palpation of the abdomen would examine for tenderness resistance and

Palpation of the abdomen would examine for tenderness

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palpation of the abdomen would examine for tenderness, resistance, and superficial masses. The provider would begin with a light palpation using the palmar surface of one hand, and then moving on to a deep palpation of using the palmar surface but with both hands on top of each other (Bickley, 2016, p. 473).
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Discussion Question 3 Based on your performance on the PHYSICAL EXAM collection, describe one key finding that you included in your list and describe a specific physical exam that you can perform at the point-of-care to further evaluate the finding. Use specific references from your text. Mrs. Payne is a 45-year-old woman that presents for a wellness checkup and questions on a pap smear and mammogram. On my physical exam of this patient, I reported neurologic system of review as cranial nerves are intact, normal strength and sensation, and normal gait. A specific physical exam that I could perform to evaluate these findings are visual fields exam, pupillary light reflex, eye movement, hearing, and facial strength test. For Mrs. Payne’s motor strength, I could examine her strength through shoulder abduction, elbow extension, hip flexion, and ankle dorsiflexion. Her gait could be tested by having her perform a casual heel walk and toe walk in the examination room. Deep tendon reflexes could have tested on the biceps, Achilles, and patellar. The test the cranial nerves, there are various simple tests that can be conducted to check all twelve of the cranial nerves (Bickley, 2016, p. 735). Discussion Question 4 Based on your performance and the expert feedback in your ASSESSMENT identification of problem categories, choose one missed/incorrect category and use specific references from your text to explain the importance of this category in arriving at correct differential diagnoses for this client. For the assessment of Mrs. Payne and the question on the risk factors for osteoporosis, I did check the box for a BMI >30 as a risk factor. This was marked as incorrect, because all risk factors for osteoporosis lean toward a woman with low estrogen levels. According to Aquifer, an obese woman with a BMI of 30 or above, is associated with a high estrogen level and can essentially be a protective agent against osteoporosis (Mushkbar & Tafelski, 2018). Mrs. Payne has three potential risk factors that we are aware of, and those being cigarette smoking, white race, and sedentary lifestyle. Because Mrs. Payne is overweight, a plan of care for weight loss would be ideal. Non-bearing exercises, such as walking or swimming, would be a great suggestion. I would also suggest an increase in calcium supplements and dairy to prevent fractures related to osteoporosis (Mushkbar & Tafelski, 2018).
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  • Fall '16
  • Physical examination, Medical diagnosis, Smoking cessation

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