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Week 10: Renal Concept Map
Points 25
Due Sunday by 11:59pm
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Review the following Renal Case Study.
Create a list of two to five differentials based on the case study patient's presentation, HPI, and
PE.
Explain, for each differential, what in the presentation, HPI, or PE led to your opinion.
Select the most likely diagnosis.
A VINDICATE differential list is OPTIONAL for this assignment.
List your references using APA format for this assignment.
Create a pathology flowchart (image or written) using the software of your choice, as long as you
can save your chart to a file type that can be opened and viewed by the course instructor, that links
the case patient's symptom presentation and your chosen diagnosis.
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Refer to the Concept Mapping PowerPoint for help in completing your assignment.
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Renal Case Study
Rosy Renalski, a 30-year-old Caucasian female, presents to your primary care clinic
with 4 days of hematuria and low back pain.
Acutely started, no known trauma to back. Describes as vague, achy tension like on left
side mostly. Does stand a lot at work. No dysuria. Urine looks orange-ish at times. No
new medications, no urgency or increase frequency. No odor to urine. Denies fever.
LMP: 2 weeks ago. Drinks 2–3 glasses of water a day, +coffee, + 3 sodas.
PMH: HTN for 1 year, overweight
Meds: Taking hydrochlorothiazide 25 mg daily and prn multivitamins + calcium
FH: Parents who are alive and both with HTN, dad with DM and kidney dysfunction.
She has 1 older brother (aged 33) who is healthy. One sister (age 36) with HTN and
obesity. Does not know grandparents' history.
SH: Patient is under moderate amount of stress. New job as an editor and keeps long
hours due to deadlines. Lives with female partner of 6 years in rented apartment. Has 2
small dogs at home. Sleeping about 6 hours/night due to new job.
NKDA, environmental, food, or material allergies
ROS:
General: no fevers, weight changes, night sweats, + fatigue
PE: General: Alert, mildly uncomfortable, appearing overweight adult female
VS: BP 134/89 P 70, RR 15, T 98.6, HT: 64 in, Wt 165# BMI 29
Skin: Dry, intact without any lesions
HEENT: PERRLA, eyes clear, w/o discharge, TM'S intact, canals clear, mouth moist,
w/o lesions, tonsils 2+ no erythema
CVI Lungs: RRR, no MRG, CTAB
Abdominal: Soft, round, non-tender to palpation, subtle + CVA tenderness on left side
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new medications, no urgency or increase frequency. No odor to urine. Denies fever.
LMP: 2 weeks ago. Drinks 2–3 glasses of water a day, +coffee, + 3 sodas.
PMH: HTN for 1 year, overweight
Meds: Taking hydrochlorothiazide 25 mg daily and prn multivitamins + calcium
FH: Parents who are alive and both with HTN, dad with DM and kidney dysfunction.
She has 1 older brother (aged 33) who is healthy. One sister (age 36) with HTN and
obesity. Does not know grandparents' history.
SH: Patient is under moderate amount of stress. New job as an editor and keeps long
hours due to deadlines. Lives with female partner of 6 years in rented apartment. Has 2
small dogs at home. Sleeping about 6 hours/night due to new job.
NKDA, environmental, food, or material allergies
ROS:
General: no fevers, weight changes, night sweats, + fatigue
PE: General: Alert, mildly uncomfortable, appearing overweight adult female
VS: BP 134/89 P 70, RR 15, T 98.6, HT: 64 in, Wt 165# BMI 29
Skin: Dry, intact without any lesions
HEENT: PERRLA, eyes clear, w/o discharge, TM'S intact, canals clear, mouth moist,
w/o lesions, tonsils 2+ no erythema
CV/ Lungs: RRR, no MRG, CTAB
Abdominal: Soft, round, non-tender to palpation, subtle + CVA tenderness on left side
POC testing:
UA: trace RBC, - nitrates, - WBC, + proteins, - ketones, - leukocytes. pH: 5.0
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