Order ID 53563633773 Type Essay Writer Level Masters Style APA Sources/References 4 Perfect Number of Pages to Order 5-10 Pages Description/Paper Instructions
I have had a painful, itchy, swollen, and yellow right great toe for about two months now. Until I started going to the gym, I was fine wearing closed shoes.
HPI: Eliot D. A 38-year-old Caucasian female comes to the clinic with complaints of pain, itching, inflammation, and “yellow” discoloration of the right great toe. When she showered at the gym, she discovered that her toe was mildly itchy. She gave little thought to it. Benadryl cream with only some relief did nothing to relieve the itching, and this occurred about two weeks after the itchiness began. As the itching increased, her toe nail began to change color. Toe swelling, pain, and yellowing all occurred 2 weeks ago. Her symptoms were not alleviated by the use of lotrimin AF cream. No other remedies have been tried. Is unwilling to accept other associated symptoms of fever and chills.
PMH:
a chronic disease that causes diabetic complications
Nope, no surgeries needed.
Common allergies: Take Augmentin
Metformin 500mg PO BID for the treatment of diabetes.
Her flu shot is up-to-date and she’s immunized.
Society’s recent history:
an educated, employed adult with no children Every night, she has one glass of red wine with dinner. She had been a smoker for several years and quit 6 years ago.
Inherited family traits
Both parents are alive. It is common knowledge that he has type 2 DM, which also goes by the name “tinea pedis.” The mother has history of atopic dermatitis and hypertension.
ROS:
Positive for absence of fever. This works better for chills.
Eyes: No vision problems. No difficulty with breathing
Heart rate: Steady rhythm.
In other words, skin on the right great toe is said to be discolored, itchy, painful, and swollen.
Nothing has been found for anxiety. Depression is not present.
evaluation
Breathing Rate
Five feet five inches in height Height: 5′ 6″ BMI: 31, obesity, blood pressure was 130/70 and the temperature was 98.0; the skin temperature was 88.0 and the breathing rate was 22.
Tooth loss was not detected. Gums are without redness.
Neck: Knobby and not over-sized, free of lymph nodes, thyroid gland volume is normal.
lungs: no rattling Lungs are both clear. in- and out-breaths Constant, symmetrical breathing. No respiratory distress has been found.
A normal S1 followed by a normal S2 during expiration. On the upper extremities, pulses can be felt as two or more. A 1+ ankle edema.
ABDOMEN: No indication of an abdominal distention. Nontender. The sound of bowel movements in addition to four quadrants. Absence of organomegaly. Normality; No masses palpable.
GASTROINTESTINAL: No right upper abdominal tenderness. “GU” exam postponed.
A slow gait but constant. There is no Kyphosis.
SKIN: Yellow-brown discoloration in the proximal nail plate is observed on the right great toe. There was a discernible periungual inflammation on the left thumb. No pus is found. There is no neuro deficit.
SANE: Normal emotions. Cooperative.
For example, a lab finding might be Hgb 13.2, Hct 38 percent, K+ 4.2, Na+ 138, Cholesterol 225, Triglycerides 187, HDL 37, LDL 190, TSH 3.7, and glucose levels would be found to be 98.
A:
Primary diagnosis: Onychomycosis of the proximal subungual nail
Selection of a differential diagnosis based on an irritation contact dermatitis, lichen planus, or nail psoriasis
Fungal culture confirms the presence of a fungal infection.
In order to be treated, Terbinafine is taken daily for 12 weeks and Itraconazole is taken daily for 12 weeks.
liver blood tests and blood counts to measure the ALT and AST levels
How should the following be handled?
When should the patient be referred after therapy and why? Explanation must be provided.
There are non-pharmacological treatments for Onychomycosis according to the recommended guidelines.
Involve patients in the education process. When recalling past medical histories, bear in mind this patient’s medical history.use APA 6th citation format
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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