Miami Regional University Physical Examination & Health Paper

New and correct assessment

Case Studies 3 & 4

Suggested Reading Material

Jarvis, C. (2016). Physical examination & health assessment.Seventh edition. St. Louis, Mo.: Elsevier

Mosby’s manual of diagnostic and laboratory tests (6th ed)

CSLO’s

Apply knowledge to differentiate subjective and objective information to construct an accurate and thorough past medical history (PMH). history of present illness (HPI) and physical examination (PE)

Formulate accurate differential diagnoses to promote health, prevent disease, and manage acute and chronic illness in adult and geriatric population

Employs screening and diagnostic strategies in the development of diagnoses.

Critically analyze data and evidence for improving health outcomes

EPSLO’s

Integrate nursing and related sciences into the delivery of care to clients in diverse healthcare settings.

Apply practice guidelines to improve practice and health outcomes

Evaluate the effectiveness of clinical prevention interventions that affect individual and population based-health outcomes, perform risk assessment, add design plans or programs of care.

Instructions

Students much review the case study and answer all questions with a scholarly response using APA and include 2 scholarly references. Answer both case studies on the same document and upload 1 document to Moodle.Case Study 3 & 4 change every semester. Topics will be delivered at due time.

The answers must be in your own words with reference to the journal or book where you found the evidence to your answer. Do not copy-paste or use past students’ work as all files submitted in this course are registered and saved in turn it in the program.

Pagana: Mosby’s Manual of Diagnostic and Laboratory Tests, 6th Edition
Esophageal Reflux
Case Studies
A 45-year-old woman complained of heartburn and frequent regurgitation of “sour” material into
her mouth. Often while sleeping, she would be awakened by a severe cough. The results of her
physical examination were negative.
Studies
Routine laboratory studies
Barium swallow (BS), p. 941
Esophageal function studies (EFS), p. 624
Lower esophageal sphincter (LES)
pressure
Acid reflux
Acid clearing
Swallowing waves
Bernstein test
Esophagogastroduodenoscopy (EGD), p. 547
Gastric scan, p. 743
Swallowing function, p. 1014
Results
Negative
Hiatal hernia
4 mm Hg (normal: 10–20 mm Hg)
Positive in all positions (normal: negative)
Cleared to pH 5 after 20 swallows (normal:

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