Assignment: Lab Assignment: Assessing the Genitalia and Rectum

USW1.39745.202130 - NURS-6512N-34,Advanced Health Assessment.2020 Winter Qtr 11/30-02/21-PT27

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Afolabi Adegbite on Sun, Feb 07 2021, 10:28 AM 60% highest match Submission ID: 5e8e8976-19f4-43ec-9e16-645007b4733e

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Running Head: ASSESING GENITALIA AND RECTUM 1 ASSESING GENITALIA AND RECTUM 2 1 Assessing Genitalia and Rectum Suspected Entry: 100% match Uploaded - WK10Assgn Adegbite A..docx Assessing Genitalia and Rectum Source - Another student's paper Assessing the Genitalia and Rectum Afolabi Adegbite Walden University NURS 6512N: 2 Advanced Health Assessment and Diagnostic Reasoning Suspected Entry: 100% match Uploaded - WK10Assgn Adegbite A..docx Advanced Health Assessment and Diagnostic Reasoning Source - Another student's paper Advanced Health Assessment and Diagnostic Reasoning Kimberly Olszewski February01, 2020 1 ASSESING GENITALIA AND RECTUM Suspected Entry: 65% match Uploaded - WK10Assgn Adegbite A..docx ASSESING GENITALIA AND RECTUM Source - Another student's paper Assessing the Genitalia and Rectum 3 Analyze the subjective portion of the note. Suspected Entry: 99% match Uploaded - WK10Assgn Adegbite A..docx Analyze the subjective portion of the note Source - https://domynursingessay.com/analyze-the-subjective-portion-of-the-note-list-additional-information-that-should-be-included-in-the-documentation-2/ Analyze the subjective portion of the note List additional information that should be included in the documentation. Suspected Entry: 99% match Uploaded - WK10Assgn Adegbite A..docx List additional information that should be included in the documentation Source - https://domynursingessay.com/analyze-the-subjective-portion-of-the-note-list-additional-information-that-should-be-included-in-the-documentation-2/ List additional information that should be included in the documentation · Investigation is a crucial part of treatment. Looking at this case study, the subjective portion of the SOAP note is not complete. The subjective portion is an integral part of the assessment because it carries the patient's illness history. 4 Since this is a genitalia assessment, the sexual practices before and after the bump's appearance are very vital. Suspected Entry: 62% match Uploaded - WK10Assgn Adegbite A..docx Since this is a genitalia assessment, the sexual practices before and after the bump's appearance are very vital Source - Another student's paper Bearing in mind that this is a genitalia assessment, it is important to assess the patient’s sexual practices and history before the bump's appearance The physician must assess the patient regarding safe sex practices. Some of the questions that must be addressed include. · Do you use protection during sex? · Are you involved in male or female sexual practices or both? · Have you recently subjected that area to any kind of trauma, such as shaving? · Did you try any remedy for treating the bump using any medication or any other traditional method? 3 Analyze the objective portion of the note. Suspected Entry: 99% match Uploaded - WK10Assgn Adegbite A..docx Analyze the objective portion of the note Source - https://domynursingessay.com/analyze-the-subjective-portion-of-the-note-list-additional-information-that-should-be-included-in-the-documentation-2/ Analyze the objective portion of the note List additional information that should be included in the documentation. Suspected Entry: 99% match Uploaded - WK10Assgn Adegbite A..docx List additional information that should be included in the documentation Source - https://domynursingessay.com/analyze-the-subjective-portion-of-the-note-list-additional-information-that-should-be-included-in-the-documentation-2/ List additional information that should be included in the documentation The note's objective part is critical as it helps give a piece of detailed information to match the patient's subjective symptoms. 4 Since there are positive findings in the external labia, it is crucial to examine the area. Suspected Entry: 63% match Uploaded - WK10Assgn Adegbite A..docx Since there are positive findings in the external labia, it is crucial to examine the area Source - Another student's paper There are positive findings in the external labia, which shows the importance of examining the area The patient has to be assessed for inflammation and swelling, and the physician has to inquire whether the patient has any irritation. Suspected Entry: 92% match Uploaded - WK10Assgn Adegbite A..docx The patient has to be assessed for inflammation and swelling, and the physician has to inquire whether the patient has any irritation Source - Another student's paper The patient has to be assessed for inflammation and swelling and inquire whether the patient has any irritation Unilateral swelling of the labia may be an indication of Bartholdi gland infection. Suspected Entry: 66% match Uploaded - WK10Assgn Adegbite A..docx Unilateral swelling of the labia may be an indication of Bartholdi gland infection Source - Another student's paper If the patient has unilateral swelling of the labia, this might indicate that there may Bartholdi gland infection For proper evaluation of infection on the physical exam, the Skene glands need to be evaluated through milking properly. It would also be critical to palpate internally to assess any possibility of internal symptoms such as fistulas. Proper evaluation is the only way to rule out any condition that a patient may be having. 4 It is known that most vaginal infections come from the anus then being transferred to the rectum. Suspected Entry: 65% match Uploaded - WK10Assgn Adegbite A..docx It is known that most vaginal infections come from the anus then being transferred to the rectum Source - Another student's paper Most vaginal infections originate from the anus and then transferred to the rectum because of the close anatomical closeness This is because of the anatomical closeness between the two. 4 It is, therefore, essential to perform a full rectum and anus inspection. Suspected Entry: 66% match Uploaded - WK10Assgn Adegbite A..docx It is, therefore, essential to perform a full rectum and anus inspection Source - Another student's paper This, therefore, explains why it is very important to perform a full anus and rectum infection A full-body skin examination is also critical when performing a genitalia assessment. It is critical to look closely at sores on the mouth, hands, and feet during the assessment. These may help in evaluating other signs of disease. The patient who is suspected of having an STD requires neurological and lymph examination (Wald, 2018). These systems are affected by these diseases, and thus, some symptoms of sexually transmitted diseases may be seen in these systems. 3 Is the assessment supported by subjective and objective information? Suspected Entry: 100% match Uploaded - WK10Assgn Adegbite A..docx Is the assessment supported by subjective and objective information Source - https://domynursingessay.com/analyze-the-subjective-portion-of-the-note-list-additional-information-that-should-be-included-in-the-documentation-2/ Is the assessment supported by the subjective and objective information Why or why not? Suspected Entry: 100% match Uploaded - WK10Assgn Adegbite A..docx Why or why not Source - https://domynursingessay.com/analyze-the-subjective-portion-of-the-note-list-additional-information-that-should-be-included-in-the-documentation-2/ Why or why not 5 Objective and subjective data support this assessment. Suspected Entry: 87% match Uploaded - WK10Assgn Adegbite A..docx Objective and subjective data support this assessment Source - Another student's paper Whether objective and subjective data support the assessment This is so because the patient is presenting with positive findings in the external labia. Positive findings in the outer labia may indicate that the patient has a sexually transmitted disease. Similarly, this can be supported by the fact that this patient confirms sleeping with multiple sexual partners without protection during these acts. This patient's history also supports this because it shows that the patient has had a sexually transmitted disease. All these factors put the patient at very significant risk of contracting an STD. 6 Would diagnostics be appropriate for this case, and how would the results be used to make a diagnosis? Suspected Entry: 99% match Uploaded - WK10Assgn Adegbite A..docx Would diagnostics be appropriate for this case, and how would the results be used to make a diagnosis Source - https://allroundessays.com/analyze-the-objective-portion-of-the-note-list-additional-information-that-should-be-included-in-the-documentation/ Would diagnostics be appropriate for this case and how would the results be used to make a diagnosis Diagnostic testing is the only sure way of knowing the disease that the patient may be suffering from. A diagnostic test will help to narrow down to the most probable diagnosis. 4 To understand if there is any virus in this patient's body, the physician is required to do a herpes simplex virus test. Suspected Entry: 62% match Uploaded - WK10Assgn Adegbite A..docx To understand if there is any virus in this patient's body, the physician is required to do a herpes simplex virus test Source - Another student's paper Herpes simplex virus specimen will help determine if there is the presence of a virus in the patient's body This is a blood test that screens for genital herpes infection among patients that present with sores. The patient should also be subjected to rapid plasma regain. This is a syphilis blood test that helps in looking for antibodies to syphilis bacteria. 4 This is done by detecting the number o specific antibodies produced by the body while fighting for infections. Suspected Entry: 69% match Uploaded - WK10Assgn Adegbite A..docx This is done by detecting the number o specific antibodies produced by the body while fighting for infections Source - Another student's paper This test helps in detecting the number of specific antibodies that the body produces while fighting for infections She must also be subjected to HI test, gonorrhea, and Chlamydia. If all these tests turn out negative, the physician must undertake a biopsy on the bump to help rule out the patient's possibility of vulva cancer. 3 Would you reject/accept the current diagnosis? Suspected Entry: 100% match Uploaded - WK10Assgn Adegbite A..docx Would you reject/accept the current diagnosis Source - https://domynursingessay.com/analyze-the-subjective-portion-of-the-note-list-additional-information-that-should-be-included-in-the-documentation-2/ Would you reject/accept the current diagnosis Why or why not? Suspected Entry: 100% match Uploaded - WK10Assgn Adegbite A..docx Why or why not Source - https://domynursingessay.com/analyze-the-subjective-portion-of-the-note-list-additional-information-that-should-be-included-in-the-documentation-2/ Why or why not I would accept the current diagnosis. Suspected Entry: 72% match Uploaded - WK10Assgn Adegbite A..docx I would accept the current diagnosis Source - https://domynursingessay.com/analyze-the-subjective-portion-of-the-note-list-additional-information-that-should-be-included-in-the-documentation-2/ Would you reject/accept the current diagnosis 5 A chancre is a painless genital ulcer that, in most cases, is formed during the early stages of syphilis (Rowley, et al., 2019). Suspected Entry: 62% match Uploaded - WK10Assgn Adegbite A..docx A chancre is a painless genital ulcer that, in most cases, is formed during the early stages of syphilis (Rowley, et al., 2019) Source - Another student's paper The first stage is called primary syphilis, and it is characterized by a painless ulcer known as a chancre (Rowley et al., 2019) 7 Syphilis is transmitted through unprotected sexual contact with infected people. Suspected Entry: 87% match Uploaded - WK10Assgn Adegbite A..docx Syphilis is transmitted through unprotected sexual contact with infected people Source - Another student's paper Syphilis is transmitted through unprotected sexual contact with an infected person 4 This means that it should be suspected in patients who have unprotected sexual intercourse with multiple partners. Suspected Entry: 94% match Uploaded - WK10Assgn Adegbite A..docx This means that it should be suspected in patients who have unprotected sexual intercourse with multiple partners Source - Another student's paper This means that it should e suspected in patients who have unprotected sexual intercourse with multiple partners This patient has admitted having various sexual partners and never uses protection. 4 Syphilis must be detected and treated early enough. Suspected Entry: 100% match Uploaded - WK10Assgn Adegbite A..docx Syphilis must be detected and treated early enough Source - Another student's paper Syphilis must be detected and treated early enough If left unchecked for long, it can cause neurological, musculoskeletal, and hepatic severe damages. Suspected Entry: 100% match Uploaded - WK10Assgn Adegbite A..docx If left unchecked for long, it can cause neurological, musculoskeletal, and hepatic severe damages Source - Another student's paper If left unchecked for long, it can cause neurological, musculoskeletal, and hepatic severe damages Therefore, looking at the signs and symptoms presented by this patient, she is in the early stages of syphilis, and thus the current diagnosis fits this patient. Differential diagnosis Genital herpes Genital herpes disease is transmitted through skin to skin contact with an infected person. 4 Individuals with this condition have painful genital, cervix, or anal erythematous sores. Suspected Entry: 66% match Uploaded - WK10Assgn Adegbite A..docx Individuals with this condition have painful genital, cervix, or anal erythematous sores Source - Another student's paper Genital herpes The persons who have this condition will have a painful genital, cervix, or anal erythematous sores (Gnann & Whitley, 2016) They also present with other symptoms such as swollen lymph nodes, which accompany sores during the initial outbreak, and headaches. Suspected Entry: 65% match Uploaded - WK10Assgn Adegbite A..docx They also present with other symptoms such as swollen lymph nodes, which accompany sores during the initial outbreak, and headaches Source - Another student's paper The patients will experience headache, have swollen lymph nodes which accompany sores during the initial outbreak This condition will typically come as a group of sores, and in rare cases, will they occur solely in one place. Suspected Entry: 68% match Uploaded - WK10Assgn Adegbite A..docx This condition will typically come as a group of sores, and in rare cases, will they occur solely in one place Source - Another student's paper The disease normally comes as a group of sores, and in rare cases, will they occur solely in one place, thus making this diagnosis more unlikely The fact that the sores in this condition occur as a group makes this diagnosis more unlikely. Bartholin Cryst 4 The Cryst is ordinarily painless, and it is tender. Suspected Entry: 80% match Uploaded - WK10Assgn Adegbite A..docx The Cryst is ordinarily painless, and it is tender Source - Another student's paper The Cryst is normally painless, and it is tender A full-blown infection occurs in a matter of a few days after the infection. Suspected Entry: 72% match Uploaded - WK10Assgn Adegbite A..docx A full-blown infection occurs in a matter of a few days after the infection Source - Another student's paper A full-blown infection occurs in a matter of a few days (Silman et al., 2018) If the Cryst is infected, the patient experiences a tender, painful lump near the vaginal opening (Moscovitz, et al., 2017). Suspected Entry: 84% match Uploaded - WK10Assgn Adegbite A..docx If the Cryst is infected, the patient experiences a tender, painful lump near the vaginal opening (Moscovitz, et al., 2017) Source - Another student's paper If the Cryst is infected, the patient experiences a tender, painful lump near the vaginal opening The patient will feel uncomfortable while walking or sitting. Suspected Entry: 72% match Uploaded - WK10Assgn Adegbite A..docx The patient will feel uncomfortable while walking or sitting Source - Another student's paper one is uncomfortable while walking or sitting The patients with this condition also report having painful sexual intercourse. They also report having a fever. This condition is in most cases reported to women who are in their twenties. 4 The Cryst is filled with fluid. Suspected Entry: 63% match Uploaded - WK10Assgn Adegbite A..docx The Cryst is filled with fluid Source - Another student's paper The Cryst is filled with fluid, which disqualifies this differential diagnosis These signs and symptoms presented with a person with this condition do not fit with our patient. Therefore, this differential diagnosis is most unlikely. Vulva cancer Vulva cancer is not a common disease as it only accounts for four percent of all female reproductive cancers. 4 It starts as a painless lump on the vulva. Suspected Entry: 67% match Uploaded - WK10Assgn Adegbite A..docx It starts as a painless lump on the vulva Source - Another student's paper Vulva cancer appears as a painless lump on the vulva The lump may be accompanied wit pruritis from the vaginal irritation (Hinten et al., 2017). Suspected Entry: 72% match Uploaded - WK10Assgn Adegbite A..docx The lump may be accompanied wit pruritis from the vaginal irritation (Hinten et al., 2017) Source - Another student's paper The lump may be accompanied by pruritis from the vaginal irritation The patient may have a change of the skin color of the vulva. Suspected Entry: 96% match Uploaded - WK10Assgn Adegbite A..docx The patient may have a change of the skin color of the vulva Source - Another student's paper The patient may have a change in the skin color of the vulva It is crucial to conduct a vulva biopsy for a definitive diagnosis. 4 It is the women above the ages of 50 who are at a greater risk of contracting this disease. Suspected Entry: 74% match Uploaded - WK10Assgn Adegbite A..docx It is the women above the ages of 50 who are at a greater risk of contracting this disease Source - Another student's paper The women above the ages of 50 are at a greater risk of contracting this disease, therefore not consistent with this particular patient The signs and symptoms that this patient presents are not consistent with those presented by this patient. References 1 Hinten, F., Molijn, A., Eckhardt, L., Massuger, L. Suspected Entry: 99% match Uploaded - WK10Assgn Adegbite A..docx Hinten, F., Molijn, A., Eckhardt, L., Massuger, L Source - Another student's paper Hinten, F., Molijn, A., Eckhardt, L., Massuger, L F., Quint, W., Bult, P.,. Suspected Entry: 80% match Uploaded - WK10Assgn Adegbite A..docx F., Quint, W., Bult, P., Source - Another student's paper G., Quint, W., Bult, P., & de Hullu, J. Suspected Entry: 100% match Uploaded - WK10Assgn Adegbite A..docx & de Hullu, J Source - Another student's paper & de Hullu, J A. (2017). VULVAR CANCER: 1 TWO PATHWAyS WITH DIFFERENT LOCALIZATION AND PROGNOSIS. Suspected Entry: 100% match Uploaded - WK10Assgn Adegbite A..docx TWO PATHWAyS WITH DIFFERENT LOCALIZATION AND PROGNOSIS Source - Another student's paper two pathways with different localization and prognosis 8 PDF hosted at the Radboud Repository of the Radboud University Nijmegen, 39. Suspected Entry: 93% match Uploaded - WK10Assgn Adegbite A..docx PDF hosted at the Radboud Repository of the Radboud University Nijmegen, 39 Source - Another student's paper PDF hosted at the Radboud Repository of the Radboud University Nijmegen 9 da Silva Tavares, K. Suspected Entry: 100% match Uploaded - WK10Assgn Adegbite A..docx da Silva Tavares, K Source - Another student's paper da Silva Tavares, K A.,retrieved from: 10 https://www.thieme-connect.com/products/ejournals/html/10.1055/s-0037-1604178 Moscovitz, T., Tcherniakovsky, M., de Melo Pompei, L., & Fernandes, C. Suspected Entry: 63% match Uploaded - WK10Assgn Adegbite A..docx https://www.thieme-connect.com/products/ejournals/html/10.1055/s-0037-1604178 Moscovitz, T., Tcherniakovsky, M., de Melo Pompei, L., & Fernandes, C Source - Another student's paper https://www.thieme-connect.com/products/ejournals/html/10.1055/s-0030-1267860 E. (2017). 9 Differential diagnosis between Bartholin cyst and vulvar leiomyoma: Suspected Entry: 100% match Uploaded - WK10Assgn Adegbite A..docx Differential diagnosis between Bartholin cyst and vulvar leiomyoma Source - Another student's paper Differential Diagnosis between Bartholin Cyst and Vulvar Leiomyoma case report. 9 Revista Brasileira de Ginecologia e Obstetrícia/RBGO Gynecology and Obstetrics, 39(08), 433-435. Suspected Entry: 100% match Uploaded - WK10Assgn Adegbite A..docx Revista Brasileira de Ginecologia e Obstetrícia/RBGO Gynecology and Obstetrics, 39(08), 433-435 Source - Another student's paper Revista Brasileira de Ginecologia e Obstetrícia/RBGO Gynecology and Obstetrics, 39(08), 433-435 Retrieved from: https://repository.ubn.ru.nl/bitstream/handle/2066/173471/173471.pdf#page=40 1 Rowley, J., Vander Hoorn, S., Korenromp, E., Low, N., Unemo, M., Abu-Raddad, L. Suspected Entry: 100% match Uploaded - WK10Assgn Adegbite A..docx Rowley, J., Vander Hoorn, S., Korenromp, E., Low, N., Unemo, M., Abu-Raddad, L Source - Another student's paper Rowley, J., Vander Hoorn, S., Korenromp, E., Low, N., Unemo, M., Abu-Raddad, L J.,. & Thwin, S. S. (2019). 1 Chlamydia, gonorrhoea, trichomoniasis and syphilis: Suspected Entry: 100% match Uploaded - WK10Assgn Adegbite A..docx Chlamydia, gonorrhoea, trichomoniasis and syphilis Source - Another student's paper Chlamydia, gonorrhoea, trichomoniasis and syphilis global prevalence and incidence estimates, 2016. Suspected Entry: 100% match Uploaded - WK10Assgn Adegbite A..docx global prevalence and incidence estimates, 2016 Source - Another student's paper global prevalence and incidence estimates, 2016 Bulletin of the World Health Organization, 97(8), 548. Suspected Entry: 100% match Uploaded - WK10Assgn Adegbite A..docx Bulletin of the World Health Organization, 97(8), 548 Source - Another student's paper Bulletin of the World Health Organization, 97(8), 548 Retrieved from; 11 https://www.who.int/bulletin/volumes/97/8/18-228486.pdf Suspected Entry: 100% match Uploaded - WK10Assgn Adegbite A..docx https://www.who.int/bulletin/volumes/97/8/18-228486.pdf Source - Another student's paper https://www.who.int/bulletin/volumes/97/8/18-228486.pdf Wald, A. (2018). Sexual practices and oral and genital herpes simplex virus shedding patterns among a cohort with laboratory documented first episode genital HSV-1. In Dublin: 12 The International Union against Sexually Transmitted Infections (IUSTI) World & European Congress. Suspected Entry: 72% match Uploaded - WK10Assgn Adegbite A..docx The International Union against Sexually Transmitted Infections (IUSTI) World & European Congress Source - Another student's paper The International Union against Sexually Transmitted Infections (IUSTI) was founded in 1923 : Retrieved from: https://safe-sex.co.il/wp-content/uploads/2018/Pro-Info/Sexual%20practices%20and%20oral%20and%20genital%20herpes%20simplex%20virus%20shedding%20patterns%20among%20a%20cohort%20with%20laboratory%20documented%20first%20episode%20genital%20HSV.pdf