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D2
Case 2
A 72-year-old male presents to the clinic with 4 weeks of productive cough. He has a 10-year history of diagnosed COPD. He has a 45-year history of two packs a day cigarette smoking. He states he quit smoking due to financial needs about 6 years ago. He complains of pain in his chest from coughing, saying it is sore. He has noticed some dark-colored blood on his tissue.
Vital Signs: BP 137/90; HR 82; RR 22; BMI 23.
Chief Complaint: Persistent cough won’t go away with my normal cough medicine. Noticed blood on tissue from coughing.
Discuss the following:
1) What additional subjective information will you be asking of the patient?2) What additional objective findings would you be examining the patient for?3) What are the differential diagnoses that you are considering?4) What radiological examinations or additional diagnostic studies would you order?5) What treatment and specific information about the prescription will you give this patient?6) What are the potential complications from the treatment ordered?7) What additional laboratory tests might you consider ordering?8) Will you be looking for a consult?
Submission Instructions:
· Your initial post should be at least 500 words, formatted and cited in current APA style with support from at least 2 academic sources. Your initial post is worth 8 points.
· Please post your initial response by 11:59 PM ET Thursday
Grading Rubric
Your assignment will be graded according to the grading rubric.
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Discussion Rubric |
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Criteria |
Ratings |
Points |
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Identification of Main Issues, Problems, and Concepts |
Distinguished - 5 pointsIdentify and demonstrate a sophisticated understanding of the issues, problems, and concepts. |
Excellent - 4 pointsIdentifies and demonstrate an accomplished understanding of most of issues, problems, and concepts. |
Fair – 2 pointsIdentifies and demonstrate an acceptable understanding of most of issues, problems, and concepts. |
Poor – 1 pointIdentifies and demonstrate an unacceptable understanding of most of issues, problems, and concepts. |
5 points |
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Use of Citations, Writing Mechanics and APA Formatting Guidelines |
Distinguished - 3 pointsEffectively uses the literature and other resources to inform their work. Exceptional use of citations and extended referencing. High level of APA precision and free of grammar and spelling errors. |
Excellent - 2 pointsEffectively uses the literature and other resources to inform their work. Moderate use of citations and extended referencing. Moderate level of APA precision and free of grammar and spelling errors. |
Fair – 1 pointIneffectively uses the literature and other resources to inform their work. Moderate use of citations and extended referencing. APA style and writing mechanics need more precision and attention to detail. |
Poor – 0 pointsIneffectively uses the literature and other resources to inform their work. An unacceptable use of citations and extended referencing. APA style and writing mechanics need serious attention. |
3 points |
