Distinguish Least Three Explained for Students (Easy Guide)

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Original Question

Distinguish at least three differential diagnoses Describe the rationale for each test or intervention with supporting references APA 7 TH within past 5 years. A 36-year-old Hispanic woman presents to the OB clinic for her Week 24 check-up, gravida 2 para 1. Patient is a full-time homemaker. Pt states she is doing well but is worried about her weight gain. Obstetric history includes a normal spontaneous vaginal delivery (NSVD) 31/2 yrs ago with a viable 9 lb male infant after a 10-hour labor. No complications during pregnancy, delivery or postpartum period. She denies allergies to food, drugs or the environment. Current meds include Prenatal vitamins 1/day and Fe 90 mg/day. Family history significant only for diet- controlled DM in paternal grandfather and an aunt and obesity in both mother and father. Objective Info Height 5’2″ Wt 170 lbs; BMI 31.1; 140/84 (sitting); HR-92/min • HEENT: Normocephalic, no lumps/lesions • Neck: supple without adenopathy , no thyromegaly. • Lungs: Eupneic, CTA-bilaterally • CV: RRR, soft systolic murmur Grade II/VI, no rubs noted; 2+ peripheral pulses, no edema noted • Breast: Soft, fibrocystic changes bilaterally noted without masses, dimpling or discharge, no redness or inflammation noted. Breast self-exam reviewed • GU: Uterus at umbilicus-approximately 24 wks size and non-tender. FHT present with Doppler

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