Description
Aquifer Case Study
The discussion assignment provides a forum for discussing relevant topics for this week based on the course competencies covered.
For this assignment, go to the Discussion Area and post a response to the given question in the Discussion Areaby the due date assigned.
To support your work, use your course and text readings and also use the South University Online Library. As in all assignments, cite your sources in your work and provide references for the citations in APA format.
Start reviewing and responding to the postings of your classmates as early in the week as possible. Respond to at least two of your classmates' initial postings. Participate in the discussion by asking a question, providing a statement of clarification, providing a point of view with a rationale, challenging an aspect of the discussion, or indicating a relationship between two or more lines of reasoning in the discussion. Cite sources in your responses to other classmates. Complete your participation for this assignment by the end of the week.
The Aquifer virtual case-study assignments are highly interactive and a dynamic way to enhance your learning. Material from the Aquifer cases may be present in the quizzes, the midterm exam, and the final exam. You must have all Aquifer assignments completed in order to successfully pass the course.
Click here for information on how to access and navigate Aquifer.
Assignment
Complete only the History, Physical Exam, and Assessment sections of the Aquifer virtual case: Family Medicine 13: 40-year-old male with a persistent cough.
You are required to answer all the DISCUSSION QUESTIONS listed below in each domain.
DOMAIN: HISTORY
1a) Identify two (2) additional questions that were not asked in the case study and should have been?
1b) Explain your rationale for asking these two additional questions.
1c) Describe what the two (2) additional questions might reveal about the patient's health.
DOMAIN: PHYSICAL EXAM
For each system examined in this case;
2a) Explain the reason the provider examined each system.
2b) Describe how the exam findings would be abnormal based on the information in this case. If it is a wellness visit, based on the patient's age, describe what exam findings could be abnormal.
2c) Describe the normal findings for each system.
2d) Identify the various diagnostic instruments you would need to use to examine this patient.
DOMAIN: ASSESSMENT (Medical Diagnosis)
Discuss the pathophysiology of the:
3a) Diagnosis and,
3b) Each Differential Diagnosis
3c) If it is a Wellness, type 'Not Applicable'
DOMAIN: LABORATORY & DIAGNOSTIC TESTS
Discuss the following:
4a) What labs should be ordered in the case?
4b) Discuss what lab results would be abnormal.
4c) Discuss what the abnormal lab values indicate.
4d) Discuss what diagnostic procedures you might want to order based on the medical diagnosis.
4e) If this is a wellness visit, discuss what the U.S. Preventive Taskforce recommends for patients in this age group.
Explanation & Answer
View attached explanation and answer. Let me know if you have any questions.
Aquifer Case Study: Family Medicine 13: 40-year-old male with a persistent Cough
Student’s Name
Institutional Affiliation
Date
Aquifer Case Study: Family Medicine 13: 40-year-old male with a persistent
cough
Patient: Mr. Frank Dennison
DOMAIN: HISTORY
1a) Identify two (2) additional questions that were not asked in the case study and
should have been? And 1b) Explain your rationale for asking these two additional
questions.
During the assessment, some of the critical questions that the patient could have been
asked include: Do you cough after meals? Have you lost weight recently? Frequent
cough after eating could be a manifestation of an underlying condition rather than a
natural reflex. For instance, gastroesophageal reflux disease (GERD) is associated
with acid reflux into the esophagus and trachea, thereby triggering cough associated
with a sore throat and hoarseness (Lai et al.,2021).it is also essential to ask a patient
who presents with chronic cough whether they have witnessed any unexplained
weight loss. Weight loss can coexist with symptoms such as chronic cough in patients
with lung cancer, M tuberculosis infection, HIV, and COPD. Thus, a healthcare
provider should ascertain whether the patient has had an unexplained weight loss. The
current guidelines for managing cough highlight the need to take a careful history to
establish specific features relating to cough in terms of its duration, typical triggers or
aggravants that are associated symptoms (Kanemitsu et al.,2019).
1c) Describe what the two (2) additional questions might reveal about the patient's
health.
Another two questions involve assessor might ask the patient include any presence of
trouble swallowing and any history of postnasal drip. Difficulty swallowing
(dysphagia) may be associated with pain. The swallowing during the pharyngeal
phase in patients with chronic cough reveals can indicate the possibility of aspiration
pneumonia. Postnasal drip happens when secretions from the nose move into the
throat, thereby causing irritation or inflammation that culminates in cough. In most
people, these secretions observed in postnasal drip occur in people with sinusitis,
allergies, allergies, and rhinitis.
DOMAIN: PHYSICAL EXAM
For each system examined in this case;
2a) Explain the reason the provider examined each system.
Each system is examined to evaluate for abnormalities that may or may not relate to
the primary diagnosis or complaint.
2b) Describe how the exam findings would be abno...
