40-year-old woman with a history of breast cancer that was successfully treated with Tamoxifen for several months. Otherwise healthy, with no other issues at this time. She is a successful businesswoman in a high-profile career with much stress. Married to wife of four years; relationship is rocky at times. Denies any substance use; travels frequently. What are 3 differential diagnosis with the patient chief complaints of shortness of breath, chest pain, flank pain, and fever?
A 40-year-old woman with a history of breast cancer that was successfully treated with Tamoxifen for several months.
Current symptoms shortness of breath, chest pain, flank pain, and fever.
Nursing Diagnosis
1. Ineffective breathing pattern related to chronic stress and abnormal tissue growth as evidenced by dyspnea.
2. chronic pain in chest and back related to abnormal tissue growth in the breast as evidence by patient's verbalization.
3. Elevated body temperature related to abnormal tissue growth in breast and infection as evidenced by increase body temperature from the normal range, fatigue.
40-year-old woman with a history of breast cancer that was successfully treated with Tamoxifen for several...
40-year-old woman with a history of breast cancer that was successfully treated with Tamoxifen for several months. Otherwise healthy, with no other issues at this time. She is a successful business woman in a high-profile career with much stress. Married to wife of four years; relationship is rocky at times. Denies any substance use; travels frequently.
70-year-old man with a history of CHF, COPD, and HTN; currently smokes one pack of cigarettes daily; takes Lisinopril, Digoxin, and Symbicort daily. Married to wife of 30 years and is retired (previously an accountant), is supported by adult children, and lives with his wife at home. What are 3 differential diagnosis based on patient symptoms of shortness of breath, fever, chest pain, and flank pain?
A 28-year-old woman with opioid use disorder; uses IV heroin; has PTSD; no other medical problems or medications. She currently is single, lives with several roommates, and has a history of legal problems (with some jail time). Sexually active with men and women; inconsistent use of protection. What are 3 differential diagnoses, based on the patient's symptoms shortness of breath, chest pain, flank pain, and fever?
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A 46-year-old, 230lb woman with a family history of breast cancer. She is up to date on yearly mammograms. She has a history of HTN. She complains of hot flushing, night sweats, and genitourinary symptoms. She had felt well until 1 month ago and she presented to her gynecologist for her annual gyn examination and to discuss her symptoms. She has a history of ASCUS about 5 years ago on her pap, other than that, Pap smears have been normal....
A.K., a 68-yr-old married Asian American woman, has been diagnosed with breast cancer. She is scheduled for surgery in the morning for a lumpectomy and sentinel lymph node biopsy with possible axillary node dissection. When she is seen in the preoperative clinic 1 week before surgery, she is crying uncontrollably and says, “My husband does not want to look at me anymore. He is afraid of what I am going to look like with a flat chest.” She says, “I...
A 25 year old white female reports to the Emergency Room because of sharp left sided chest pain and shortness of breath of one day duration. The patient was in excellent health until yesterday. She was awakened from her sleep by sharp left sided chest pain. The pain worsened with motion and deep breathing. The pain has been progressively increasing in severity and she now has severe left shoulder pain. She complains of shortness of breath and is very apprehensive...
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Ms X is a 76 year-old woman with breast cancer. She had a primary lumpectomy and recently completed her final chemotherapy treatment. She has had a poor appetite and lost 22 pounds since diagnosis. She was seen in her physician's office earlier today with a complaint of malaise and low-grade fever. Her blood pressure on the non-operative arm was 90/50 and pulse was 110 and irregular. She has complained of intermittent diarrhea over the past few days. Upon ambulation, you...
A 62-year-old elderly woman, Mrs. NM, comes into the emergency room with a Chief Complaint of generalized weakness and moderate shortness of breath, with heavy epistaxis for the past 20 hours. The patient also related that she had bitten the inside of her mouth about 1 week ago, and she still had mild, occasional bleeding from the site, despite being extremely careful with chewing food and brushing teeth. Pt. also stated that she sometimes her stools are very dark, but...