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MSN 572 Week 8 Diagnostics Workup Case Study Assignment

MSN 572 Week 8 Diagnostics Workup Case Study AssignmentMSN 572 Week 8 Diagnostics Workup Case Study AssignmentScenario: Cardiovascular: body system54-year-old man with S/S: shortness of breath, chest pain and fever.You can use CHF or Heart failure for shortness of breathIschemic heart disease or myocarditis for chest painEndocarditis for feverDiagnostics Assignment (lab and radiology)Each group will be assigned a body system and the signs/symptoms presenting with that system. From this, each group member of the group will formulate at least one different, primary care differential diagnosis with lab and radiology (as applies) workup and plan for that differential. For the lab and radiology that you include, you will need to provide interpretation, to include what the high/low values are as well as common indications that occur with highs/lows. Your differential and diagnostic workup and treatment must be supported by peer-reviewed, recent references and resources pointing to best practices. There must be a minimum of three references per differential. All of this should be laid out in APA style and presented in a format of your choosing.MSN 572 Week 8 Diagnostics Workup Case Study AssignmentEach member will outline or narrate their work-up for their differential. The workup should include the appropriate lab work or other diagnostics with rationale and interpretation, and a treatment plan (including any medications, education, follow-up plan) with supporting references. The group must submit all workups in one document. If a student drops from the course midterm, the remaining group members must still present a minimum of three differentials for the case.MSN 572 Week 8 Diagnostics Workup Case Study AssignmentORDER A PLAGIARISM-FREE PAPER HERENote: Please see the rubric in the course for weighting of each section. Rubric is on top of thesample that I attached.MSN 572 Case StudyKirsten McBurney Chandarong Shawn Lam Case Study ScenarioScenario: GI is your body system, 42-years-old female with abdominal pain and constipation  Criteria ExceedsExpectationsMeets Expectations Below Expectations Far Below StandardGroup Identifies 3AppropriateDifferentials25%Differentials are appropriate topresenting symptoms, eachgroup member has identified adifferential, and differentials aremedical diagnoses.25 pointsDifferentials are appropriate for entry- level providers and all group membershave unique differentials, butdifferentials may not be medical diagnoses20 pointsAll group members have uniquedifferentials, but differentials are notapplicable, or relevant, or are not medical diagnoses.16 pointsNot all group members haveunique differentials or differentials chosen are notmedical diagnoses/do notrelate to symptoms10 pointsEach DifferentialIncludes acomplete andapplicable lab andradiology workup,as appropriate 30%Workup is specific to the chosendifferential and does not includeunnecessary testing.MSN 572 Week 8 Diagnostics Workup Case Study AssignmentStudent considers insurance coverageor costs.30 pointsWorkup is specific to chosen differential, but may include too many or not enoughlabs/testing.May or may not consider insuranceor costs.25 pointsWorkup is only generally applicable to differential, and does not narrowobjective findings.No mention of insurance or cost.20 pointsWorkup is not appropriate to the differential. Thiswould be labs/radiology that would not provideneeded information towards finaldiagnosis.No mention of insurance or cost.15 pointsEach workupIncludes completeinterpretation of labwork/ radiology, asnecessary 30%Interpretation includes high/low values, as well asall/most clinical conditionsassociated with high/low values.30 pointsInterpretation includes high/low values, but only includes severalconditions associated with highor low values25 pointsInterpretation includes high/low values, but onlyincludes some/few associated conditions20 pointsInterpretation does not include high/lowvalues or misidentifies/confuses associated conditions15 pointsAppropriateattribution (at least3 peer-reviewed,recent referencesto support eachdifferential/work-up, in APA format)5%MSN 572 Week 8 Diagnostics Workup Case Study AssignmentNo errors in APA format. In-textcitations present, and 3 peer reviewed,recent (less than 10 years old) referencesincluded5 pointsMinimal errors in APA format or missing in-text citations. 3 references included4 pointsMajor errors in APA format or references are not scholarly orrecent.2.5 pointsPoor citations or references, poor paraphrasing or incorrect use ofquotations.Plagiarized assignments may take a zero in allcategories.0 pointsMechanics(spelling, grammar,format) 5%Clear writing without errors. Perfect grammar andengaging written voice.5 pointsClear writing with minimal errors.Some passive voice or other minimalerrors that could be improved but do notdetract from readability.4 pointsWriting is difficult to understand due to multiple errors inspelling, grammar, composition.2.5 pointsWriting cannot be understood due to extensive errors.1.5 pointStyle &Formatting(weighted 5%)The assignment is organized and easy to read. Fonts and textformatting are consistent andreadable. There is some element ororiginality and style. There is consistency and flow with how thedata is reported.5 pointsThe assignment is organized and easy to read. Fonts and textformatting are usually consistent andreadable. There is consistency and flow. Might be missing the element or originalityand style.4 pointsThe assignment is somewhat organizedbut not always easy to read. Fonts and text formatting are notalways consistent and readable. Missing the element or originalityand style.MSN 572 Week 8 Diagnostics Workup Case Study Assignment2.5 pointsThe assignment is choppy with badediting. The style of the chart/outline or format is difficult toread and inconsistent. Fonts and headingsare inconsistent.1.5 pointsTOTAL 100 82 63.5 43   Differential for DiverticulitisRisk factors include:● Overweight● >40 Years of age● Cigarette smoker● Lack or little exercise● Diet high in fat and red meat but deficient in fiber● Taking medications such as steroids, opioids, and nonsteroidal anti-inflammatories(NSAIDS)(mayo clinic, 2018)  Differential for DiverticulitisSymptomsFeverLeukocytosisLeft lower quadrant painConstipationBloatingPelvic tenderness on rectal exam(When Constipation Becomes Chronic, n.d.)MSN 572 Week 8 Diagnostics Workup Case Study Assignment Differential for DiverticulitisLabsCBC with differential $4.31 Stool culture $11.99C-reactive protein $3.41 Amylase $3.24Helicobacter Pylori $10.11 Lipase $3.44IgE antibodies $3.48Fecal Occult blood or fecal immunochemical test $4.38 MSN 572 Week 8 Diagnostics Workup Case Study AssignmentLabs CBC with differential-measurement of the number of red blood cells, platelets, and different white blood cells. Those being neutrophils, lymphocytes, monocytes, basophils, and eosinophils.WBC Normal values 4,500-11,000 cells/mclAbnormal low indicates bone marrow disorders, sepsis, autoimmune disorders, immune disorders, lymphoma and other cancers to name a fewAbnormal high indicates Infection, inflammation, leukemia, allergies, asthma, severe stress to name a fewHemoglobin Men 14-17.5 gm/dL Women 12.3-15.3 gm/dLAbnormal low indicates anemia, acute or chronic bleeding, Bone marrow disorder, chronic inflammatory disease,Nutritional deficiencies, and chronic kidney diseaseAbnormal high indicates dehydration, pulmonary disease, kidney disease, high altitude living, and polycythemiaHematocrit Men 41.5-50.4 % Women 36.9-44.6%Same as hemoglobin(Connor, 2020) MSN 572 Week 8 Diagnostics Workup Case Study Assignment CBC Continued RBC Men 4.5-5.9 million cells/ mcL Women 4.1-5.1 million cells/ mcLAbnormal low indicates anemia, acute or chronic bleeding, Bone marrow disorder, chronic inflammatory disease,nutritionaldeficiencies, chronic kidney diseaseAbnormal high indicates dehydration, pulmonary disease, kidney disease, high altitude living, and polycythemiaMCV 80-96 fLAbnormal low indicates Anemia (Iron deficiency), thalassemiaAbnormal high indicates Anemia (Vitamin deficiency) , hypothyroidismRDW (Red Cell distribution width) 11.5-14.5 fLAbnormal low indicates RBC size uniformityAbnormal high indicates iron deficiency anemia MSN 572 Week 8 Diagnostics Workup Case Study AssignmentCBC and DifferentialPlatelets 150,000-450,000 platelets/mcLAbnormal low indicates Thrombocytopenia, viral infectionAbnormal high indicates Cancer, Inflammatory bowel disease, Rheumatoid ArthritisNeurtrophils 41.0-77.0%Abnormal low indicate Sepsis, immunodeficiency, bone marrow damage, dietary restrictionsAbnormal high indicates inflammation, heart attack, acute bacterial infection, stress, Cushing syndromeLymphocytes 14.0-48.0%Abnormal low indicates infection, bone marrow damage, autoimmune disorderAbnormal high indicates acute viral infection, inflammatory disorders, toxoplamosisMSN 572 Week 8 Diagnostics Workup Case Study Assignment CBC with differentialMonocytes 4.0-13.0%Abnormal low indicates not medically significantAbnormal high indicates asthma, parasitic infections, inflammatory disorders, some cancersEosinophil 0.0-8.0 %Abnormal low indicates not medically significantAbnormal high indicates inflammation, allergic reactions, leukemiaBasophil 0.0-1.5 %Abnormal low indicates allergic reaction, overactive thyroid, infectionAbnormal high indicates chronic infammation MSN 572 Week 8 Diagnostics Workup Case Study AssignmentMore lab studiesAmylase 50-123 U/LAbnormal high indicates acute pancreatitis, cholecystitis, alcohol abuseLipase 10-50 UI/LAbnormal high indicates cirrhosis, celiac disease, cholecystitisCRPAbnormal high indicates bacterial infections  2nd Differential for Gastrointestinal DiseaseGastrointestinal (GI) diseases most often present with one or more of four common classes ofSymptoms and Signs:● (1) Abdominal or chest pain; ● (2) Altered ingestion of food (eg, resulting from nausea, vomiting, dysphagia, odynophagia, or anorexia ● (3) Altered bowel movements (ie, diarrhea or constipation); and ● (4) GI tract bleeding (Mills & Ciorba, 2019)MSN 572 Week 8 Diagnostics Workup Case Study Assignment Labs● Molecular diagnosis-primary immunodeficiency diseases (PIDDs)) with 344 distinct molecular etiologies reported according to the International Union of Immunological Sciences (IUIS) to detect Gastrointestinal Disease (Hartono et al., 2019).● WBC-assess for infections  Test for Gastrointestinal Disease ● Barium swallow $300-$450 ● Computed tomography scan (CT or CAT scan). $350-$650 ● Fecal occult blood test. A fecal occult blood test checks for hidden (occult) blood in the stool. Itinvolves placing a very small amount of stool on a special card. The stool is then tested in the healthcare provider’s office or sent to a lab.● Stool culture. A stool culture checks for the presence of abnormal bacteria in the digestive tract that may cause diarrhea and other problems. A small sample of stool is collected and sent to a lab by your healthcare provider’s office. In 2 or 3 days, the test will show whether abnormal bacteria are present.● Magnetic resonance imaging (MRI) avg cost $1751 ● Magnetic resonance cholangiopancreatography (MRCP) (Dalwadi, Herman, Das, & Holliday, 2020)MSN 572 Week 8 Diagnostics Workup Case Study Assignment Treatment for Gastrointestinal Disease● Weight control-Diet high in fruits and vegetables● Quit smoking● Exercise● Increase fiber● Increase water intake ● Avoid medications such as steroids, opioids, and nonsteroidal anti-inflammatories(NSAIDS)● Radiotherapy (Dalwadi, Herman, Das, & Holliday, 2020) ● Complementary therapy-acupuncture, diet, probiotics, and dietary supplements and herbs (Dossett, Cohen,& Cohen, 2017).  References Complete Blood Count (CBC) – Understand the Test & Your Results. (2015, June 25).Labtestsonline.org. https://labtestsonline.org/tests/complete-blood-count-cbcConnor, G. J. (2020). Lab values interpretation : the ultimate laboratory tests manual of reference ranges and what they mean.Dalwadi, S. M., Herman, J. M., Das, P., & Holliday, E. B. (2020). Novel Radiotherapy Technologies in the Treatment of Gastrointestinal Malignancies. Hematology/oncology clinics of North America, 34(1), 29–43. https://doi.org/10.1016/j.hoc.2019.08.016Dossett, M. L., Cohen, E. M., & Cohen, J. (2017). Integrative Medicine for Gastrointestinal Disease. Primary care, 44(2), 265–280. https://doi.org/10.1016/j.pop.2017.02.002Hartono, S., Ippoliti, M. R., Mastroianni, M., Torres, R., & Rider, N. L. (2019). Gastrointestinal Disorders Associated with Primary Immunodeficiency Diseases. Clinical reviews in allergy & immunology, 57(2), 145–165. https://doi.org/10.1007/s12016-018-8689-9Mayo clinic. (2018). Diverticulitis – Symptoms and causes. Mayo Clinic; https://www.mayoclinic.org/diseases-conditions/diverticulitis/symptoms-causes/syc-20371758Mills, J. C., & Ciorba, M. A. (2019). Chapter 13: Gastrointestinal Disease. Retrieved from https://accessmedicine.mhmedical.com/content.aspx?sectionid=198222337 https://labtestsonline.org/tests/complete-blood-count-cbchttps://doi.org/10.1016/j.hoc.2019.08.016https://www.mayoclinic.org/diseases-conditions/diverticulitis/symptoms-causes/syc-20371758MSN 572 Week 8 Diagnostics Workup Case Study AssignmentReferencesWhen Constipation Becomes Chronic. (n.d.). GI Associates. Retrieved June 24, 2021, from https://gi.md/resources/articles/when-constipation-becomes-chronicMSN 572 Week 8 Diagnostics Workup Case Study AssignmentSlide 1Case Study ScenarioSlide 3Differential for DiverticulitisDifferential for DiverticulitisDifferential for DiverticulitisLabsCBC ContinuedCBC and DifferentialCBC with differentialMore lab studies2nd Differential for Gastrointestinal DiseaseLabsTest for Gastrointestinal DiseaseTreatment for Gastrointestinal DiseaseReferencesMSN 572 Week 8 Diagnostics Workup Case Study Assignment

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