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
Seven‐year‐old Katie presents with new onset gastrointestinal complaints. She has no significant past medical history and no known allergies. She was recently seen in her primary care provider’s office for a well‐child check. It was noted that her growth curve had plateaued for the past 2 years and she is now “falling off” her curve. Her mother describes Katie as a “classic picky eating toddler” who, in the past 2 years, has begun expanding list of acceptable foods. In the past several months, the mother has noticed that Katie has had increased incidences of diarrhea and abdominal pain. It has interfered in her ability to attend school and she is missing approximately 3 days per month due to symptoms. Her diarrhea is not accompanied by fever, upper respiratory infection (URI) symptoms, or vomiting. No one else in the house has experienced similar complaints.
Birth history: Katie was born at 38 weeks’ gestation via spontaneous vaginal delivery. She weighed 7 lbs, 7 oz and required no NICU placement.
Social history: Katie is in second grade and lives with her mother and father. Katie does well in school and is easily able to name friends and her favorite subject. Katie has a 5‐year‐old sister, Madison. The family owns their own home in a suburb. They have 2 dogs.
Diet: Katie is described as a “reformed picky eater” by her mother. She eats steak and chicken for meat (refuses fish); flavored yogurt and cheese are her main sources of calcium; her favorite foods are turkey sandwiches, goldfish crackers, and pasta. Katie does not drink juice or soda. She has 3–5 servings of fruits or vegetables per day.
Elimination: Stools daily and these are described as soft and non‐painful to pass. As noted by her mother, Katie has been experiencing greater frequency of diarrhea (1–3 times per week) which her mother describes as frequent, very loose, and malodorous. Katie urinates several times per day and denies any pain with urination. She has no history of urinary tract infection (UTI).
Sleep: Katie goes to bed at 8 p.m. and wakes up between 6:30 and 7 a.m. She generally sleeps through the night and sleeps alone in her own bed. Her mother reports that Katie has occasionally awakened during the night to stool.
Family history: Katie’s mother reports a history of multiple miscarriages, and her father has a history of high cholesterol (on medication). Her maternal aunt has a history of celiac disease. Her
maternal grandmother has a history of colorectal cancer (deceased). Her paternal grandfather has Type 1 diabetes.
Medications: Katie takes a multivitamin daily.
Allergies: Katie has no known allergies.
OBJECTIVE
General: Katie is a 7‐year‐old feminine appearing child who presents in no acute distress. She is interactive and age‐appropriate in her responses.
Vital signs: Heart rate is 90; respiratory rate is 14; blood pressure is 95/55, oxygen saturation is 100% on room air; pain is rated as a 0.
HEENT: Normocephalic; thick brown hair; eyes slightly sunken; tympanic membranes visible and with no evidence of effusion/infection; nostrils patent; trachea is midline. There is no evidence of enlarged thyroid.
Mouth: Mucous membranes with thick saliva. Mild enamel erosion on teeth. Dentition reveals mix of primary and secondary teeth.
Cardiac: Heart with regular rate and rhythm. There is no murmur noted.
Respiratory: Lungs are clear to auscultation bilaterally. There is equal air movement in all lobes.
Abdomen: Abdomen is soft, mildly tender to palpation. There is intermittent guarding in the right upper quadrant. Normoactive bowel sounds are present throughout. There are no masses or hepa-tosplenomegaly appreciated.
Genitourinary: Tanner stage 2 external female genitalia. There are no anal or rectal fissures, tags, or hemorrhoids.
Neuromusculoskeletal: Moves all 4 extremities equally with appropriate strength.
Neurologic: Alert and oriented to person, place, time, situation. Cranial nerves are grossly intact.
Psychological: Not visibly anxious or agitated.
CRITICAL THINKING
What are the three most likely differential diagnoses for this patient? What tests would help to confirm your suspicions?
What other information gathered through noninvasive methods would help to confirm the diagnosis?
What information from the family history helps to guide your differentials?
Once the diagnosis is established, what other multidisciplinary support would you offer the patient and family? What other medical specialties/subspecialties would you engage?
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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