her Tmax was reported to be 102.4 last night. She has been taking Ibuprofen 400mg about every 6 hours and the fever breaks, but it returns after the medication wears off. She rated the severity of her symptom discomfort at 4/10.
Medications:
1.) Lisinopril 10mg daily
2.) Combivent 2 puffs every 6 hours as needed
3.) Serovent daily
4.) Salmeterol daily
5.) Over-the-counter Ibuprofen 200mg -2 PO as needed
6.) Over-the-counter Benefiber
7.) Flonase 1 spray each night as needed for allergic rhinitis symptoms
Allergies:
Sulfa drugs - rash
Past Medical History (PMH):
1.) Emphysema with recent exacerbation 1 month ago – deferred admission – RX’d with outpatient antibiotics and hand held nebulizer treatments.
2.) Hypertension – well controlled
3.) Gastroesophageal reflux (GERD) – quiet, on no medication
4.) Osteopenia
5.) Allergic rhinitis
Past Surgical History (PSH):
1.) Cholecystectomy 1994
2.) Total abdominal hysterectomy (TAH) 1998
Sexual/Reproductive History:
Heterosexual
G1P1A0
Non-menstruating – TAH 1998
Personal/Social History:
She has smoked 2 packs of cigarettes daily x 30 years; denied ETOH or illicit drug use.
Immunization History:
Her immunizations are up to date. She received the influenza vaccine last November and the Pneumococcal vaccine at the same time.
Significant Family History:
Two brothers – one with diabetes, dx at age 65, and the other with prostate CA, dx at age 62. She has one daughter in her 30s, healthy, living in nearby neighborhood.
Lifestyle:
She is retired, has been widowed x 8 years, and lives in the city in a moderate crime area with good public transportation. She is a college graduate, owns her home, and receives a pension of $50,000 annually – financially stable.
She has a primary care nurse practitioner provider and goes for annual and r ...
Responseresponse of at least 2-4 sentences in length for each.docx
A 64-year-old man is recovering from surgery in the hospital. He has been receiving heparin as a blood thinner. His platelet count has now dropped significantly, indicating he may have developed heparin-induced thrombocytopenia (HIT). HIT occurs when antibodies form against platelet factor 4 (PF4) due to exposure to heparin, causing platelets to activate and potentially form dangerous clots. The provider suspects the patient has developed HIT based on the significant drop in his platelet count and needs to discontinue heparin and start alternative anticoagulation treatment to prevent further clotting complications.
Similar to SOAP NOTE SAMPLE FORMAT FOR MRCName LPDate.docx (20)
1) Naïve T cells have the potential to differentiate into several
1) Naïve T cells have the potential to differentiate into several
CC I have itchy white discharge”HPI Patient is a 32 African.docx
CC I have itchy white discharge”HPI Patient is a 32 African.docx
Nursing information helps you to collect history of patient which is helpful
Nursing information helps you to collect history of patient which is helpful
AssignmentAnalyze the possible conditions from your colleague.docx
AssignmentAnalyze the possible conditions from your colleague.docx
1[Shortened Title up to 50 Characters]16Week 9 Assignment.docx
1[Shortened Title up to 50 Characters]16Week 9 Assignment.docx
1[Shortened Title up to 50 Characters]2Week 9 Assignment.docx
1[Shortened Title up to 50 Characters]2Week 9 Assignment.docx
Give an example from your own experience or research an article or.docx
Give an example from your own experience or research an article or.docx
Responseresponse of at least 2-4 sentences in length for each.docx
Responseresponse of at least 2-4 sentences in length for each.docx
More from pbilly1
Social Media and the Modern Impact of InformaticsWrite an es.docx
Social Media and the Modern Impact of Informatics
Write an essay addressing each of the following points/questions. Be sure to completely answer all the questions for each number item. There should be three sections, one for each item number below, as well the introduction (heading is the title of the essay) and conclusion paragraphs. Separate each section in your paper with a clear heading that allows your professor to know which bullet you are addressing in that section of your paper. Support your ideas with at least three (3) scholarly citations using APA citations in your essay. Make sure to reference the citations using the APA writing style for the essay. The cover page and reference page do not count towards the minimum word amount. Review the rubric criteria for this assignment.
Most people remember the story below that made national headlines. As most Americans have smart phones, tablets, and computers the utilization of social media is common place.
Finley, T. (2017, Sept. 20). Navy hospital removes staffers for calling babies ‘mini Satan’s’ on social media.
Parenting
.
If you were writing a hospital policy on smart phone and social media usage, what should be included in the policy?
What potential ethical and legal liabilities are there for the hospital and employees in the case presented above?
In 2007, Harvard University rescinded admission to 10 students after reviewing their social media post.
Do you feel potential employers, current employers, and colleges have the right to access your social media post? Do you feel employers and universities should make decisions based on your post?
Discuss the relationship between accreditation decisions, reimbursement, quality of care, informatics.
.
Social Media and the global marketplace Web 2.0 Business .docx
Social Media and the global marketplace: Web 2.0
Business Models
Readings:
Wirtz, B.W., Schilke, O. and Ullrich, S., 2010. Strategic development of
business models: implications of the Web 2.0 for creating value on the
internet. Long Range Planning, 43(2), pp.272-290.
INB 20009 Managing the Global Marketplace
Lesson plan
• Social Media and digital business models
• Socio-cultural research (Verstehen school of thought)
1) Socio-Cultural Research: The social as capital
2) Socio-Cultural Research: The social as theatre
• Stages of Internationalisation
• A Strategic Approach to Internationalisation: A Traditional Versus a
‘Born-Global’ Approach :
• Implications and recommendations
PART 1
CONCEPTS
A BUSINESS MODEL
• The business model is a holistic management
approach that reflects the fundamental value
creation logic, value creation architecture and the
functioning of a company (Timmers 1998).
• A representation of a firm’s underlying core logic and
strategic choices for creating and capturing value
within a value network (Shafer, S.M., Smith, H.J.
and Linder, J.C., 2005 p.202).
A BUSINESS MODEL…contd
• Porter (1985) distinguishes nine value chain elements. Namely, as
primary elements inbound logistics, operations, outbound logistics,
marketing & sales, service; and as support activities technology
development, procurement, human resource management,
corporate infrastructure.
Components of a business model
Source: (Shafer, S.M., Smith, H.J. and Linder, J.C., 2005 p.202).
The 4C-Net-Business-Model typology
(Wirtz 2000; Wirtz and Lihotzky 2003, p. 522)
• A typology to structure the different business
models on the Internet within the B2C sector.
• Four basic business models are characterised
by different service offerings across Content,
Commerce, Context and Connection.
• The classification is considered as 4C-Net-
Business-Model typology (Wirtz 2000, p. 218).
Content, Commerce, Context and
Connection
• Content-orientated business models are used by firms -
such as The Wall Street Journal Online - that focus on
the collection, selection, compilation, distribution, and/or
presentation of online content.
• Their value proposition is to provide convenient, user-
friendly online access to various types of relevant
content.
Content, Commerce, Context and
Connection
• Commerce-orientated business models focus primarily
on the initiation, negotiation, payment and delivery
aspects of trade transactions using online media.
• Commerce-oriented firms, such as Amazon and Dell,
offer cost-efficient transactions for buyers and sellers of
goods and services.
• Companies focusing on this type of business model use
electronic Internet-based processes to substitute or
support traditional transaction functions and arenas,
creating direct revenue streams in the form of sales
revenues, as well as indirect revenue streams such as
commissions.
Content, Commer.
Social Media and the Boston Marathon Bombings A Case StudyB.docx
Social Media and the Boston Marathon Bombings: A Case Study
By:
George Haddow and Kim Haddow
, Posted on: June 4, 2015
As we reach the final stretch of the capital trial of the Boston Marathon bomber, we present this case study on social media that was originally published in the author’s book
Disaster Communications in a Changing Media World
:
Case Study: BPD and Social Media
At 2:49 PM on April 15, 2013 two bombs exploded near the finish line of the annual Boston Marathon killing three people and injuring 264. The first reports about the about the terrorist attack were spread through Twitter and Facebook.
At 2:59 PM the
Boston Globe
tweeted:
“BREAKING NEWS: Two powerful explosions detonated in quick succession right next to the Boston Marathon finish line this afternoon.”
Minutes later, the Boston Police Department confirmed the explosion in a tweet. And in a separate tweet soon after reported:
“22 injured. 2 dead
#tweetfromthebeat
via
@CherylFiandaca
”
According to Topsy, a Twitter analytics company, at around 4:10 p.m. there were more than 300,000 mentions on Twitter of “Boston explosions.” (Stern, 2013) In a second wave of social media, details about the event spread. Media that included photos of blood covering the ground and a six-second Vine video of the actual explosion was circulated, deepening people’s sense of what had happened. Around 4:30 p.m., there were more than 700,000 mentions on Twitter of the “Boston Marathon.” (Stern, 2013)
Even though television was the most widely-used source of information about the bombing and its aftermath, it was social media that shaped the story and the response. While 80% of Americans followed the story on TV according to the Pew Research Center, about half (49%) say they kept up with news and information online or on a mobile device and a quarter of Americans got information about the explosions and the hunt for the bombers on social networking sites such as Facebook and Twitter.
Young Americans in particular kept up-to-date through social media. Slightly more than half (56%) of an 18-to-29 year subgroup polled by Pew got bombing-related news through social networking sites. (Pew Research Center, 2013).
The Boston bombings and the manhunt that followed became the backdrop for the world to witness the transformation – for good and for bad — in news gathering and distribution, and in disaster management and crises communications caused by social media platforms and technology. The Boston Marathon bombings were a watershed, a moment that marked forever the changed role of social media and the fully participatory public in breaking news events and coverage. The
New York Times
wrote:
It is America’s first fully interactive national tragedy of the social media age.” (Kakutani, 2013)
From marathon runners giving their accounts on Facebook, to law enforcement officials using Twitter to give real-time updates and asking for help identifying and capturing the suspects, to th.
Social media and adolescence, is it good bad When looking at the c.docx
Social media and adolescence, is it good? bad? When looking at the current adolescent generation, social media has become an important influencer. How many likes to I have? How many friends do I have? Am I pretty? etc. are common questions that are asked internally. In this chapter, we were introduced to new thinking patterns and concepts related to this developmental stage, such as personal fable, invincibility fable, egocentrism, etc.
For this assignment, address the following,
How does the influence of social media impact concepts like personal fable, invincibility fable, egocentrism, etc.?
What are the benefits to social media? (think about technology as a whole as well)
How can social media and/or technology hinder development during this stage?
.
Social Media - Public Information OfficerOne of the challeng.docx
Social Media - Public Information Officer
One of the challenges facing the Public Information Officer (PIO) is social media. Social media is both a friend and foe of emergency agencies.
1. What is the role and responsibilities of the PIO?
2. And what do Twitter, Facebook, and other social media sites mean these days to the PIO?
3. Using the internet or professional journals,
find two articles and post the links to the two articles
. One of these should show how
an emergency agency uses social media in a positive manner, such as to inform and involve the local community being served.
4. The other link should show
how social media was used in an unprofessional manner and made the agency involved look bad in the eyes of the public.
5. Give a one paragraph summary of each link.
400-450 words excluding reference, APA style format and a minimum of 3 references.
.
Social marketing applies commercial marketing strategies to promot.docx
The document discusses social marketing strategies for promoting measles, mumps, and rubella (MMR) vaccination among young children in developing countries. It covers key concepts in social marketing like consumer orientation, audience segmentation, communication channels, and process tracking. A social marketing model is presented involving 6 steps: planning strategies, selecting communication channels, generating and pretesting materials, implementation, assessment, and feedback. The overall approach aims to address misgivings about the MMR vaccine and encourage its administration through education and awareness campaigns.
Social Justice Research, Vol. 17, No. 3, September 2004 ( C© 2.docx
Social Justice Research, Vol. 17, No. 3, September 2004 ( C© 2004)
Restorative Sentencing: Exploring the Views
of the Public
Julian V. Roberts1,3 and Loretta J. Stalans2
Within the past decade, restorative justice has emerged as a truly global phe-
nomenon. Although retributive justice has dominated the penal landscape, more
recently, restorative principles at sentencing have attracted increased attention.
Restorative sentencing emphasizes the importance of compensation and recon-
ciliation between victims and offenders and pays less attention to establishing
proportionality between the seriousness of the offense and the severity of the sen-
tence imposed. Although voluminous (and proliferating), the scholarly literature
on restorative justice has to date neglected one critical issue: public opinion with
respect to this justice paradigm. Public opinion researchers too, have generally
overlooked this topic. The goal of this paper is to determine which elements
of the new paradigm generate public approval, and which features are likely
to encounter or provoke public opposition, drawing upon related international
research published in English over the past 20 years (1982–2002). The review
reveals widespread support for “restorative” sentencing options, such as commu-
nity service, compensation, and restitution, particularly when applied to young
offenders. However, it also seems clear that public support for these alternatives
to punitive sentencing options declines as the seriousness of the offence increases,
suggesting strong public adherence to the retributive principle of proportionality
in sentencing.
KEY WORDS: restorative justice; public opinion.
Within the past decade, restorative justice has emerged as a truly global
phenomenon. Restorative programs and policies have been created in most indus-
trialized and many developing nations. Restorative initiatives exist at all stages of
1Department of Criminology, University of Ottawa, Canada.
2Department of Criminal Justice, Loyola University, Chicago.
3All correspondence should be addressed to Julian V. Roberts, Department of Criminology, University
of Ottawa, Canada; e-mail: [email protected]
315
0885-7466/04/0900-0315/0 C© 2004 Plenum Publishing Corporation
316 Roberts and Stalans
the criminal process, from policing to prisons and community-based corrections
(e.g., Braithwaite, 1999; Walgrave, 2002). Defining terms such as “restorative
justice” or “restorative sentencing” is not easy, as the initiatives encompassed by
these terms vary widely across jurisdictions. Nevertheless, some defining char-
acteristics are clear. In contrast to retributive justice, restorative justice stresses
reconciliation between the offender, the victim, and the community to which both
belong. At the stage of sentencing, restorative justice emphasizes the importance
of responding to the needs of victims and encourages the offender to accept re-
sponsibility and express remorse. Restorative sentencing pr.
Social Justice and Family Policy Dr. Williams Instructi.docx
Social Justice and Family Policy
Dr. Williams
Instructions for the Critical Essay
Utilizing seven to ten outside scholarly sources students are to write critical essays (5-7 pages not
including title and reference pages) documenting an essential issue with regard to the course’s influence
on a policy. Students may also include official and organizational research reports as part of their
allotted references too1. These essays are positional in nature (you’re arguing a stance using scholarly
evidence), and will be written in an academic and scholarly tone. Arguments must be cogent, logical,
and supported by facts (which will come from one’s research). APA citation and reference lists are
required. These essays will be well proof-read before submission. Font: Times New Roman, 12. The
essay should be double-spaced and numbered. Below are instructions regarding the format:
1. The assignment requires a traditional APA title page. Students may assign the essay its own
title, be creative. Again, the title page and references are not counted in the page requirement.
2. The structure of the paper should be sectioned like such:
a. Introduction
b. The Policy (here you will provide an explanation/background of your chosen policy)
c. Corresponding Issue #1
d. Corresponding Issue #2
e. Suggested Policy Change
f. Conclusion
g. References
3. The Introduction should provide a thorough roadmap of where you intend to take the reader;
thus, here you want to establish a clear but brief outline of your policy of choice and the issues
you plan to uncover—leave the rest for folks to see in the essay. This should be no more than a
good thick paragraph.
4. The proceeding pages should be well structured by sections/headings which will correspond to
remaining four points mentioned after the introduction. For example, for a policy one may
choose sentencing, and then his/her two issues may be mass incarceration and reentry (you’d
use those titles as the headings for your sections in the essay, or you can be more creative and
call them something else, but the sections need to be distinct from each other). The
information contained in each respective section will include a meshing together of your
scholarly sources and your understanding of your chosen policy. This part of the essay will
become more refined as one continue to engage in research. Remember, all points/arguments
explained in these pages must be cited and backed by evidence. Your writing should be both
informative and persuasive, which means you should be explaining to your reader the gist of the
1. These are the sources that will give one the statistics he/she would need to describe the scope of the
problem/issue which will be covered in the essay. It is important that the essay has some stats in it to substantiate
all arguments. For instance, for crime stats see .
SOCIAL JUSTICE AND SOCIOLOGYAGENDAS FOR THETWENTY-FIR.docx
SOCIAL JUSTICE AND SOCIOLOGY:
AGENDAS FOR THE
TWENTY-FIRST CENTURY
JOE R, FEAGIN
University of Florida
The world's peoples face daunting challenges in the
twenty-first century. While apologists herald the globaliza-
tion of capitalism, many people on our planet experience
recurring economic exploitation, immiseration, and envi-
ronmental crises linked to capitalism's spread. Across the
globe social movements continue to raise the issues of
social justice and democracy. Given the new century's
serious challenges, sociologists need to rediscover their
roots in a sociology committed to social justice, to cultivate and extend the long-
standing "countersystem" approach to research, to encourage greater self-reflection
in sociological analysis, and to re-emphasize the importance ofthe teaching of soci-
ology. Finally, more sociologists should examine the big social questions of this
century, including the issues of economic exploitation, social oppression, and the
looming environmental crises. And, clearly, more sociologists should engage in the
study of alternative social futures, including those of more just and egalitarian soci-
eties. Sociologists need to think deeply and imaginatively about sustainable social
futures and to aid in building better human societies.
WE STAND today at the beginning ofa challenging new century. Like
ASA Presidents before me, I am conscious
of the honor and the responsibility that this
address carries with it, and I feel a special
obligation to speak about the role of sociol-
ogy and sociologists in the twenty-first cen-
tury. As we look forward, let me quote W. E.
B. Du Bois, a pathbreaking U.S. sociologist.
In his last autobiographical statement, Du
Bois (1968) wrote:
Direct correspondence to Joe R. Feagin, De-
partment of Sociology, Box 117330, University
of Florida, Gainesville, FL 32611, (feagin®
ufl.edu). I would like to thank the numerous col-
leagues who made helpful comments on various
drafts of this presidential address. Among these
were Hernan Vera, Sidney Willhelm, Bernice
McNair Barnett, Gideon Sjoherg, Anne Rawls,
Mary Jo Deegan, Michael R. Hill, Patricia
Lengermann, Jill Niebrugge-Brantley, Tony
Orum, William A. Smith, Ben Agger, Karen
Pyke, and Leslie Houts.
[TJoday the contradictions of American civi-
lization are tremendous. Freedom of politi-
cal discussion is difficult; elections are not
free and fair. . . . The greatest power in the
land is not thought or ethics, but wealth. . . .
Present profit is valued higher than future
need. . . . I know the United States. It is my
country and the land of my fathers. It is still
a land of magnificent possibilities. It is still
the home of noble souls and generous
people. But it is selling its birthright. It is
betraying its mighty destiny. (Pp. 418-19)
Today the social contradictions of Ameri-
can and global civilizations are still im-
mense. Many prominent voices tell us that it
is the best of times; other voices insist that it
is the worst of t.
Social Justice Analysis of a Current Issue The effects of the O.docx
Social Justice Analysis of a Current Issue: The effects of the Opioid Epidemic in urban communities
the most recent edition of the APA manual).
In 3-4 pages, title and references apply course frameworks to a contentious current social welfare policy issue
.
SOCIAL ISSUES DISCUSSION You are required to identify any curr.docx
SOCIAL ISSUES DISCUSSION
You are required to identify any current social issue and discuss its impact on children, families, schools, and communities. You should include a discussion of public policies related to this issue. If no public policies exist, suggest a couple that you think are needed. Also specify the potential influence of this topic on the child’s development and identity formation.
Keep in mind that social issues are dynamic: they arise, change, gain or lose priority as the tone of the times changes. The issues you choose need to be current. They can be local (specific to a community such as loss of a library or gang problems), or national (i.e. childhood obesity, lack of art, enrichment, physical education, etc. in public school curriculum, separation of church and state issues). You may choose any topic that interests you if it is current, and you are able to respond to each of the prompts listed below in the instructions.
What you will turn in:
A 5-6-page minimum (no maximum and this does not include the cover page nor the reference page) summary of the topic explaining:
What the topic is as well as the incidence of the topic,
why it is a noteworthy social issue,
how it impacts children, families, and communities.
Explain how children’s development may be affected by this issue; include all affected developmental domains.
Are there any current policies that address this issue? Explain and suggest others.
What are some possible solutions to address this issue? (your educated opinion of 2+ solutions and why)
Please format this in APA style and include a reference page with any sources you used to gather your information. You must cite at least four sources, plus your textbook (5 total). You must include page numbers for each citation. Your sources do not need to be empirical research studies, although they may be if you choose.
Chapter 4: Data and Databases from Information Systems for Business and Beyond is available under a
Creative Commons Attribution 3.0 Unported license. © 2014, David T. Bourgeois. The content is made
possible by funding from The Saylor Foundation's Open Textbook Challenge.
http://www.saylor.org/site/textbooks/Information%20Systems%20for%20Business%20and%20Beyond.pdf
http://creativecommons.org/licenses/by/3.0/legalcode
Chapter 4: Data and Databases
David T. Bourgeois
Learning Objectives
Upon successful completion of this chapter, you will be able to:
• describe the differences between data, information, and knowledge;
• define the term database and identify the steps to creating one;
• describe the role of a database management system;
• describe the characteristics of a data warehouse; and
• define data mining and describe its role in an organization.
Introduction
You have already been introduced to the first two components of information systems: hardware and
software. However, those two components by themselves do not make a computer useful. Imagine if you
turned o.
Social issue - BullyingIdentify and summarize the contemporary s.docx
Social issue - Bullying
Identify and summarize the contemporary social issue you selected (Bullying), citing resources to strengthen your summary. Explain what is happening in the issue, and provide a brief history of how the issue began.
**See the attached file for additional questions and instructions on how to answer the questions using PowerPoint **
.
Social InterestA key component of Adlers theory is what he call.docx
Social Interest
A key component of Adler's theory is what he calls "social interest." He maintains that social interest is an important criterion for a healthy personality. Adler also talks about inferiority and compensation in his theory of personality.
On the basis of your understanding on "social interest," discuss the following:
Write about a public figure from popular culture, such as politics, movies, or television.
Explain how social interest is or was a factor in his or her personality development.
Explain how factors such as inferiority and compensation are displayed in your subject's personality.
Support your responses with examples. Cite any sources in APA format.
.
Social Interaction AssignmentPurpose To research a social.docx
Social Interaction Assignment
Purpose:
To research a social setting and observe social interaction.
Instructions:
Visit an area where you can discretely observe social interaction (i.e., a cafeteria, a restaurant, the mall, a social event, etc.) and complete the summary and analysis below. Before conducting your observation, review the following concepts from your text:
Review the symbolic interaction approach (pages 20-22)
Chapter 5: Socialization
Chapter 6: Social Interaction in Everyday Life
The Activity:
Spend some time (minimum of 15 minutes) quietly observing what is going on and briefly summarize what different persons in the setting were doing.
Summary and Analysis:
Once you have completed your observation and made notes, analyze the patterns of social interaction that you observed and respond to the following:
1) Describe the context for your observation. This includes the location, setting, type of people observed, time of day, day of week length of observation, etc. You may also include any other details you deem relevant.
2) What examples of socialization did you notice? This may include the process of socialization in progress (i.e. a parent encouraging their child to use good table manners) or evidence of the effects of socialization (i.e. waiting politely in a long line).
3) Give at least three examples of each of the following that you observed during your interaction: ascribed status, achieved status, and roles.
4) Describe at least five examples of social exchange that you noticed and discuss the potential impact (helpful, disruptive, etc.) on the individuals involved.
5) What examples of “gendered” interaction did you notice regarding the ways in which women and men are socialized regarding demeanor, uses of space, starting, touching, smiling, and language. Explain whether or not this was consistent with what you learned in chapter 6 (pages 165-166 and 170).
Mechanics:
Assignments must be a minimum of one page, single spaced, typed, standard 8.5x11 page, 1” margins, Times New Roman or Arial 10-12 point font, and include your name/course/assignment title/date.
.
Social Institutions are a part of our everyday life. What is a socia.docx
Social Institutions are a part of our everyday life. What is a social institution? How do social institutions effect your life? Write a one-page paper about the micro and macro implications of social institutions that you have read about in this module. What theoretical implications can you uncover? Why do you think it is important to study social institutions?
.
Social Institutions Paper#2 topic is one of those below .docx
Social Institutions
Paper#2 topic is one of those below
1. Economy (Topic: Feminization of Poverty)
2. Education (Topics: Inequality (individual and /or structural) or School Violence)
3. The Elderly (Topics: Ageism/Discrimination or Elder Abuse)
.
Social InjusticeInstructionsPlease complete the following s.docx
This document provides instructions for a discussion post on social injustice and pop culture. Students are asked to consider how pop culture has promoted social justice by giving specific examples. They are also asked to share a unique example of how pop culture has influenced public opinion to promote equality, justice, acceptance or tolerance. Finally, students are asked whether people with a large pop culture following have an ethical responsibility to promote positive messages, and they must validate their opinions with citations.
Social injustice in educationincluded in my PowerPoint was 1.docx
Social injustice in education
included in my PowerPoint was
1. How education affect children poverty
2. how immigrants struggle in education and their mental health
3. LGBTQ how they struggle in education and their mental health
4. The discipline in school like certain rules that are in placed that affect them
needs to be 6 pages and I need at least four references
.
Social Injustice, Jack Johnson, pro boxer how did racism influen.docx
Social Injustice,
Jack Johnson, pro boxer how did racism influence his professional life.
Muhammad Ali, how did his refusal to go into the army affect his professional career.
Tommy Smith, what happened to him after coming home from the Olympics at the raising his fist.
LeBron James, what has been his influence in today’s society when it pertains to social injustices.
.
Social influence is not always negative. In some instances, it may.docx
Social influence is not always negative. In some instances, it may be used to promote beneficial behaviors. Are the decisions made by individuals in response to positive social influences more valid than those made in response to negative social influences? Why or why not? [Provide 2 references and 2 intext citations]
.
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SOAP NOTE SAMPLE FORMAT FOR MRCName LPDate.docx
- 1. SOAP NOTE SAMPLE FORMAT FOR MRC Name: LP Date: Time: 1315 Age: 30 Sex: F SUBJECTIVE CC:
- 2. “I am having vaginal itching and pain in my lower abdomen.” HPI: Pt is a 30y/o AA female, who is a new patient that has recently moved to Miami. She seeks treatment today after unsuccessful self-treatment of vaginal itching, burning upon urination, and lower abdominal pain. She is concerned for the presence of a vaginal or bladder infection, or an STD. Pt denies fever. She reports the itching and burning with urination has been present for 3 weeks, and the abdominal pain has been intermittent since months ago. Pt has tried OTC products for the itching, including Monistat and Vagisil. She denies any other urinary symptoms, including urgency or frequency. She describes the abdominal pain as either sharp or dull. The pain level goes as high as 8 out of 10 at times. 200mg of PO Advil PRN reduces the pain to a 7/10. Pt denies any aggravating factors for the pain. Pt reports that she did start her menstrual cycle this morning, but denies any other discharge other that light bleeding beginning today. Pt denies douching or the use of any vaginal irritants. She reports that she is in a stable sexual relationship, and denies any new sexual partners in the last 90 days. She denies any recent or historic known exposure to STDs. She reports the use of condoms with every coital experience, as well as this being her only form of contraceptive. She reports normal monthly menstrual cycles that last 3-4 days. She reports dysmenorrhea, which she also takes Advil for. She reports her last PAP smear was in 7/2016, was normal, and reports never having an abnormal PAP smear result. Pt denies any hx of pregnancies. Other medical hx includes GERD. She reports that she has an Rx for Protonix, but she does not take it every day. Her family hx includes the presence of DM and HTN.
- 3. Current Medications: Protonix 40mg PO Daily for GERD MTV OTC PO Daily Advil 200mg OTC PO PRN for pain PMHx: Allergies: NKA & NKDA Medication Intolerances: Denies Chronic Illnesses/Major traumas GERD Hospitalizations/Surgeries Denies Family History Father- DM & HTN; Mother- HTN; Older sister- DM & HTN;
- 4. Maternal and paternal grandparents without known medical issues; 1 brother and 3 other sisters without known medical issues; No children. Social History Lives alone. Currently in a stable sexual relationship with one man. Works for DEFACS. Reports occasional alcohol use, but denies tobacco or illicit drug use. ROS General Denies weight change, fatigue, fever, night sweats Cardiovascular Denies chest pain and edema. Reports rare palpitations that are relieved by drinking water Skin Denies any wounds, rashes, bruising, bleeding or skin discolorations, any changes in lesions
- 5. Respiratory Denies cough. Reports dyspnea that accompanies the rare palpitations and is also relieved by drinking water Eyes Denies corrective lenses, blurring, visual changes of any kind Gastrointestinal Abdominal pain (see HPI) and Hx of GERD. Denies N/V/D, constipation, appetite changes Ears Denies Ear pain, hearing loss, ringing in ears Genitourinary/Gynecological Reports burning with urination, but denies frequency or urgency. Contraceptive and STD prevention includes condoms with every coital event. Current stable sexual relationship with one man. Denies known historic or recent STD exposure. Last PAP was 7/2016 and normal. Regular monthly menstrual cycle lasting 3-4 days. Nose/Mouth/Throat
- 6. Denies sinus problems, dysphagia, nose bleeds or discharge Musculoskeletal Denies back pain, joint swelling, stiffness or pain Breast Denies SBE Neurological Denies syncope, seizures, paralysis, weakness Heme/Lymph/Endo Denies bruising, night sweats, swollen glands Psychiatric Denies depression, anxiety, sleeping difficulties OBJECTIVE
- 7. Weight 140lb Temp -97.7 BP 123/82 Height 5’4” Pulse 74 Respiration 18 General Appearance Healthy appearing adult female in no acute distress. Alert and oriented; answers questions appropriately. Skin Skin is normal color for ethnicity, warm, dry, clean and intact.
- 8. No rashes or lesions noted. HEENT Head is norm cephalic, hair evenly distributed. Neck: Supple. Full ROM. Teeth are in good repair. Cardiovascular S1, S2 with regular rate and rhythm. No extra heart sounds. Respiratory Symmetric chest walls. Respirations regular and easy; lungs clear to auscultation bilaterally. Gastrointestinal Abdomen flat; BS active in all 4 quadrants. Abdomen soft, suprapubic tender. No hepatosplenomegaly. Genitourinary Suprapubic tenderness noted. Skin color normal for ethnicity. Irritation noted at labia majora, minora, and perineum. No ulcerated lesions noted. Lymph nodes not palpable. Vagina
- 9. pink and moist without lesions. Discharge minimal, thick, dark red, no odor. Cervix pink without lesions. No CMT. Uterus normal size, shape, and consistency. Musculoskeletal Full ROM seen in all 4 extremities as patient moved about the exam room. Neurological Speech clear. Good tone. Posture erect. Balance stable; gait normal. Psychiatric Alert and oriented. Dressed in clean clothes. Maintains eye contact. Answers questions appropriately. Lab Tests Urinalysis – blood noted (pt. on menstrual period), but results negative for infection Urine culture testing unavailable Wet prep - inconclusive
- 10. STD testing pending for gonorrhea, chlamydia, syphilis, HIV, HSV 1 & 2, Hep B & C Special Tests- No ordered at this time. Diagnosis Differential Diagnoses 1-Bacterial Vaginosis (N76.0) 2- Malignant neoplasm of female genital organ, unspecified. (C57.9) 3-Gonococcal infection, unspecified. (A54.9) Diagnosis o Urinary tract infection, site not specified. (N39.0) Candidiasis of vulva and vagina. (B37.3) secondary to presenting symptoms (Colgan & Williams, 2011) & (Hainer & Gibson, 2011). Plan/Therapeutics
- 11. Plan : Medication – § Terconazole cream 1 vaginal application QHS for 7 days for Vulvovaginal Candidiasis; § Sulfamethoxazole/TMP DS 1 tablet PO twice daily for 3 days for UTI (Woo & Wynne, 2012) Education – § Medications prescribed. § UTI and Candidiasis symptoms, causes, risks, treatment, prevention. Reasons to seek emergent care, including N/V, fever, or back pain. § STD risks and preventions. § Ulcer prevention, including taking Protonix as prescribed, not exceeding the recommended dose limit of NSAIDs, and not taking NSAIDs on an empty stomach.
- 12. Follow-up – § Pt will be contacted with results of STD studies. § Return to clinic when finished the period for perform pap- smear or if symptoms do not resolve with prescribed TX.