Using evidence-based resources from your search, answer the following questions, and support your answers using current evidence from the literature. Analyze the subjective portion of the note. List additional information that should be included in the documentation. Analyze the objective portion of the note. List additional information that should be included in the documentation. Is the assessment supported by subjective and objective information? Why or why not? Would diagnostics be appropriate for this case, and how would the results be used to make a diagnosis? Would you reject/accept the current diagnosis? Why or why not? Identify three possible conditions that may be considered as a differential diagnosis for this patient. Explain your reasoning using at least three different references from current evidence-based literature. CASE STUDY: Subjective: CC: I have bumps on my bottom that I want to have checked out. HPI: AB, a 21-year-old WF college student reports to your clinic with external bumps on her genital area. She states the bumps are painless and feel rough. She states she is sexually active and has had more than one partner during the past year. Her initial sexual contact occurred at age 18. She reports no abnormal vaginal discharge. She is unsure how long the bumps have been there but noticed them about a week ago. Her last Pap smear exam was 3 years ago, and no dysplasia was found; the exam results were normal. She reports one sexually transmitted infection (chlamydia) about 2 years ago. She completed the treatment for chlamydia as prescribed. PMH: Asthma Medications: Symbicort 160/4.5mcg Allergies: NKDA FH: No hx of breast or cervical cancer, Father hx HTN, Mother hx HTN, GERD Social: Denies tobacco use; occasional EtOH, married, 3 children (1 girl, 2 boys) Objective: VS: Temp 98.6; BP 120/86; RR 16; P 92; HT 510; WT 169lbsHeart: RRR, no murmurs Lungs: CTA, chest wall symmetrical Genital: Normal female hair pattern distribution; no masses or swelling Urethral meatus intact without erythema or discharge. The perineum is intact. Vaginal mucosa pink and moist with rugae present, pos for firm, round, small, painless ulcer noted on external labia Abd: soft, normoactive bowel sounds, neg rebound, neg murphys, neg McBurney Diagnostics: HSV specimen obtained Assessment: Chancre
Information provided by special senses can all be consciously perceived by the cerebrum, and some can also influence autonomic function. Each special sense has a specific organ devoted to it, along with specific cranial nerves that transmit the information back to the brain. Your task is the explore the relationship between the autonomic nervous system and one specific special sense (e.g., vision, gestation, equilibrium, olfaction, audition). You should spend approximately 3.5 hours on this assignment. Instructions Pick one special sense (vision, audition, gustation, olfaction, equilibrium) and prepare a written report of at least 1000 words answering the following bullet points: What cranial nerve(s) is(are) associated with your chosen special sense? Looking at the pathway for your chosen special sense, in what structure does the first synapse occur? Which part of the cerebrum is associated with processing your chosen special sense? Compare the difference in signal transduction between your chosen special sense organ and a somatic peripheral sensory nerve. Describe how sensory stimuli from your chosen special sense can trigger autonomic activation. Discuss the downstream effects at the organ and organismal levels. Discuss physiological consequences that can occur as a result of homeostatic imbalances in your chosen special sense organ. Your paper should be formatted as a proper research paper with an introduction and conclusion. Do not simply follow the bullet points above, but really think about what you have learned and how that relates to other material we have covered, and knowledge you have from other courses you may have taken. The Research and Report assignments in this course are capstone assignments for each module. You should be integrating everything that you learned in the textbook, explorations, discussions, and lab activities into your papers. All references must be cited using APA Style format. Please refer to the CCCOnline APA Citation Toolkit. Use what you have learned from this module to complete the assignment. In some cases, you may need to conduct additional research. See the Grading and Evaluation section in the Syllabus module for links to research databases in the CCCOnline Library. Submit your paper to the Module 5 Assignment: Research and Report assignment folder. See the Course Schedule and Course Rubrics sections in the Syllabus module for due dates and grading information.