Explain which physical exams and diagnostic tests would be appropriate and how the results would be used to make a diagnosis.
Assessing the Abdomen
A woman went to the emergency room for severe abdominal cramping. She was diagnosed with diverticulitis; however, as a precaution, the doctor ordered a CAT scan. The CAT scan revealed a growth on the pancreas, which turned out to be pancreatic cancer—the real cause of the cramping.
Because of a high potential for misdiagnosis, determining the precise cause of abdominal pain can be time-consuming and challenging. By analyzing case studies of abnormal abdominal findings, nurses can prepare themselves to better diagnose conditions in the abdomen.
In this Discussion, you will consider case studies that describe abnormal findings in patients seen in a clinical setting. You will consider what history should be collected from the patients, as well as which physical exams and diagnostic tests should be conducted. You will also formulate a differential diagnosis with several possible conditions.
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.
Case 1: Abdominal Pain
A 12-year-old female complains of malaise with abdominal pain pointing to the right lower quadrant. The patient has been vomiting and feeling nauseated for several days. The abdominal pain has been insidious and now is more pronounced. Both parents are with the child and are concerned because she has not been eating and has had a fever for the past 3 evenings.
Case 2: Gastrointestinal Pain
A 50-year-old male complains of burning pain starting at the abdomen and rising to the middle of his chest. He describes the pain as a gnawing feeling that begins after meals, especially when lying down.
Case 3: Nausea and Vomiting
A 20-year-old female complains of nausea and has vomited three times over the past 48 hours. The patient also experienced a low-grade fever this morning. She states that she recently ate shellfish at a new restaurant with two friends who are suffering from similar symptoms.
To prepare:
With regard to the case 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 7 Discussion”) with “Review of Case Study ___.” Fill in the blank with the number of the case study you were assigned.
Post A 1 page paper APA format
1. a description of the health history you would need to collect from the patient in the case study to which you were assigned. (case 2)
2. Explain which physical exams and diagnostic tests would be appropriate and how the results would be used to make a diagnosis.
3. List five different possible conditions for the patient’s differential diagnosis, and justify why you selected each.
Important note (Remember to focus on the appropriate body systems for the clinical scenarios instead of focusing on the whole body system- Usually a complete physical exam is done during an annual wellness visit. This is not a wellness exam .
2. Your diagnosis for the clinical scenario must have a rationale and reasoning as to why
Remember to link the diagnosis to patients symptoms and clinical exam findings along with the rationale)
Course Readings
· Ball, J. W., Dains, J. E., Flynn, J. A., Solomon, B. S., & Stewart, R. W. (2015). Seidel’s guide to physical examination (8th ed.). St. Louis, MO: Elsevier Mosby.
o Chapter 4, “Vital Signs and Pain Assessment” (pp. 50-63)
This chapter describes the experience of pain and its causes. The authors also describe the process of pain assessment.
o Chapter 17, “Abdomen” (pp. 370-415)
In this chapter, the authors summarize the anatomy and physiology of the abdomen. The authors also explain how to conduct an assessment on the abdomen.
· Dains, J. E., Baumann, L. C., & Scheibel, P. (2016). Advanced health assessment and clinical diagnosis in primary care (5th ed.). St. Louis, MO: Elsevier Mosby.
o Chapter 3, “Abdominal Pain” (pp. 11-32)
This chapter outlines how to collect a focused history on abdominal pain. This is followed by what to look for in a physical examination in order to make an accurate diagnosis.
o Chapter 10, “Constipation” (pp. 110-117)
The focus of this chapter is on identifying the causes of constipation through taking a focused history, conducting physical examinations, and performing laboratory tests.
o Chapter 12, “Diarrhea” (pp. 133-147)
In this chapter, the authors focus on diagnosing the cause of diarrhea. The chapter includes questions to ask patients about the condition, things to look for in a physical exam, and suggested laboratory or diagnostic studies to perform.
o Chapter 29, “Rectal Pain, Itching, and Bleeding” (pp. 344-356)
This chapter focuses on how to diagnose rectal bleeding and pain. It includes a table containing possible diagnoses, the accompanying physical signs, and suggested diagnostic studies.
· Sullivan, D. D. (2012). Guide to clinical documentation (2nd ed.). Philadelphia, PA: F. A. Davis.
o Chapter 7, “Admitting a Patient to the Hospital” (pp. 143–188)
Note: Download this Adult Examination Checklist and Abdomen Physical Exam Summary to use during your practice abdominal examination.
· Seidel, H. M., Ball, J. W., Dains, J. E., Flynn, J. A., Solomon, B. S., & Stewart, R. W. (2011). Adult examination checklist: Guide for abdominal assessment. In Mosby’s guide to physical examination(7th ed.). St. Louis, MO: Elsevier Mosby.
This Adult Examination Checklist: Guide for Abdominal Assessment was published as a companion to Seidel’s guide to physical examination (8th ed.), by Ball, J. W., Dains, J. E., & Flynn, J. A. Copyright Elsevier (2015). From https://evolve.elsevier.com/
· Seidel, H. M., Ball, J. W., Dains, J. E., Flynn, J. A., Solomon, B. S., & Stewart, R. W. (2011). Physical exam summary: Abdomen. In Mosby’s guide to physical examination (7th ed.). St. Louis, MO: Elsevier Mosby.
This Abdomen Physical Exam Summary was published as a companion to Seidel’s guide to physical examination (8th ed.), by Ball, J. W., Dains, J. E., & Flynn, J. A. Copyright Elsevier (2015). From https://evolve.elsevier.com/
· Craig, M., & Infante, S. (2011). Abdominal mysteries: Pain, peritonitis, pancreatitis. Nephrology Nursing Journal, 38(2), 173–186.
Retrieved from the Walden Library databases.
This article explains various types of abdominal pain. The authors detail the etiologies, symptoms, and treatment for the abdominal pain described.
· Mills, A. M., & Chen, E. H. (2011). Abdominal pain in special populations. Emergency Medicine Reports, 32(7), 81–91.
Retrieved from the Walden Library databases.
The authors of this article explore the characteristics and diagnoses associated with abdominal pain in patients with special conditions. The article also provides recommendations for emergency department staff when encountering abdominal pain.
· University of Virginia. (n.d.). Introduction to radiology: An online interactive tutorial. Retrieved fromhttp://www.med-ed.virginia.edu/courses/rad/index.html
This website provides an introduction to radiology and imaging. For this week, focus on gastrointestinal radiology.
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write an email message (at least 2-3 paragraphs) to the group focusing on the following:
/in Uncategorized /by JosephSubject: Communications / General Communications
You are asked to work on a new project with a group of co-workers; everyone in the group has already been notified about being assigned to this group and the project. Effective group communication is necessary for this project. You know who these people are, but you have not had much contact with them since they all work in different branches of the company, in different cities. Your supervisor has indicated:
You have the group communication role of initiator.
Most of the work can be done by emailing each other in order to coordinate tasks and provide and seek information.
The group can also use the company’s teleconference phone system for monthly updates when synchronous communication is needed.
Using the first three steps of the communication decision-making tool, DECIDE, write an email message (at least 2-3 paragraphs) to the group focusing on the following:
Initiating group communication so everyone effectively communicates with each other.
Initiate group communication about group communication norms for dealing with group communication roles and for dealing with effective interpersonal communication while using these communication technologies. (Specifically discuss tact, courtesy, and language adaptation that would be acceptable in workplace group communication.
Communication about what the group might need to know about possible advantages of communicating by the channels of email and in a teleconference.
Communication about what the group might need to know about possible disadvantages of communicating by the channels of email and in a teleconference.
Start discussions about possible interference with these two channels of communication and suggest how the group might reduce or eliminate these.
Part II. An Essay Question (50 points)
Write a reflective essay regarding your group communication decision-making utilized in the above email you wrote for the case study task. It is expected that you will integrate key terms and concepts from Lessons 1-5 in your essay answer. The essay answer should be at least three to four paragraphs and should include responses to the following questions:
What are the decisions you made for DECIDE: Step 1. Define goal, Step 2. Evaluate receiver / situation and Step 3. Create message before you wrote the email message to the group in the case study?
In addition to these decisions, what are questions you needed to ask yourself to ensure effective group communication by practicing anticipatory metacommunication, adaptive metacommunication, and reflective metacommunication?
Conclude your essay by explaining how the decisions you made and the metacommunication you practiced helped you write a message that should reduce the possibility of poor group communication among the group members.
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As the Arbitrator in this case, What would you have decided?
/in Uncategorized /by JosephThe labor agreement stipulates that ” changes in the work schedule” must be mutually agreeable who has refused to work 6 hours of overtime as he was requested to do by his supervisor, is given 1-day suspension foe his action. The union supports Gryzmisk all the way to arbitration on the grounds that the relevant overtime constituted a ” changes in the work schedule” that it had not approved. The management argues before the arbitrator that the 6 hours in no way could be considered a change that needed union acceptable since it was for a “limited and specified” duration.
As the Arbitrator in this case, What would you have decided?
Your response should be between 300 words, 12 pt. font, double spaced, 1″ margins.
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Compare and contrast at least two different types of validity (face, content, construct, etc.).
/in Uncategorized /by JosephCompare and contrast at least two different types of validity (face, content, construct, etc.). Give an original example to illustrate your answer. Compare and contrast at least two different methods of estimating reliability (test-retest, parallel forms, etc.). Give an original example to illustrate your answer.Compare and contrast at least two different types of validity (face, content, construct, etc.). Give an original example to illustrate your answer. Compare and contrast at least two different methods of estimating reliability (test-retest, parallel forms, etc.). Give an original example to illustrate your answer.
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Calculate profit-maximizing sales quantities and prices for silver and lead.
/in Uncategorized /by JosephSubject: Economics / Accounting
(Joint Product Pricing) Each ton of ore mined from the ABC Mine produces 1 ounce of silver and 1 pound of lead. Marginal costs are $10 per ton of ore mined. The demand for silver is Ps = 11 — 0.00003Qs and the demand for lead is PL = 0.4 — 0.000005QL where Qs is ounces of silver and QL is pounds of lead. a. Calculate profit-maximizing sales quantities and prices for silver and lead. b. Now assume that wild speculation in the silver market has created a fivefold (or 500%) increase in silver demand. Calculate optimal sales quantities and prices for both silver and lead under these conditions.
(hint: apply the marginal principle to aggregated revenues)
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Explain which physical exams and diagnostic tests would be appropriate and how the results would be used to make a diagnosis.
/in Uncategorized /by JosephExplain which physical exams and diagnostic tests would be appropriate and how the results would be used to make a diagnosis.
Assessing the Abdomen
A woman went to the emergency room for severe abdominal cramping. She was diagnosed with diverticulitis; however, as a precaution, the doctor ordered a CAT scan. The CAT scan revealed a growth on the pancreas, which turned out to be pancreatic cancer—the real cause of the cramping.
Because of a high potential for misdiagnosis, determining the precise cause of abdominal pain can be time-consuming and challenging. By analyzing case studies of abnormal abdominal findings, nurses can prepare themselves to better diagnose conditions in the abdomen.
In this Discussion, you will consider case studies that describe abnormal findings in patients seen in a clinical setting. You will consider what history should be collected from the patients, as well as which physical exams and diagnostic tests should be conducted. You will also formulate a differential diagnosis with several possible conditions.
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.
Case 1: Abdominal Pain
A 12-year-old female complains of malaise with abdominal pain pointing to the right lower quadrant. The patient has been vomiting and feeling nauseated for several days. The abdominal pain has been insidious and now is more pronounced. Both parents are with the child and are concerned because she has not been eating and has had a fever for the past 3 evenings.
Case 2: Gastrointestinal Pain
A 50-year-old male complains of burning pain starting at the abdomen and rising to the middle of his chest. He describes the pain as a gnawing feeling that begins after meals, especially when lying down.
Case 3: Nausea and Vomiting
A 20-year-old female complains of nausea and has vomited three times over the past 48 hours. The patient also experienced a low-grade fever this morning. She states that she recently ate shellfish at a new restaurant with two friends who are suffering from similar symptoms.
To prepare:
With regard to the case 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 7 Discussion”) with “Review of Case Study ___.” Fill in the blank with the number of the case study you were assigned.
Post A 1 page paper APA format
1. a description of the health history you would need to collect from the patient in the case study to which you were assigned. (case 2)
2. Explain which physical exams and diagnostic tests would be appropriate and how the results would be used to make a diagnosis.
3. List five different possible conditions for the patient’s differential diagnosis, and justify why you selected each.
Important note (Remember to focus on the appropriate body systems for the clinical scenarios instead of focusing on the whole body system- Usually a complete physical exam is done during an annual wellness visit. This is not a wellness exam .
2. Your diagnosis for the clinical scenario must have a rationale and reasoning as to why
Remember to link the diagnosis to patients symptoms and clinical exam findings along with the rationale)
Course Readings
· Ball, J. W., Dains, J. E., Flynn, J. A., Solomon, B. S., & Stewart, R. W. (2015). Seidel’s guide to physical examination (8th ed.). St. Louis, MO: Elsevier Mosby.
o Chapter 4, “Vital Signs and Pain Assessment” (pp. 50-63)
This chapter describes the experience of pain and its causes. The authors also describe the process of pain assessment.
o Chapter 17, “Abdomen” (pp. 370-415)
In this chapter, the authors summarize the anatomy and physiology of the abdomen. The authors also explain how to conduct an assessment on the abdomen.
· Dains, J. E., Baumann, L. C., & Scheibel, P. (2016). Advanced health assessment and clinical diagnosis in primary care (5th ed.). St. Louis, MO: Elsevier Mosby.
o Chapter 3, “Abdominal Pain” (pp. 11-32)
This chapter outlines how to collect a focused history on abdominal pain. This is followed by what to look for in a physical examination in order to make an accurate diagnosis.
o Chapter 10, “Constipation” (pp. 110-117)
The focus of this chapter is on identifying the causes of constipation through taking a focused history, conducting physical examinations, and performing laboratory tests.
o Chapter 12, “Diarrhea” (pp. 133-147)
In this chapter, the authors focus on diagnosing the cause of diarrhea. The chapter includes questions to ask patients about the condition, things to look for in a physical exam, and suggested laboratory or diagnostic studies to perform.
o Chapter 29, “Rectal Pain, Itching, and Bleeding” (pp. 344-356)
This chapter focuses on how to diagnose rectal bleeding and pain. It includes a table containing possible diagnoses, the accompanying physical signs, and suggested diagnostic studies.
· Sullivan, D. D. (2012). Guide to clinical documentation (2nd ed.). Philadelphia, PA: F. A. Davis.
o Chapter 7, “Admitting a Patient to the Hospital” (pp. 143–188)
Note: Download this Adult Examination Checklist and Abdomen Physical Exam Summary to use during your practice abdominal examination.
· Seidel, H. M., Ball, J. W., Dains, J. E., Flynn, J. A., Solomon, B. S., & Stewart, R. W. (2011). Adult examination checklist: Guide for abdominal assessment. In Mosby’s guide to physical examination(7th ed.). St. Louis, MO: Elsevier Mosby.
This Adult Examination Checklist: Guide for Abdominal Assessment was published as a companion to Seidel’s guide to physical examination (8th ed.), by Ball, J. W., Dains, J. E., & Flynn, J. A. Copyright Elsevier (2015). From https://evolve.elsevier.com/
· Seidel, H. M., Ball, J. W., Dains, J. E., Flynn, J. A., Solomon, B. S., & Stewart, R. W. (2011). Physical exam summary: Abdomen. In Mosby’s guide to physical examination (7th ed.). St. Louis, MO: Elsevier Mosby.
This Abdomen Physical Exam Summary was published as a companion to Seidel’s guide to physical examination (8th ed.), by Ball, J. W., Dains, J. E., & Flynn, J. A. Copyright Elsevier (2015). From https://evolve.elsevier.com/
· Craig, M., & Infante, S. (2011). Abdominal mysteries: Pain, peritonitis, pancreatitis. Nephrology Nursing Journal, 38(2), 173–186.
Retrieved from the Walden Library databases.
This article explains various types of abdominal pain. The authors detail the etiologies, symptoms, and treatment for the abdominal pain described.
· Mills, A. M., & Chen, E. H. (2011). Abdominal pain in special populations. Emergency Medicine Reports, 32(7), 81–91.
Retrieved from the Walden Library databases.
The authors of this article explore the characteristics and diagnoses associated with abdominal pain in patients with special conditions. The article also provides recommendations for emergency department staff when encountering abdominal pain.
· University of Virginia. (n.d.). Introduction to radiology: An online interactive tutorial. Retrieved fromhttp://www.med-ed.virginia.edu/courses/rad/index.html
This website provides an introduction to radiology and imaging. For this week, focus on gastrointestinal radiology.
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How many phones can be made from the available parts, and when can they be delivered?
/in Uncategorized /by JosephA telephone is assembled from a handset and a base. The handset in turn is assembled from a handle and a cord, and the base is assembled from a case, a circuit board, and a face plate. A BOM and a sketch of the phone, along with the numbers of parts on hand and lead times, are shown as follows. a. Management would like to start assembling phones as soon as possible. How many phones can be made from the available parts, and when can they be delivered? Construct a materials plan to show your answer. b. For the materials plan constructed in part a, develop an inventory projection of parts and finished goods on a week-by-week basis. c. Suppose another 100 circuit boards can be obtained within one week. What effect will this have on your answer for part a?
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Analyze and audit many machines simultaneously over the LAN/WAN at the disk and memory level.
/in Uncategorized /by JosephIn a meeting with the CEO and CTO of an IDS company you have been asked to represent the corporate investigative and incident response team concerning the benefits of using advanced tools, such as IDS/IPS, and forensics tools to be alerted of suspicious network activity and to securely investigate/analyze and audit many machines simultaneously over the LAN/WAN at the disk and memory level. They do not understand the concept of auditing over the network, its security benefit to the organization, and the outcomes. In addition, they would like to you to discuss in the meeting if the use of WinDump, Snort and TCPdump tools will provide the corporate security team with needed insight into the network traffic.
The report should include the following:
A title page
An MS Word document containing the following:
A title page with the names of the participating members
An Introduction (Abstract optional) detailing the major points of the discussion and major points
the benefits to the incident response team concerning the use of IDS/IPS
how typical system auditing is done across corporate networks and its benefits
how the use of WinDump, Snort and TCPdump tools will provide the corporate security team with needed insight into the network traffic
the use of APA in the main body of the paper to support all technical assertions (e.g., Mahaney, 2010)
a reference list in APA format
The report should be a minimum of 58 pages in length (excluding the title page) and neatly formatted. Sources should be properly cited in APA style. All major bullets should be expanded in the speaker notes of the document. References should be placed in APA in the reference list.
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Createa 10- to 15-slide Microsoft PowerPoint presentation of information about the fictional company you created in Week Four.
/in Uncategorized /by JosephFinal Project:Business Portfolio Presentation(02-05-2015) Re
Final Project:Business Portfolio Presentation(02-05-2015) Resource: Appendix A Reviewthe CheckPoints and assignments you completed throughout the course. Createa 10- to 15-slide Microsoft PowerPoint presentation of information about the fictional company you created in Week Four. You can use text, charts, tables, and visuals to detail the different areas of business found within your company. Include information on the following topics: Business organization Potential legal or ethical issues Business culture Types of motivation Human resource management Technology Operations and materials management Includedetailed speaker notes, a title slide, and an APA reference slide. Postyour final presentation as a Microsoft PowerPoint attachment.
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Identify the four main categories of hydrocarbon pollutants and discuss their individual impacts on air quality.
/in Uncategorized /by JosephClosely consider the Unit Lesson within the Study Guide. Identify the four main categories of hydrocarbon pollutants and discuss their individual impacts on air quality. Consider the Unit Lesson within the Study Guide. Summarize the importance of thermal radiation and particle size in air chemistry.
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From the interview, identify two to three key positions in the development of curriculum in your selected school district (where you work or one with which you are familiar).
/in Uncategorized /by JosephFrom the interview, identify two to three key positions in the development of curriculum in your selected school district (where you work or one with which you are familiar). Describe the roles each person has in the design and development of curriculum. Discuss the goals and constraints they have in designing and developing curricula. Discuss the curriculum design approach that is used. Identify strengths and weakness of the design approach. Discuss how the “Common Core” or other mandated curricula impact the school or district
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