Turnitin™ enabled. This assignment will be submitted to Turnitin™. For this assignment: Consider that you are the provider on duty at a local urgent care clinic. As you read each of the patient scenarios, think about what the non-emergent diagnosis might be for this patient. Then consider this patient’s presentation and situation in light of emergency, life-threatening, or life-altering diagnoses. Answer the following questions for each patient: #1 Identify which of the provided diagnoses should be assigned to each patient. #2 Identify what signs and symptoms give you a clue that the disease process might be more serious than it presents. #3 Is it appropriate to continue to treat this patient or do they require a higher level of care? If they require a higher level of care, please explain your rationale. #4 What diagnostics will you order and why? If the patient is sent to a higher level of care, what diagnostics and specialist referrals do you anticipate? Meet your patients for the day: Marla Carico, a 62-year-old female, arrived at the clinic a few moments ago with a complaint of upper back pain and nausea. She started feeling nauseous this morning, and her back started hurting a few minutes later. She denies any injury. It all happened while she was drinking her morning coffee, while watching her usual morning T.V. shows. Now she feels weak and expresses that she just feels like something is not right. Randall Smitters, a 43-year-old male, presents with a complaint of cough, shortness of breath, and pain in his left chest. He denies pain in his neck or left arm. He is not diaphoretic or nauseous. In his review of symptoms, the nurse also noted that he has had pain in his right leg, but he thinks that he must have pulled a muscle. Che Yashimoto, a 57-year-old male, complains of intense pain in his stomach, just below his rib cage. He states that he bent over to tie his shoes about 20 minutes ago and felt like something ripped in his belly. He is visibly fearful, appears pale for his ethnicity, and is very weak. Melissa Parker, a 45-year-old female, visits the clinic with a complaint of sudden swelling in her ankles. She states that the onset was a couple of days ago. Since then, she has had to sleep in her recliner because she can’t breathe when she lies down in her bed. She feels short of breath when she tries to do any of her normal household activities. Wendel Rhinehart, a 29-year-old male, had a couple of teeth that gave him problems for months. He finally went to the dentist and found that he needed bilateral root canals and antibiotics to clear up the infections. However, the systemic fever, chills, and fatigue that he thought were caused by his gum infections wouldn’t seem to clear up. He comes to the clinic today thinking he just needs another round of the antibiotics, but you know that something else is going on. Since this all began, Wendel has lost 11.5 lbs. You notice petechia on his bilateral arms and hear a loud mitral murmur on auscultation of his chest. Please note that there are more answer options provided than the number of scenarios presented. It is essential to carefully read each scenario in its entirety before selecting your answer. Use critical thinking and refer to your textbooks and clinical resources to guide your decisions. Focus on identifying key details in the scenarios that align with the best clinical response. This approach will help ensure accuracy and deepen your understanding of the concepts being assessed. Acute Heart Failure, Dissection of a Thoracic or Abdominal Aneurysm Endocarditis, Myocardial Infarction Pulmonary Embolism Cholecystitis Pneumonia Make sure to answer with concise, but thorough answers. Please write in full sentences and paragraphs according to APA 7 style guidelines. Make sure to cite any professional references used, including your text(s), in proper APA 7 format. Your analysis should be limited to 1500 words, exclusive of references.
This assignment will be submitted to Turnitin™. For this assignment: Consider that you are the provider on duty at a local urgent care clinic. As you read each of the patient scenarios, think about what the non-emergent diagnosis might be for this patien