NURS 6512 WEEK 10, ASSESSING GENTALIA PAPER.docx - Assessing the Genitalia and Rectum 1 Assessing the Genitalia and Rectum Adv Health Assessment


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Assessing the Genitalia and Rectum1Assessing the Genitalia and RectumAdv. Health Assessment & Diagnostic ReasoningNURS 6512January 31,2019IntroductionProviders are faced with unique challenges when providing care to variouspopulations. The most challenging task is assessing and evaluating the gentailia of males andfemales when presented with vague symptoms and complaints (Workowski,& Bolan.2015) .In this evaluation of the SOAP documentation, this paper will appraise subjective andobjective data, presented by the client. I will provide differential diagnosis, with evidence-based literature to support each diagnosis. As nursing providers, ordering tests andprocedures, to support the most relevant diagnosis is the key to proper therapeutic treatment(Workowski,& Bolan.2015) . As medical professionals, we are held accountable for properdiagnosing and treatment of symptoms, associated with infections and diseases. Lastly,distinguishing three conceivable diagnosis based on presentation and chief complaints is myprimary goal (Workowski,& Bolan.2015) .Analysis subjective Data
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Assessing the Genitalia and Rectum2Investigating the subjective information, in regard to presenting symptomology, withthis client, it is based on the Chief Complaint (CC): "I have bumps on my bottom that I needto have looked at." The history of present illness (HPI) a 21-year-old white female,undergraduate student reports to the facility with outer bumps on her genital area. Sheexpresses the bumps are not painful and feel rough, noted one week ago. The client pastmedical history (PMH) reveals a sexually transmitted disease (chlamydia) two years prior, aswell as Asthma. The client denies unusual vaginal discharge or odour. Last PAP smear was 3years ago, unremarkable, with no cervical dysplasia noted. The client received treatment forchlamydia successfully(Wangnapi, et al. 2015). The client has no familial history of breast or cervical cancer on either maternal orpaternal side. Both father and mother report Hypertension; mother, have GERD as well.Medication reconciliation, Symbicort 160.4.5mcg, no birth control or devices at this time.
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  • Fall '16
  • Human sexual behavior, Oral sex, chlamydia, Human papillomavirus

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