Read the M.H. Case Study: M.H. is an 80-year-old Caucasian female who is married and lives with her spouse. She presents to your office today with her spouse, feeling “coocoo, I just don’t feel right.” Currently she is taking rosuvastatin prescribed by her cardiologist for hyperlipidemia and a daily 325 mg aspirin.
She drinks 3-6 hard liquor drinks a day, 3-4 times a week in the evening, and has a 65-year smoking habit, currently smoking two packs per day (ppd). She has no known allergies. Past surgical history includes hysterectomy for a benign fibroid. Family history of breast cancer in three sisters, Type 2 diabetes and CVA in one sister, cancer of unknown origin in one brother.
All siblings and parents are deceased. Her husband reports that she is hard of hearing. He feels that it is due to cerumen build-up in her ears, which she refuses to have him removed. Her husband is also worried about her memory—states that she “just does not remember things like she used to. She keeps asking me the same questions over and over.” She does not eat very well; this is the way that she has been for years, but it does seem to be getting worse.
You notice on her chart that she was given lisinopril-hydrochlorothiazide 40/25 mg daily at her last office visit but she is not currently taking it. She states that she did take the medicine but she ran out. She reports that she does not have high blood pressure. She has fallen a few times in the past year but her husband states that he has fallen more, so he is not concerned. Last mammogram was two months ago and was normal. She gets her influenza vaccine yearly. Last pneumonia vaccine was two years ago. She had a colonoscopy several years ago and it was normal.
Vitals signs: BP 172/96 right arm, 179/92 left arm; pulse regular 92; respirations 18; temp 97.4 F Weight 72 lbs. Height 4’11” No chest pain, shortness of breath, edema, headache, change in vision, abdominal pain, vomiting, black tarry stools, blood in the stools, dysuria, urgency, frequency, nocturia, enuresis, sore throat, or recent fever.
Positive cough, rhinorrhea, nausea, and slight dizziness. Answer the following questions: List three concerns about this patient and why you are concerned. Do you want more information? If so, what? Will you order tests? If so, what testing? List at least four differential diagnoses. What counseling and recommendations would you give to M.H.?
Why Choose Us
Top Quality and Well-Researched Papers
An important research paper due imminently? We have your back! Simply request help from an expert whose expertise is verified. We employ Bachelor's, Master's, and Ph.D. graduates with years of expertise in the industry of professional writing. Before they begin writing for us, we verify their credentials and conduct assessments to ensure they can consistently provide the highest quality content. Before submission, your research article will also be examined by the quality control team.
Professional and Experienced Academic Writers
We have a team of professional writers with experience in academic and business writing. Many are native speakers and able to perform any task for which you need help.
Free Unlimited Revisions
If you think we missed something, send your order for a free revision. You have 10 days to submit the order for review after you have received the final document. You can do this yourself after logging into your personal account or by contacting our support.
Prompt Delivery and 100% Money-Back-Guarantee
All papers are always delivered on time. In case we need more time to master your paper, we may contact you regarding the deadline extension. In case you cannot provide us with more time, a 100% refund is guaranteed.
Original & Confidential
We use several writing tools checks to ensure that all documents you receive are free from plagiarism. Our editors carefully review all quotations in the text. We also promise maximum confidentiality in all of our services.
Customer Support 24/7
Our support agents are available 24 hours a day 7 days a week and committed to providing you with the best customer experience. Get in touch whenever you need any assistance.
Try it now!
How it works?
Follow these simple steps to get your paper done
Place your order
Fill in the order form and provide all details of your assignment.
Proceed with the payment
Choose the payment system that suits you most.
Receive the final file
Once your paper is ready, we will email it to you.
No need to work on your paper at night. Sleep tight, we will cover your back. We offer all kinds of writing services.
No matter what kind of academic paper you need and how urgent you need it, you are welcome to choose your academic level and the type of your paper at an affordable price. We take care of all your paper needs and give a 24/7 customer care support system.
Admission and Business Papers
An admission essay is an essay or other written statement by a candidate, often a potential student enrolling in a college, university, or graduate school. You can be rest assurred that through our service we will write the best admission essay for you.
Editing and Proofreading
Our academic writers and editors make the necessary changes to your paper so that it is polished. We also format your document by correctly quoting the sources and creating reference lists in the formats APA, Harvard, MLA, Chicago / Turabian.
If you think your paper could be improved, you can request a review. In this case, your paper will be checked by the writer or assigned to an editor. You can use this option as many times as you see fit. This is free because we want you to be completely satisfied with the service offered.