RACHEAL HARDY V3 PC

RACHEAL HARDY V3 PC2

Question 1 One of the questions missed is asking whether Racheal had any issues with heat or cold intolerance, loss of appetite, increased thirst or sweating. This was an important question to ask as Goolsby and Grubbs (2018) indicate that simple changes such as loss of appetite, weight loss, and fatigue may help diagnose certain malignancies and potential endocrine system problems presenting with nonspecific complaints. A second question that was missed is whether Racheal had had movable breast lumps or discharge from her nipples. Sometimes, breast discharge and some movable lumps are an indication of some forms of breast cancer, and it is important to ask such a question to better understand the underlying condition.Question 2 One of the errors made in the physical examination was not palpating the lymph nodes, the neck, and the abdomen. This has the impact of missing some important information about Racheal’s condition. A second error was that I was thorough skin, nails, and hair examination collecting information that was not needed as was indicated by the expert as the goal was examining the breast.Question 3 One of the key findings from the physical examination is the two palpable lumps on Racheal’s right breast indicating possible breast cancer. Breast examination is a physical examination at the point of care that could be of great significance in diagnosing the condition.Gooldby and Grubbs (2018) indicate that a breast examination is done when the patient is sitting in which the physician should inspect the breasts’ symmetry and contour at different positions including when the patient’s hands are raised over the head and lowered and pressing arms. https://www.coursehero.com/file/46650020/Rachael-Hardy-V3-PCdocx/ This study resource was shared via CourseHero.com

RACHEAL HARDY V3 PC3

Question 4 The development of cancer is gradual and is mostly influenced by genetic and environmental factors. One of these factors is alcohol consumption which according to Bichley (2016) increases an individual’s risk of developing cancer by between 1.1 to 2.0 times. History of alcohol consumption is an identification problem that was not chosen for Racheal. Although she quit taking alcohol six years ago, her time-consuming alcohol might have acted as a risk factor for cancer development.Question 5 One of the incorrect differential diagnosis was breast lipoma. A breast lipoma is a benign tumor of the connective tissue with no specific shape, are movable, and painless (Bickley, 2016).Despite presenting as tumors, they are not tumors and are not associated with weight loss, fatigue, or pain. https://www.coursehero.com/file/46650020/Rachael-Hardy-V3-PCdocx/ This study resource was shared via CourseHero.com

RACHEAL HARDY V3 PC4

References Bickley, L. (2016). Bates Guide to Physical Examination and History Taking 12th Ed.

Philadelphia, PA: Lippincott, William & Wilkins

Goolsby, M. J., & Grubbs, L. (2018). Advanced assessment interpreting findings and formulating differential diagnoses. FA Davis.