GALACTORRHEA
Order Instructions
CASE STUDY
HPI:
Marcia is a 28 year old female who comes in with a complaint of nipple drainage. She says that the discharge started about three months ago and it appears milky. She says that she has also felt tired, and has been constipated lately. Her periods have been very light. She is worried that she “might have cancer”.
DIAGNOSIS:
GALACTORRHEA
ASSIGNMENT TO BE COMPLETED:
PART A
Describe the patient’s diagnosis (GALACTORRHEA) AND WHY. Think about clinical guidelines that might support the diagnosis.
PART B
Use the template below to create management plan for two primary diagnoses related to this case study. (The diagnosis is (GALACTORRHEA)
MANAGEMENT PLAN TEMPLATE: (PLEASE USE BULLET POINTS)
Address the following:
1. PRIMARY DIAGNOSIS CPT and ICD-10 code: (GALACTORRHEA) Explain reason for this diagnosis. Also include any procedural codes (CITE REFERENCE)
2. PROVIDE THREE DIFFERENTIAL DIAGNOSIS AND WHY. SUPPORT WITH EVIDENCE: Here are differential diagnoses that can be used:( Pregnancy, Hypothyroidism, Prolactinoma, Pituitary adenoma, Cshing disease, Stress and anxiety, Polycystic Ovary Syndrome (PCOS)). List them from highest priority to lowest priority and include their ICD-10 code for the diagnosis
3. LABORATORY AND DIAGNOSTIC TESTS: May be necessary to establish or evaluate a condition. Some tests, such as MRI, may require prior authorization from the patient’s insurance carrier.
4. CONSULTS: referrals to specialists, therapists (physical, occupational), counselors, or other professionals.
5. THERAPEUTIC MODALITIES: Pharmacological and Non-pharmacological management.
Pharmacological:
non-pharmacological:
6. Health Promotion: Address risk factors as appropriate. Consider age-appropriate preventive health screening.
7. PATIENT EDUCATION: Explanations and advice given to patient and family members.
8. DISPOSITION/FOLLOW UP INSTRUCTIONS: when the patient is to return sooner, and when to go to another facility such as the emergency department, urgent care center, specialist, or therapist.
9. REFLECTION NOTE: What was your “aha” moment? What would you do differently in a similar patient evaluation?
10. REFERENCES: (minimum of 3, timely WITHIN THE LAST 5 years that prove this plan follows current standard of care).
The assignment follows parenthetical/in-text citations, and at least 3 evidenced based references are listed within the past 5 years. (Please use 2 from the learning resources below). ThankS.
Learning Resources
Required Readings (click to expand/reduce)
Buttaro, T. M., Polgar-Bailey, P., Sandberg-Cook, J., & Trybulski, J. (2021). Primary care: Interprofessional collaborative practice (6th ed.). Elsevier.
Note: Review the following chapters, as needed.
• Ch. 3, Empowering Patients as Collaborative Partners
• Ch. 4, Coordinated Chronic Care
• Ch. 5, An Introduction to Health Care Disparities and Culturally Responsive Primary Care
• Ch. 6, Patient/Family Education and Health Literacy
• Ch. 7, Genetic Considerations in Primary Care
• Ch. 8, Risk Management
• Ch. 9, Adolescent Issues
• Ch. 10, LGBTQ Patient Care
• Ch. 11, Pregnancy, Prenatal Care, and Lactation
• Ch. 12, Human Trafficking
• Ch. 13, Aging and Common Geriatric Syndromes
• Ch. 14, Palliative Care
• Ch. 15, Acute, Chronic, Oncologic, and End-of-Life Pain Management in Primary Care
• Ch. 16, Wellness
• Ch. 17, Obesity and Weight Management
• Ch. 18, Principles of Occupational and Environmental Health in Primary Care
• Ch. 19, College Health
• Ch. 20, Presurgical Clearance
• Ch. 21, Preparticipation Sports Physical
Leik, M. T. C. (2018). Family nurse practitioner certification intensive review: Fast facts and practice questions (3rd ed.). Springer Publishing Company.
• Ch. 4, Health Screening and Health Promotion Review
• Ch. 16, Men’s Health Review
• Ch. 17, Women’s Health Review
• Ch. 18, Sexually Transmitted Diseases (STDs) or Infections (STIs) Review
• Ch. 19, Women’s Health, Pregnancy, and Childbirth Review
• Ch. 20, Pediatrics Review: Newborns
• Ch. 21, Pediatrics Review: Toddlers (Ages 2 to 3 Years)
• Ch. 22, Pediatrics Review: School-Age Children (Including Preschool)
• Ch. 23, Adolescents Review
• Ch. 24, Body and Metabolic Changes in the Older Adult
• Ch. 25, Common Disorders in Geriatrics
• Ch. 26, Ethical Guidelines and Advanced Practice Law
American Nurses Association. (2020). https://www.nursingworld.org/
American Association of Nurse Practitioners. (2020). https://www.aanp.org/
American Nurses Credentialing Center. (2020). https://www.nursingworld.org/ancc/
Centers for Disease Control and Prevention. (2020). https://www.cdc.gov/
Office of Disease Prevention and Health Promotion. (2020b). Healthy people 2020. https://www.healthypeople.gov/
Office of Disease Prevention and Health Promotion. (2020a). Development of the national health promotion and disease prevention objectives for 2030. https://www.healthypeople.gov/2020/About-Healthy-People/Development-Healthy-People-2030
World Health Organization. (2020). https://www.who.int/
Recommended Reading (click to expand/reduce)
Buppert, C. (2018). Nurse practitioner’s business practice and legal guide (6th ed.). Jones & Bartlett.
• “Failure to Provide Preventative Care,” p. 280
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