Discussion Part Two (graded)\t\u00a0\t\u00a0\t\u00a0\tPhysical examination\t\u00a0\t\u00a0\tVital Signs:\t\u00a0\tHeight:\u00a0 5 feet 7 inches\u00a0\u00a0 Weight: 170 pounds Waist Circumference “\ufffd 32 inches BP 130\/84 T 98.0 po P 92 regular R 22, non-labored\t\u00a0\tHEENT: normocephalic, symmetric. Evidence of prior cataract surgery in both eyes. PERRLA, EOMI, cerumen impaction bilateral ears. Several broken teeth, loose partial plate.\t\u00a0\tNECK: Neck supple; non-palpable lymph nodes; no carotid bruits.\t\u00a0\tLUNGS: Decreased breath sounds bases bilaterally, clear to auscultation\tHEART: RRR with regular without S3, S4, murmurs or rubs.\t\u00a0\tABDOMEN: Bloated appearance, active bowel sounds, LLQ tenderness and 6 cm x 7 cm mass.\t\u00a0\tPV: Pulses are 2+ BL in upper and lower extremities; no edema\tNEUROLOGIC: Negative\t\u00a0\tGENITOURINARY: no CVA tenderness\t\u00a0\tMUSCULOSKELETAL: gait fluid and steady. No muscle atrophy or asymmetry. Full ROM all joints. Strength 5\/5 and equal bilaterally.\tHips: Discomfort on flexion in both hips; extensor and flexor strength symmetrical.\t\u00a0\tKnees: Left knee discomfort with weight bearing. No redness, warmth or edema. Full ROM in both knees with symmetrical extensor and flexor strength. Crepitus on extension of left knee.\t\u00a0\tHands: No redness or swelling. Bilateral joint tenderness of the distal interphalangeal and proximal interphalangeal joints of the 2nd and 3rd digits.\t\u00a0\tCalf circumference-31 cm; Mid-arm circumference- 22 cm\t\u00a0\tPSYCH: normal affect\t\u00a0\tSKIN: Pale. Areas of healing ecchymosis: Left knee- 3 cm x 2 cm x 0 cm. Right knee -2 cm x 2.5 cm x 0 cm.\t\u00a0\t\u00a0\t\u00a0\tDiscussion Part Two:\t\u00a0\t\u00a0\tSummarize the history and results of the physical exam. Discuss the differential diagnosis and rationale for choosing the primary diagnosis. Include one evidence-based journal article that supports your rationale and include a complete treatment plan that includes medications, possible referrals, patient education, ICD 10 Codes, and plan for follow-up.<\/p>\n","protected":false},"excerpt":{"rendered":"
Discussion Part Two (graded) \u00a0 \u00a0 \u00a0 Physical examination \u00a0 \u00a0 Vital Signs: \u00a0 Height:\u00a0 5 feet 7 inches\u00a0\u00a0 Weight: 170 pounds Waist Circumference “\ufffd 32 inches BP 130\/84 T 98.0 po P 92 regular R 22, non-labored \u00a0 HEENT: Read More …<\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[],"tags":[],"class_list":["post-230102","post","type-post","status-publish","format-standard","hentry"],"_links":{"self":[{"href":"https:\/\/www.benedictsol.com\/blogs\/wp-json\/wp\/v2\/posts\/230102","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.benedictsol.com\/blogs\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.benedictsol.com\/blogs\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.benedictsol.com\/blogs\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.benedictsol.com\/blogs\/wp-json\/wp\/v2\/comments?post=230102"}],"version-history":[{"count":0,"href":"https:\/\/www.benedictsol.com\/blogs\/wp-json\/wp\/v2\/posts\/230102\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.benedictsol.com\/blogs\/wp-json\/wp\/v2\/media?parent=230102"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.benedictsol.com\/blogs\/wp-json\/wp\/v2\/categories?post=230102"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.benedictsol.com\/blogs\/wp-json\/wp\/v2\/tags?post=230102"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}