Mary Year African Assignment Help: How to Answer This Question

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Original Question

Mary is a 65 year old African American female who comes to your office for a routine physical exam. She is a new patient to your practice who presents with complaints of worsening shortness of breath and palpitations for the past week. She also states that she has noticed she sometimes feels a little pressure in her left upper extremity. She denies any not significant medical history and does not take any medications. Her father died of a heart attack at age 74. Her mother is alive and well at age 80. She has two younger siblings with no know chronic medical conditions. She does not smoke cigarettes, drink alcohol or use any recreational drugs. She also does not exercise except for gardening which she used to do all the time but lately has not because she has been feeling too tired. She also states she has started getting short of breath when she walks up the stairs at home. On exam her vital signs are as follows: BP = 160/85 mmHg, HR=98; RR=20; O2 sat 99% on room air; Height 67 in, Weight 190 lb. Exam findings include conjunctival pallor, mild tenderness with deep palpation in epigastric and LUQ of abdomen with normal bowel sounds. Your rectal exam reveals a guaiac positive stool test. Lungs Clear to auscultation Heart: regular rhythm, no murmurs; no carotid bruits or jugular vein distention Extremities – no edema, cyanosis Answer each of the following questions based on the subjective and objective data provided in the case study making sure you address all components of each question and use the latest evidence-based practice guidelines. What pertinent 3-5 questions would you ask based on the subjective information provided? Based on subjective and diagnostic data provided, what diagnostic procedures need to be performed and why? Identify 3 differential diagnoses based on the subjective and objective findings and rule them in and out based on pertinent data. Identify your definitive or working diagnosis(diagnoses) or assessment(s) based on the pertinent subjective and objective findings? What type(s) of pharmacological treatments, if any, would you prescribe based on your definitive or working diagnosis(diagnoses) or assessment(s) ? What type(s) of non-pharmacological treatments/interventions, including: Health promotion Health Teaching Safety-Related Immunizations you would prescribe/provide , if any, based on yourdefinitive or working diagnosis(diagnoses) or assessment(s) ? 7. Discuss the appropriate evidenced -based guidelines and describe if and how your treatment plan would change for any of the following different populations: Age Gender Race

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