Order ID 53563633773 Type Essay Writer Level Masters Style APA Sources/References 4 Perfect Number of Pages to Order 5-10 Pages Description/Paper Instruction
SUBJECTIVE
Emily is a 6‐year‐old female who presents to the clinic with her mother. She presents with com-plaints of cough and difficulty breathing. Two days prior, Emily developed a nonproductive cough that is worse at night, clear rhinorrhea, and a fever with a maximum temperature of 102°F. The mother has treated the fever with Tylenol 320 mg every 4 hours, as needed, when the temperature was greater than 101°F. Her mother also complains that “when she gets a cold, it lasts longer than normal.”
Birth history: Emily was born full term weighing 3200 g by normal spontaneous vaginal delivery (NSVD). Pregnancy and delivery were uncomplicated with Apgar scores of 8 (1 minute) and 9 (5 minutes).
Social history: Emily is a 6‐year‐old female in the first grade who lives with her mom, dad, and 2 siblings in a house in the city. They have 4 pets: 2 dogs, 1 cat, and 1 turtle. The parents work outside the home and have private health insurance. Emily and her siblings attend an after‐school program until her mom picks them up after work. Emily attends regular medical and dental appointments, and they deny tobacco or alcohol use in the home. She plays soccer, ice hockey, and lacrosse.
Diet: Emily’s appetite is fair with a fluid intake of 32 oz/day of juice/milk/water. She also reports normal eating habits without abdominal pain or diarrhea.
Elimination: Emily voided 4 times yesterday. No vomiting or diarrhea. Her mother complains that everyone in the house is sick with the same symptoms.
Sleep: Emily sleeps from 8 p.m. to 6 a.m. She coughs 1–2 times during the night.
Past medical history: Past medical history is positive for obstructive sleep apnea 4. Birth history was uneventful. Emily also has a history of bronchiolitis at 8 months of age, which did not require medication or hospitalization.
Family history: Mother (age 36): healthy, atopic dermatitis, seasonal allergies; father (age 35):
healthy, asthma, seasonal allergies; sibling (age 4): healthy; sibling (age 2): healthy; maternal
grandmother (age 80): hypertension, breast cancer, basal cell skin cancer; maternal grandfather
(age 81): hypertension, diabetes mellitus Type 2; paternal grandmother (age 76): hypertension,
obesity; paternal grandfather (age 72): deceased, hypertension, stroke.
Medications: Emily is currently on no medications. Immunizations are up to date.
Allergies: Has no known allergies to medications, food, or the environment.
OBJECTIVE
General: Emily is alert, well hydrated, active, and cooperative.
Vital signs: Temperature 38°C, pulse 72, and respirations 28 per minute with a blood pressure of 100/52 in the left arm. The O2 saturation is 94%, and weight is 25 kg.
Skin: No lesions, rashes, or scars; and the patient is not cyanotic.
HEENT: Normocephalic with no evidence of trauma or lesions. Eyes show no signs of drainage; sclera white, with pink conjunctiva. Otoscopic examination reveals tympanic membranes gray bilaterally with positive light reflex and normal pinnae. The nose has clear rhinorrhea; no nasal polyps with pink turbinates. Examination of the throat shows a cobblestone appearance in the posterior pharynx, uvula midline, tonsils size 0/4 with no exudate or erythema, moist mucous membranes; and the trachea is midline.
Respiratory: Bilateral inspiratory and expiratory wheezing; mild intercostal retractions; mild shortness of breath; no rales, crackles, or nasal flaring.
Cardiovascular: No murmur; normal S1/S2; 2+ brachial and femoral pulses; no cyanosis, clubbing, or edema noted.
Lymphatic: There is no lymphadenopathy on examination.
Abdomen: Soft, nontender, nondistended; + bowel sounds; no hepatosplenomegaly during palpation.
Genitourinary: Normal female genitalia.
Neurological: Grossly intact.
CRITICAL THINKING
What diagnostic or imaging studies should be considered to assist with or confirm the diagnosis?
___Oxygen saturation
___Chest X‐ray___Nasal pharyngeal swab for direct fluorescent antibody (DFA)
What are the top differential diagnoses and why?
What is the most likely differential diagnosis and why?
What is the plan of treatment?
What is the plan for follow‐up care?
Are any referrals needed at this time?
Are there any standardized guidelines that should be used to assess or treat this case?
RUBRIC
QUALITY OF RESPONSE NO RESPONSE POOR / UNSATISFACTORY SATISFACTORY GOOD EXCELLENT Content (worth a maximum of 50% of the total points) Zero points: Student failed to submit the final paper. 20 points out of 50: The essay illustrates poor understanding of the relevant material by failing to address or incorrectly addressing the relevant content; failing to identify or inaccurately explaining/defining key concepts/ideas; ignoring or incorrectly explaining key points/claims and the reasoning behind them; and/or incorrectly or inappropriately using terminology; and elements of the response are lacking. 30 points out of 50: The essay illustrates a rudimentary understanding of the relevant material by mentioning but not full explaining the relevant content; identifying some of the key concepts/ideas though failing to fully or accurately explain many of them; using terminology, though sometimes inaccurately or inappropriately; and/or incorporating some key claims/points but failing to explain the reasoning behind them or doing so inaccurately. Elements of the required response may also be lacking. 40 points out of 50: The essay illustrates solid understanding of the relevant material by correctly addressing most of the relevant content; identifying and explaining most of the key concepts/ideas; using correct terminology; explaining the reasoning behind most of the key points/claims; and/or where necessary or useful, substantiating some points with accurate examples. The answer is complete. 50 points: The essay illustrates exemplary understanding of the relevant material by thoroughly and correctly addressing the relevant content; identifying and explaining all of the key concepts/ideas; using correct terminology explaining the reasoning behind key points/claims and substantiating, as necessary/useful, points with several accurate and illuminating examples. No aspects of the required answer are missing. Use of Sources (worth a maximum of 20% of the total points). Zero points: Student failed to include citations and/or references. Or the student failed to submit a final paper. 5 out 20 points: Sources are seldom cited to support statements and/or format of citations are not recognizable as APA 6th Edition format. There are major errors in the formation of the references and citations. And/or there is a major reliance on highly questionable. The Student fails to provide an adequate synthesis of research collected for the paper. 10 out 20 points: References to scholarly sources are occasionally given; many statements seem unsubstantiated. Frequent errors in APA 6th Edition format, leaving the reader confused about the source of the information. There are significant errors of the formation in the references and citations. And/or there is a significant use of highly questionable sources. 15 out 20 points: Credible Scholarly sources are used effectively support claims and are, for the most part, clear and fairly represented. APA 6th Edition is used with only a few minor errors. There are minor errors in reference and/or citations. And/or there is some use of questionable sources. 20 points: Credible scholarly sources are used to give compelling evidence to support claims and are clearly and fairly represented. APA 6th Edition format is used accurately and consistently. The student uses above the maximum required references in the development of the assignment. Grammar (worth maximum of 20% of total points) Zero points: Student failed to submit the final paper. 5 points out of 20: The paper does not communicate ideas/points clearly due to inappropriate use of terminology and vague language; thoughts and sentences are disjointed or incomprehensible; organization lacking; and/or numerous grammatical, spelling/punctuation errors 10 points out 20: The paper is often unclear and difficult to follow due to some inappropriate terminology and/or vague language; ideas may be fragmented, wandering and/or repetitive; poor organization; and/or some grammatical, spelling, punctuation errors 15 points out of 20: The paper is mostly clear as a result of appropriate use of terminology and minimal vagueness; no tangents and no repetition; fairly good organization; almost perfect grammar, spelling, punctuation, and word usage. 20 points: The paper is clear, concise, and a pleasure to read as a result of appropriate and precise use of terminology; total coherence of thoughts and presentation and logical organization; and the essay is error free. Structure of the Paper (worth 10% of total points) Zero points: Student failed to submit the final paper. 3 points out of 10: Student needs to develop better formatting skills. The paper omits significant structural elements required for and APA 6th edition paper. Formatting of the paper has major flaws. The paper does not conform to APA 6th edition requirements whatsoever. 5 points out of 10: Appearance of final paper demonstrates the student’s limited ability to format the paper. There are significant errors in formatting and/or the total omission of major components of an APA 6th edition paper. They can include the omission of the cover page, abstract, and page numbers. Additionally the page has major formatting issues with spacing or paragraph formation. Font size might not conform to size requirements. The student also significantly writes too large or too short of and paper 7 points out of 10: Research paper presents an above-average use of formatting skills. The paper has slight errors within the paper. This can include small errors or omissions with the cover page, abstract, page number, and headers. There could be also slight formatting issues with the document spacing or the font Additionally the paper might slightly exceed or undershoot the specific number of required written pages for the assignment. 10 points: Student provides a high-caliber, formatted paper. This includes an APA 6th edition cover page, abstract, page number, headers and is double spaced in 12’ Times Roman Font. Additionally, the paper conforms to the specific number of required written pages and neither goes over or under the specified length of the paper. GET THIS PROJECT NOW BY CLICKING ON THIS LINK TO PLACE THE ORDER
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