Posted: March 18th, 2023

Aquifer Case Study

Aquifer Case Study The discussion assignment provides a forum for discussing relevant topics for this week based on the course competencies covered.For this assignment, go to the Discussion Area and post a response to the given question in the Discussion Area by the due date assigned.To support your work, use your course and text readings and also use the South University Online Library. As in all assignments, cite your sources in your work and provide references for the citations in APA format.Start reviewing and responding to the postings of your classmates as early in the week as possible. Respond to at least two of your classmates’ initial postings. Participate in the discussion by asking a question, providing a statement of clarification, providing a point of view with a rationale, challenging an aspect of the discussion, or indicating a relationship between two or more lines of reasoning in the discussion. Cite sources in your responses to other classmates. Complete your participation for this assignment by the end of the week.The Aquifer virtual case-study assignments are highly interactive and a dynamic way to enhance your learning. Material from the Aquifer cases may be present in the quizzes, the midterm exam, and the final exam. You must have all Aquifer assignments completed in order to successfully pass the course.Click here for information on how to access and navigate Aquifer.Assignment
Complete only the History, Physical Exam, and Assessment sections of the Aquifer virtual case: Family Medicine 13: 40-year-old male with a persistent cough.You are required to answer all the DISCUSSION QUESTIONS listed below in each domain.DOMAIN: HISTORY
1a) Identify two (2) additional questions that were not asked in the case study and should have been?
1b) Explain your rationale for asking these two additional questions.
1c) Describe what the two (2) additional questions might reveal about the patient’s health.DOMAIN: PHYSICAL EXAM
For each system examined in this case;
2a) Explain the reason the provider examined each system.
2b) Describe how the exam findings would be abnormal based on the information in this case. If it is a wellness visit, based on the patient’s age, describe what exam findings could be abnormal.
2c) Describe the normal findings for each system.
2d) Identify the various diagnostic instruments you would need to use to examine this patient.DOMAIN: ASSESSMENT (Medical Diagnosis)
Discuss the pathophysiology of the:
3a) Diagnosis and,
3b) Each Differential Diagnosis
3c) If it is a Wellness, type ‘Not Applicable’DOMAIN: LABORATORY & DIAGNOSTIC TESTS
Discuss the following:
4a) What labs should be ordered in the case?
4b) Discuss what lab results would be abnormal.
4c) Discuss what the abnormal lab values indicate.
4d) Discuss what diagnostic procedures you might want to order based on the medical diagnosis.
4e) If this is a wellness visit, discuss what the U.S. Preventive Taskforce recommends for patients in this age group.
Submission Details:• Post your initial response to the Discussion Area by Day 3. Respond to at least two posts by the end of the week, Day 7. The week starts on Tuesday and ends on the following Monday.
• Your initial post is due on Day 3.
• Your two peer responses are due no later than Day 7. The expectation is that you reply to your peers on more than 2 days before the end of the week to receive full credit.
• Please make sure you are using scholarly references and they should not be older than 5 years. Your posts/references must be in APA format.
• Please follow the discussion rubric to make sure you have addressed the discussion criteria.

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DOMAIN: HISTORY

1a) Identify two (2) additional questions that were not asked in the case study and should have been?

Have you been exposed to anyone with a similar persistent cough?
Have you traveled recently to any areas where respiratory infections are common?
1b) Explain your rationale for asking these two additional questions.
Asking about exposure to individuals with a similar cough can help determine the possibility of the patient acquiring an infectious respiratory illness. Additionally, asking about travel history can help identify if the patient has been exposed to any respiratory infections that are endemic to certain regions.

1c) Describe what the two (2) additional questions might reveal about the patient’s health.
Asking about exposure to individuals with a similar cough can provide insight into the possibility of the patient having an infectious respiratory illness, such as tuberculosis or COVID-19. Inquiring about travel history can also help identify if the patient has been exposed to respiratory infections that are prevalent in certain regions.

DOMAIN: PHYSICAL EXAM

2a) Explain the reason the provider examined each system.
Respiratory System: The provider examined the patient’s respiratory system to assess for any abnormalities such as wheezing, crackles, or rhonchi that could indicate underlying respiratory conditions.
Cardiovascular System: The provider examined the patient’s cardiovascular system to assess for any abnormalities such as murmurs or irregular heartbeats that could indicate underlying cardiovascular conditions.
Abdomen: The provider examined the patient’s abdomen to assess for any tenderness or abnormalities such as masses or enlarged organs that could indicate underlying gastrointestinal conditions.
Skin: The provider examined the patient’s skin to assess for any abnormalities such as rashes or lesions that could indicate underlying dermatological conditions.

2b) Describe how the exam findings would be abnormal based on the information in this case. If it is a wellness visit, based on the patient’s age, describe what exam findings could be abnormal.
Respiratory System: If the patient has a persistent cough, exam findings such as wheezing, crackles, or rhonchi could be indicative of underlying respiratory conditions.
Cardiovascular System: Based on the patient’s age, abnormal exam findings could include murmurs, irregular heartbeats, or signs of peripheral artery disease.
Abdomen: Based on the patient’s age, abnormal exam findings could include tenderness or abnormalities such as masses or enlarged organs.
Skin: Based on the patient’s age, abnormal exam findings could include rashes or lesions.

2c) Describe the normal findings for each system.
Respiratory System: Normal exam findings include clear lung sounds.
Cardiovascular System: Normal exam findings include regular heart rate and rhythm with no murmurs or abnormal sounds.
Abdomen: Normal exam findings include no tenderness or abnormalities.
Skin: Normal exam findings include no rashes or lesions.

2d) Identify the various diagnostic instruments you would need to use to examine this patient.
Respiratory System: Stethoscope
Cardiovascular System: Stethoscope, blood pressure cuff
Abdomen: Palpation, stethoscope
Skin: Visual inspection

DOMAIN: ASSESSMENT (Medical Diagnosis)

3a) Discuss the pathophysiology of the diagnosis and,
The pathophysiology of the diagnosis of chronic obstructive pulmonary disease (COPD) involves the chronic inflammation of the airways in response to irritants such as cigarette smoke, air pollution, and occupational exposure. This inflammation leads to airway narrowing, excess mucus production, and destruction of lung tissue, resulting in difficulty breathing and a persistent cough.

3b) Discuss the pathophysiology of each differential diagnosis.
Asthma: The pathophysiology of asthma involves the constriction of the airways in response to various triggers such as allergens, irrit Bronchitis: The pathophysiology of acute bronchitis involves inflammation of the bronchial tubes, usually caused by a viral infection. The infla …

Chronic obstructive pulmonary disease (COPD): The pathophysiology of COPD involves the obstruction of airflow due to chronic bronchitis and/or emphysema. Chronic bronchitis involves the inflammation and narrowing of the bronchial tubes, while emphysema involves the destruction of the alveoli. Both of these conditions result in the obstruction of airflow, leading to difficulty breathing and other respiratory symptoms.

Pneumonia: The pathophysiology of pneumonia involves the infection of the lung tissue, usually caused by bacteria, viruses, or fungi. The infection causes inflammation and fluid accumulation in the alveoli, impairing gas exchange and leading to symptoms such as cough, fever, and difficulty breathing.