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
SUBJECTIVE
Jill is a 26‐year‐old female who presents today for evaluation of redness, swelling, and pain in her right breast. Three months ago she underwent bilateral nipple piercings while on vacation in the Caribbean. Both sites had healed well until 4 days ago, when she noted “mild” redness on her right lower breast. This has increased in size and depth of color and she began experiencing swell-ing and pain in the right breast. Last night she noted a small amount of drainage on the right side of bra and felt mildly feverish.
Past medical history: Jill is an otherwise healthy 26‐year‐old female of Ashkenazi Jewish heritage who had the usual childhood illnesses. Her immunizations are up to date. She’s had no chronic illnesses and has no past surgical history.
Family medical history: Jill’s mother and father (Ashkenazi Jewish) are alive and well. She has 2 brothers, ages 20 and 18, with no significant medical problems. Her paternal grandmother is age 67 and has Type 2 diabetes mellitus; she was treated for left breast cancer at age 43 and tested positive for the BRCA 1 and 2 gene. Jill’s paternal grandfather is age 70 and is alive and well. Her maternal grandmother is age 65 and has high blood pressure; her maternal grandfather is age 67 and alive and well.
Social history: Jill graduated with a degree in art and works as an assistant in an art gallery; she is applying to graduate school. Jill lives in Boston with a female roommate. Her alcohol intake includes 2–3 glasses of wine on the weekend. She has been smoking 3–4 cigarettes per day since age 20. She performs Pilates 2–3 times per week.
Medication: Daily BCP, MVI, Tylenol if needed for headache.
Allergies: Seasonal sllergies (spring), penicillin (rash and hives).
OBJECTIVE
General: Pleasant young woman, who appears mildly unwell, in moderate discomfort; rates pain 4/10 located in R breast.
Vital signs: Temperature: 100.4°F; P: 90; BP: 100/60.
Cardiac: Rate 96 and regular, no murmurs heard on auscultation.
Respiratory: Rate 16 breaths per minute, lungs clear to auscultation in all lobes.
Skin: Face is flushed. Right breast has marked redness and warmth over the lower half, left breast no redness or increase in temperature.
Breast: Right breast is slightly swollen, with erythema extending over the lower half of the right breast, central area of induration within the area of erythema. Mild skin thickening and edema noted. There is a ring piercing through the right nipple, no drainage seen. Right breast has a tender area of induration within the central portion of the erythema. No other discrete or dominant masses found. No observable drainage seen from right breast. Left breast has a ring piercing through the left nipple, no swelling, erythema, or induration, also with piercing through the left nipple. Left breast is smooth to palpation with no discrete or dominant masses noted, no painful areas on palpation.
Lymph: Left axillary nodes nonpalpable, nontender. Right axilla has 2 mobile, nontender, 0.5 cm, oval palpable nodes.
CRITICAL THINKING
Which diagnostic tests should be considered?
Which differential diagnoses should be considered?
What is the most likely differential diagnosis and why?
What is the plan of treatment?
What is the plan for follow‐up?
Would the workup or treatment be different if this patient were a man?
Are any referrals needed?
What health education is important for this patient?
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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