1. Discussion: Assessing the Genitalia and Rectum
Discussion: Assessing the Genitalia and RectumDiscussion: Assessing the Genitalia and
RectumPatients are frequently uncomfortable discussing with health care professionals
issues that involve the genitalia and rectum; however, gathering an adequate history and
properly conducting a physical exam are vital. Examining case studies of genital and rectal
abnormalities can help prepare advanced practice nurses to accurately assess patients with
problems in these areas.In this Discussion, you will consider case studies that describe
abnormal findings in patients seen in a clinical setting.Note: By Day 1 of this week, your
Instructor will have assigned you to one of the following specific case studies for this
Discussion. Also, your Discussion post should be in the SOAP Note format, rather than the
traditional narrative style Discussion posting format. Refer to Chapter 2 of the Sullivan text
and the Comprehensive SOAP Template in the Week 4 Learning Resources for guidance.
Remember that not all comprehensive SOAP data are included in every patient case.ORDER
COMPREHENSIVE SOLUTION PAPERS ON Discussion: Assessing the Genitalia and
RectumCase 1: Rectal BleedingA 62-year-old male construction worker reports to your
clinic after experiencing rectal bleeding for over 1 month. He has noticed small amounts of
blood after every bowel movement. He had a colonoscopy 2 years ago with normal results.
The patient has no fever, chills, dysuria, abnormal urinary frequency, or abdominal pain.
The patient reports occasional rectal itching and pain. He states he has no noticeable sores
on his rectal area and no family history of colorectal cancer.Case 2: DysuriaA 55-year-old
African-American male reports to your clinic complaining of frequent and painful urination
for the past 2 months. The patient is sexually active and has been in a monogamous
relationship for the past 3 years. He reports no penile discharge, fever, chills, abdominal
pain, or back pain. His father is deceased and passed away of colon cancer. His father had a
history of benign prostatic hypertrophy (BPH). The patient considers himself as a healthy
male. He works for a large American corporation, has a relatively healthy diet, and exercises
4 to 5 times per week.Case 3: GenitaliaA 21-year-old college student reports to your clinic
with external bumps on her genital area. The bumps are painless and feel rough. The patient
is sexually active and has had more than one partner over the past year. Her initial sexual
contact occurred at age 18. The patient reports no abnormal vaginal discharge. She is
unsure how long the bumps have been there but noticed them about a week ago. Her last
Pap smear exam was 3 years ago, and no dysplasia was found; the exam results were
normal. She had one sexually transmitted infection (chlamydia) about 2 years ago. She
completed the treatment for chlamydia as prescribed.To prepare:With regard to the case
2. study you were assigned:Review this week’s Learning Resources, and consider the insights
they provide about the case study.Consider what history would be necessary to collect from
the patient in the case study you were assigned.Consider what physical exams and
diagnostic tests would be appropriate to gather more information about the patient’s
condition. How would the results be used to make a diagnosis?Identify at least five possible
conditions that may be considered in a differential diagnosis for the patient.Note: Before
you submit your initial post, replace the subject line (“Week 10 Discussion”) with “Review
of Case Study ___.” Fill in the blank with the number of the case study you were assigned.By
Day 3Post a description of the health history you would need to collect from the patient in
the case study to which you were assigned. Explain what physical exams and diagnostic
tests would be appropriate and how the results would be used to make a diagnosis. List five
different possible conditions for the patient’s differential diagnosis, and justify why you
selected each.Read a selection of your colleagues’ responses.By Day 6Respond to at least
two of your colleagues on two different days who were assigned different case studies than
you. 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.
