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Topic:

Prostatitis

Coursework Instructions:
For the peer presentations, you are going to be creating a patient case. So the idea is the initial post is like a presentation on the pathophysiology of the disease process. And then your peer responses are going to be, what does this actually look like if you were to see a person in a clinical setting with this disease process? So please keep in mind that you want to try and apply this to your own personal track the best you can. So if you are looking at a pediatrics patient because you're a pediatric NP student, you want to make sure your cases are going to be something that's relevant. If you're a family nurse practitioner, please keep in mind that we are trained to practice outpatient. And I realize that there are NPs that practice in all areas and walks of medicine. However, our training in which you need to focus on is the outpatient setting. So you would want to have a patient that presents to your office, and not something that you would necessarily see in the emergency department. However, if you were an acute care critical care nurse practitioner, the ERP's presentation would make the most sense. This is not something that we are going to be strictly paying attention to, but it is the most beneficial to your learning process, which is why I'm recommending that piece of things. In terms of the case presentation, what you do not want to do is just simply write short answers next to each of these questions. You don't want to say the patient is a four-year-old boy with a headache. You want to make sure that if you were to read this presentation out loud to somebody, it sounds like you're presenting a patient. So it would sound like you're giving a report on a situation. Who is the patient? What symptoms do they have? Any relevant history. What does their physical exam finding look like? And this includes pertinent negatives as well. So you don't just want to say we are doing abdominal pain. And the person has right lower quadrant pain. You don't just want to say tenderness in the right lower quadrant. You also want to talk about, well, what is the rest of their exam look like? So the idea is it would look similar to what you would find in an objective chart because what they are not experiencing can be just as important as what they are experiencing in order to present a patient presentation. So for example, maybe they are not having any respiratory distress, they're not having any cardiac distress, you have vital signs that are normal, or maybe there are some changes in the vital signs. But whatever would be relevant in terms of a system to address the concern that you are presenting, you want to include that. So it's not just like one or two little things, but a complete patient presentation. Then based on all of this, what is your diagnosis? Now obviously, you are responding to a flashcard on a disease process. So if I am doing-- oh I don't know, COPD, my diagnosis is going to be COPD. But this is where I'm practicing medical decision-making backwards because I have the diagnosis to start. But here's where I'm stating this is the diagnosis. And this is why-- this is what supports this patient having the diagnosis and including a rationale. You would also include any diagnostic tests you would order. And then very basic information, just starting to consider how it's treated. You don't need to go in tons of detail here because you're going to get to that later in your clinical courses. But again, at the end, this should look like a presentation. This should be 100% your work as well. And this is creative. So with the flashcard, you're going to need information from sources. You can't make up with the symptoms of a disease are. You can make up your patient case. So there really should not be any areas that match any source specifically. But you do want to have information that comes from the sources. So make sure you watch that presentation, as well as the scholarly sources one. And I've said that a few times. But they're really important to watch. So what you want to do is say like OK, for this patient, maybe my patient case doesn't come from the sources, but the physical exam findings, they do. So I looked at an up to date article and found what the clinical presentation of appendicitis is. That's what I'm using to kind of formulate my patient case. So even though it doesn't match exactly and even though it's all my own work because this is a creative case that I'm making, I'm going to cite up to date because that's where I got the knowledge in order to make this case. So you want to have two scholarly references there. Please use peer reviewed sources not pt informational web pages like Mayo Clinic. Thank you
Coursework Sample Content Preview:
Case Presentation: Prostatitis Name Institution Course Instructor Date Case Presentation: Prostatitis Patient Presentation Mr. J.C., a 47-year-old man, presents to the outpatient clinic with four days of urinary burning, perineal pain, and urinary hesitancy. He has had more frequent urination urgency, passes small volumes at once, and does not have a sensation that he empties his bladder. He has chills, fatigue, and lower back pain. He does not have vomiting or hematuria. He says he has never had such symptoms before, and his symptoms began acutely. Medical History Mr. J.C. has a history of recurring urinary tract infections (UTIs), two of which have happened within the last year and were treated with antibiotics. He had recently undergone a transrectal prostate biopsy three months ago after a raised prostate-specific antigen (PSA) level was found to be benign. He does not have a sexually transmitted infection (STI) history but has a single sexual partner with whom he is sexually active. He does not have diabetes, immunosuppression, or other long-term medical conditions. He does not have a pre-existing prostate condition and does not take long-term medications. Physical Examination Findings Mr. J.C. is not in acute distress, though he is slightly uncomfortable with the exam. Turning to his monitor, his vital signs are: Temperature: 100.4°F, Heart Rate: 88 bpm, Blood Pressure: 124/78 mmHg, Respiratory Rate: 18 breaths/min. Digital rectal exam (DRE)is warm to touch, tender to touch, and edematous, as should be noted with prostatic inflammation. There is no testicular enlargement, adenopathy in the inguinal region, or lesion of the external genitals (Pendegast et al., 2024). The bladder is not swollen, and the abdominal exam was normal. His cardio...
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