Differential Diagnosis
Positive Data
Negative Data
Recurrent kidney infection
Lower back pain, fever; pain localized to right lumbar and right CVA area; pain intensity 3-7 on Visual Analog Pain Scale (with 10 on VAS for natural childbirth)
No family history of renal disease; sister with history of kidney stones
day course of Cipro; symptoms returned in second week
Pain from back does not radiate to bladder or pubic area
Consuming cranberry juice and 4-6 glasses of water per day
Denies hematuria
Experiencing mild dysuria ("slightly stinging")
No edema; no lesions of genitalia
Drinking coffee, but not cola or tea
Denies frequency of urination; no history of recurrent UTTs or kidney infections
Mild dysuria; WBC 6-8 per high powered field
Renal calculi
Diagnostic...
Urinary Trait Infection A mother brings her 4-year-old daughter concerned about a possible urinary tract infection. She reports her child has had three prior episodes of urinary tract infection in the last 15 months. The mother states that she had problems when she was a child. Urinary tract infections are generally common among children and can pose severe bacterial infection during childhood (Kaufman, Temple-Smith & Sanci, 2019). Therefore, early diagnosis and
OPIC: Urinary Tract Infection in Pregnancy Subjective State the patient's chief complaint, reason for visit and/or the problem for which you are providing follow-up. The client is a married, 28-year-old Asian woman who is 37 weeks pregnant. This is her second pregnancy and her first child is alive and living at home with both parents and she has no history of miscarriage. The client's chief complaint concerns her increasing problems with urination. All symptoms
Initial tests may be culdocentesis, hematocrit, a pregnancy test, a qualitative HCG blood test, a transvaginal ultrasound or pregnancy ultrasound and a white blood count test. An ectopic pregnancy can be distinguished from a normal intrauterine pregnancy through a rise in quantitative HCG levels. Declining B-hCG levels is indicative of an ectopic pregnancy (Kulp & Barnhart 2008). AD & C, laparoscopy and laparotomy tests will confirm the diagnosis (Chen). An
A newer and easy test is the OSOM BVBlue, which mixes a swabbed specimen from the vagina with a reagent. The test yields sialidase activity or presence in the vaginal fluid in 10 minutes. Sialidase is produced by BV pathogens (Mashburn). pH Level The most reliable criterion for detecting BV is a pH>4.5 (Mashburn, 2007). A normal pH should, therefore, rule out BV. A pH >4.5 can also indicate trichomoniasis or
Disorders in Older People Alzheimer's and Eating Disorders and how they affect Older Adults Alzheimer's and Eating Disorders and how they affect Older Adults Disorders in Older People Alzheimer's-Type Dementia Eating Disorders Disorders in Older People In considering the general health of the population, the larger elderly population does not necessarily imply that most of them live or are ill from severe disabilities. Age related disorders would occur to different people early or late in their lives.
Managing Genital Herpes in a Pregnant PatientStudent NameProgram Name or Degree Name (e.g., Bachelor of Science in Psychology), Walden UniversityCOURSE XXX: Title of CourseInstructor NameMonth XX, 202XAbstractThis comprehensive well-woman/obstetric paper discusses the case of a 26-year-old Caucasian pregnant female at 33 weeks gestation diagnosed with genital herpes (HSV type 2). The report analyzes the patient's background, medical history, physical exam, laboratory results, diagnosis, treatment, and management plan. Additionally, it reflects
Our semester plans gives you unlimited, unrestricted access to our entire library of resources —writing tools, guides, example essays, tutorials, class notes, and more.
Get Started Now