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
Two‐year‐old Lydell presents to the office with his mother and maternal grandmother with a complaint of a red area on his penis. Lydell’s mother, Stacy, states that when she was changing his diaper 2 days ago, she noticed that Lydell’s foreskin was red. She states that she has been putting a diaper rash cream on the area but that it has not helped to relieve the redness. She feels that the area of redness is getting larger and that the area is now painful. Lydell has no fever, cough, runny nose, vomiting, or diarrhea.
Diet: Lydell’s nutrition history reveals that he has a balanced diet with enough dairy, protein, fruits, and vegetables. His appetite is good and has not changed in the past 2 days.
Elimination: Lydell is voiding well, but Stacy thinks that he may have some pain when he uri-nates. She states that diaper changes seem to cause him pain when she cleans the area of redness with the baby wipes. He has 1 bowel movement daily, and Stacy denies that he has constipation or diarrhea.
Sleep: Lydell sleeps approximately 11 hours at night and takes one nap daily. He has no trouble falling asleep or staying asleep.
Past medical history: Lydell was born at 40 weeks’ gestation via vaginal delivery with vacuum assist. Since birth, Lydell has been healthy and has had no injuries or illnesses requiring visits to the emergency department. Lydell passed his developmental screening at his last well‐child visit. He does not currently attend a day care or preschool program. He has no chronic illnesses and is currently taking no medications.
Social history: Lydell lives at home with his mother and maternal grandmother. Lydell’s father is involved but does not reside in the home. His mother is currently not working outside of the home. The family has a cat. There are no smokers in the home.
Family medical history: Lydell’s mother (21 years old) has a history of having leukemia as child. She is followed periodically by an oncologist. Lydell’s father (23 years old) has a history of asthma. Lydell’s maternal grandmother (age 39 years) has a history of multiple sclerosis. His maternal grandfather (40 years old) has a history of Type I diabetes. Lydell’s paternal grandfather (41 years
old) has no known history of health problems. His paternal grandmother (40 years old) has a history of asthma.
Medications: Lydell is not currently taking any over‐the‐counter, prescription, or herbal medications. His mother does apply diaper rash cream to the genital area during diaper changes. Lydell has no known allergies to medication, food, or the environment. He is up to date on required immunizations.
OBJECTIVE
Lydell’s vital signs are taken, and his weight in the office is 17 kg. His temperature is 37.0°C (temporal). He is alert, playful, and interactive. When crying, he is easily consolable. He appears well hydrated and well nourished. There is no cyanosis of his skin, lips, or nails. There is no dia-phoresis noted, and Lydell has good skin turgor on examination.
HEENT: Lydell’s head is normocephalic. His red reflexes are present bilaterally; and his pupils are equal, round, and reactive to light. There is no ocular discharge noted. Lydell’s external ear reveals that the pinnae are normal, and there is no tenderness to touch on the external ear. On otoscopic examination, the tympanic membranes are gray bilaterally, in normal position with positive light reflexes. Bony landmarks are visible, and there is no fluid noted behind the tympanic membranes. Both nostrils are patent. There is no nasal discharge, and there is no nasal flaring. Lydell’s mucous membranes are noted to be moist. He has 18 teeth present. There are no visible caries or other lesions present in the oral cavity.
Neck: Lydell’s neck is supple and able to move in all directions without resistance. There is no cervical lymphadenopathy noted.
Respiratory: Lydell’s respiratory rate is 24 breaths per minute, and his lungs are clear to auscul-tation in all lobes. There is good air entry, and no retractions or grunting are noted on examination. No deformities of the thoracic cage are noted.
Cardiovascular: Lydell’s heart rate is 96 beats per minute with a regular rhythm. There is no murmur noted upon auscultation.
Abdomen: Normoactive bowel sounds are present throughout, and Lydell’s abdomen is soft and nontender. There is no evidence of hepatosplenomegaly.
Genitourinary: Uncircumcised male genitalia with erythema and mild edema on the foreskin. The affected area is mildly tender to touch. A portion of the glans is visible; and there is no discharge, erythema, or swelling noted. His testes are descended bilaterally. There is no erythema or edema of the scrotum. He has shotty lymph nodes present in the inguinal area.
Neuromuscular: Good tone and full range of motion in all extremities; extremities are warm and well perfused. Capillary refill is less than 2 seconds, and his spine is straight.
CRITICAL THINKING
Which diagnostic or imaging studies should be considered to assist with or confirm the diagnosis?
___Bacterial culture
___Gram stain
___Microscopic examination
___Potassium hydroxide (KOH)
___Urinalysis
What is the most likely differential diagnosis and why?
___Balanitis
___Phimosis
___Paraphimosis
___Balanoposthitis
What is the plan of treatment, referral, and follow‐up care?
Does this patient’s psychosocial history affect how you might treat this case?
What if the patient lived in a rural setting?
Are there any demographic characteristics that might affect 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
CLICK ON THE LINK HERE: https://www.perfectacademic.com/orders/ordernow
Do You Have Any Other Essay/Assignment/Class Project/Homework Related to this? Click Here Now [CLICK ME] and Have It Done by Our PhD Qualified Writers!!