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For this Case Study Discussion, you will propose a differential diagnosis with a

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For this Case Study Discussion, you will propose a differential diagnosis with a minimum of 3 possible conditions or diseases. You will prioritize these diagnoses and explain which you would recommend. To prepare: Review the Learning Resources for this week as well as Weeks 5 and 6 and specifically review the clinical guideline resources specific to your assigned case study. Use the Focused SOAP Note Template found in the Learning Resources to support Discussion. Based on the case study scenario provided, complete a SOAP note and critically analyze this and focus your attention on the diagnostic tests. Based on your assigned case study, post a Focused SOAP NOTE with the following: Differential diagnosis (dx) with a minimum of 3 possible conditions or diseases. Define what you believe is the most important diagnosis. Be sure to include the first priority in conducting your assessment. Explain which diagnostic tests and treatment options you would recommend for your patient and explain your reasoning. Case Study 4 Case Study: Obstetrics Scenario 1 Phillipa Hudson is a 29-year-old female presenting today at your clinic with a positive home pregnancy test. Her medical history is negative. Surgical history negative. Gyn history 1st menses age 12, with cycles coming every 28 days and lasting for 5 days. Her pap and std history are negative. She has been taking a woman’s gummy vitamin for the past year. Her OB history is as follows: Date gestation outcome gender wt. anesthesia Complications 1-2011 6 TAB None 4-2014 39 Low forceps delivery male 8’14” epidural Gestational diabetes 5-2016 8 weeks SAB 8-2016 35 weeks NSVD female 6’6” local None 7-2017 38 weeks SVD male 8’10” local Gestational diabetes Phillipa relates her last period (LMP) was 04-04-2022. She reports breast tenderness, fatigue, and nausea (which is what made her suspect she was pregnant). • Smoking/Alcohol/recreational drug use. Any potential chemical exposures at home or work. Social history such as relationship status, living situation, support system, job type, dietary restrictions. Update: Height, weight, vital signs Phillipa denies smoking, alcohol, and recreational drug use. She is a warehouse supervisor at Amazon and works 36 hrs. per week. She and her fiancé have been together for 5 years, and he works in an accounting office. They live in a 3-bedroom townhouse within easy walking distance to schools and stores. Her fiancé’s parents live in the same complex they do, and her parents and younger sister live about a mile away. Phillipa relates she is become a vegetarian since her last pregnancy. Her vital signs at her first visit height 5’4” weight 176 lbs. and her BP is 112/68

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