Renal Disease and Men’s Health Issues

Topic: Renal Disease and Men’s Health Issues
(respond to only one of the topics)

Topic 1

K.N. is a 24-year-old woman who presents to the family practice clinic complaining of sudden urgency to urinate, back pain, frequent urination, and pain with urination. Symptoms began approximately 48 hours ago. She awoke from sleep with urgency and suprapubic discomfort 2 nights ago. Her urine now has a strong odor and a cloudy appearance. She has an allergy to Bactrim.

  1. What are some appropriate questions to ask the patient?
  2. What are three differential diagnoses for the patient?
  3. What physical examination would you perform?
  4. What diagnostics would you include?
  5. Create an evidenced-based plan of care. Include pharmacological and non-pharmacological treatments.

Urine dipstick results: Color, dark yellow, specific gravity 1.035, ph 5.5, protein (-), Ketones (-), Bilirubin (-), Trace blood, Leukoesterase (+), Nitrites (+), Urobilinogen (-)

Topic 2

Mr. J.R. is a 73-year-old man who presents to the office with a 3-day history of nausea, vomiting, and diarrhea. He also has some weakness and dizziness and a bothersome metallic taste in his mouth. The patient is pale and sweaty. He had been fine until 3 days ago when he began to experience severe nausea several hours after eating out at a restaurant. He has taken Kaopectate several times without relief. Since yesterday he has had six to seven watery stools.

  1. What are some appropriate questions to ask the patient?
  2. What are three differential diagnoses for the patient?
  3. What physical examination would you perform?
  4. What diagnostics would you include?
  5. Create an evidenced based plan of care. Include pharmacological and non-pharmacological treatments.

Urine dipstick: Clear, pale yellow urine, Microscopy was negative for cells, casts, pigments and crystals, SG 1.019, (-) bacteria, (-) glucose, (-) protein, WBC 1/HPF with no eosinophils, RBC 1/HPF, Na concentration= 14 meq/L, Osmolality= 769 mOsm/kg H2O. Na 144 meq/L, K 4.7 meq/L, Cl 111 meq/L, HCO3 57 mg/dL, Cr 2.6 mg/dL, Glucose random 155mg/dL, Ca 9.1 mg/dL, Phos 4.1 mg/dL, Mg 2.8 mg/dL, Alb 4.3 g/dL, H

Topic 3

Mr. E.D. is a 63-year-old retired mail carrier who presents to his primary care provider for a routine follow up for his hypertension. He complains of a 4-day history of dysuria, increased urinary frequency, and nocturia. He states that he has been having fever and chills. Denies any recent sexual activity. On examination, his temperature is 99.5 F., pulse 75 and regular, respiratory rate 16 and unlabored, and blood pressure 135/85. He does not appear acutely ill and is in no apparent distress. Examination of the abdomen was normal. A digital rectal exam revealed a moderately enlarged, firm, non-tender prostate gland. He states that he has severe urgency and difficulty urinating.

  1. What are some appropriate questions to ask the patient?
  2. What are three differential diagnoses for the patient?
  3. What physical examination would you perform?
  4. What diagnostics would you include?
  5. Create an evidenced-based plan of care. Include pharmacological and non-pharmacological treatments.

Topic 4

T.R. is a 51-year-old male who presents to his PCP with the complaint of having some problems in the bedroom. He states that for the past 7 months he has only been able to achieve temporary, partial erections that are insufficient for intercourse. This issue has caused T.R. and his wife to have some marital issues. He was diagnosed with hypertension. He is currently taking Hydrochlorothiazide 25 mg daily.

  1. What are some appropriate questions to ask the patient?
  2. What are three differential diagnoses for the patient?
  3. What physical examination would you perform?
  4. What diagnostics would you include?
  5. Create an evidenced-based plan of care. Include pharmacological and non-pharmacological treatments.
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Initial post timelinessProvides an initial post on or after Sunday.N/AN/AProvides an initial post by Saturday. 15%0.00
Additional comment requirementDoes not post responses to others.Posts one comment per Discussion topic.Posts 2 comments per Discussion topic on separate days. At least one comment includes a citation.Posts 2 comments per Discussion topic on separate days (resulting in total participation on three different days throughout the discussion). At least two comments include a citation. 10%0.00
EngagementN/AParticipates, but does not post anything that encourages others to respond to the posting.Attempts to motivate the group discussion.Frequently attempts to motivate the group discussion. 5%0.00
Content Quality Initial ResponseSubmission does not relate to the topic.Answers some question/topics with some clearly stated opinions. Supports post using text only.Answers all questions with opinions and ideas that are stated clearly. Supports post using text and at least two peer-reviewed sources.Answers all questions with opinions/ideas creatively and clearly. Supports post using several outside, peer-reviewed sources. 35%0.00
APA FormatMajor errors or no APA format used.Minor errors with APA format.Rare errors with APA format.No errors with APA format. 10%0.00
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LengthSubmission does not meet length requirements.N/AN/AThe initial post is at least 200 words.  This does not include repeating the DB question or the citations and references. 15%0.00
100%0.00
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