Metro Goodyear
NRNP 6552
Walden University
Case Study Lucy # 3
Outline Subjective Outline Identify diagnostic Distinguish at least Identify appropriate Explain key Describe
data. Objective findings. tests, procedures, three differential medications, Social Determinants collaborative care
and laboratory diagnoses. treatments, or of Health (SDoH) for referrals and
In this case, we Vital Signs: Temp work indicated. other interventions your chosen case. patient education
have a 64-year-old 98.1/ Pulse 78/ Resp .Vaginitis ICD- 10 for each differential needs for your
alert and oriented 18/ Blood pressure Pap Smear.CPT Code N76.0 diagnosis. Lucy's husband of chosen case.
patient named 130/78 Weight code 8816. Pap Vaginitis is an 45 years recently
Lucy. She is 152lbs Height 67” with HPV-specific inflammation of the Vaginitis died, and she lives Several specialists,
postmenopausal BM1 23.8 testing as she vagina, Vaginal cream that alone and recently such as oncologists,
and comes to the complained of characterized by contains estrogen, relocated, which to evaluate the
office for a well- Breast Exam Walnut vaginal dryness. symptoms such as such as estradiol, may cause social breast mass, which
woman visit and to size palpable breast With a history of Itching. Discharge relieves symptoms isolation. A person includes a biopsy
establish care. She mass located at the HPV positive, the (which may be and loose and who is in a negative and possible
is the mother of 3 9:00 position on the pap smear will rule white, gray, yellow, dryness in the mental and treatment.
healthy children left breast. Right out any progression or green). Pain vaginal area by emotional state
and has been breast normal with of her condition, during intercourse. directly applying to may find it difficult OBGYN to manage
pregnant 3 times. no nipple discharge such as cervical redness and the vaginal tissues to process some postmenopausal
Her history includes noted. dysplasia. swelling of the increasing the information. symptoms following
regular cervical vulva. Vaginal estrogen levels. her HPV with
cancer screenings, Speculum Exam: Mammogram and dryness after Estradiol cream 1 Another challenge routine screening.
with the last one multiparous cervix, breast ultrasound menopause is gram daily for two to health care is
being two years no discharge or bilaterally. CPT primarily caused weeks, then one access to services. Encouraging her to
ago, when she had lesions Codes 77066, by a decrease in gram daily for 1 Relocating can go to grief
a abnormal pap and 76641 estrogen week via an interrupt access to counseling should
, HPV positive with a Bimanual Exam : She has a noted left production, leading application for 21 quality healthcare, also be offered to
negative cytology. Uterus absent via breast mass that's to thinner, drier, days then 2 days a making it hard for Lucy, as she may
Her chief complaint surgery palpable and a and less elastic week thereafter forpatients to maintain have inadvertently
today is vaginal family history of vaginal tissues vaginal dryness. wellness routines neglected her
dryness along with Abdomen: breast cancer. Early (Santoro et al., due to new health related to
painful intercourse. Surgical scar noted cancer detected has 2021). She is Breast Neoplasm networks, the emotional
She notes never abdomen soft its benefits of postmenopausal The Tyrer-Cuzick unfamiliar stress of the loss of
being on any without distention. noninvasive care as and she is questionnaire providers, and her husband.
hormone Bowel sounds are late stages can be encountering assesses breast limited options.
replacement present in all four very critical to vaginal dryness cancer risk based Moving to a new Literature on the
therapy; however, quadrants. systemic health which leads to on a woman’s area disrupts many effects of long-term
she will consider it painful intercourse. answers to aspects of daily life, alcohol usage.
as an option. Her Needed Test Bone Density CPT questions about age but perhaps none Health services for
current medical code 77080. She is at first period, more critical than alcohol intake
history includes Pelvic exam and pap at risk for height, weight, healthcare. Medical reduction or
Breast Neoplasm
osteopenia, smear due to HPV developing childbearing history and provider elimination and
ICD- 10 code C50.2
hypothyroidism, history, thyroid osteoporosis and history, family relationships are information on
dyslipidemia, and levels, and bone being that she history of breast vital to quality care, support groups.
uterine fibroids. Her density testing due to already has Breast cancer is one cancer, menopausal and how patients
surgical history her diagnosis of osteopenia, we of the most status, and use of establish new Educating her on
consists of a osteopenia and need to make sure common cancers hormone healthcare continued physical
hysterectomy in imaging of breast of the extent of the that affects women. replacement connections after activity is essential
2009 with cervix mass osteopenia, so a It happens when therapy (Ferrer et relocating can to long-term health.
and ovaries bone mineral cancerous cells in al., 2025). The significantly impact
retained. Family density scan is your breast multiply calculated score their well-being.
history includes necessary. and provides the risk of Alcohol
Father who passed become tumors. developing invasive consumption in
away at age 70 with About 80% of breast cancer women is more
CVA and Leukemia. breast cancer cases within 10 years of vulnerable to
Mother who passed TSH (thyroid are invasive, the current age, as developing alcohol-
away at 62 with stimulating meaning a tumor well as over a related liver
breast cancer. Her hormone) CPT code may spread from lifetime. At the disease, including
menstrual cycle 84443. Any thyroid your breast to other helm and having a hepatitis and
areas of your body
NRNP 6552
Walden University
Case Study Lucy # 3
Outline Subjective Outline Identify diagnostic Distinguish at least Identify appropriate Explain key Describe
data. Objective findings. tests, procedures, three differential medications, Social Determinants collaborative care
and laboratory diagnoses. treatments, or of Health (SDoH) for referrals and
In this case, we Vital Signs: Temp work indicated. other interventions your chosen case. patient education
have a 64-year-old 98.1/ Pulse 78/ Resp .Vaginitis ICD- 10 for each differential needs for your
alert and oriented 18/ Blood pressure Pap Smear.CPT Code N76.0 diagnosis. Lucy's husband of chosen case.
patient named 130/78 Weight code 8816. Pap Vaginitis is an 45 years recently
Lucy. She is 152lbs Height 67” with HPV-specific inflammation of the Vaginitis died, and she lives Several specialists,
postmenopausal BM1 23.8 testing as she vagina, Vaginal cream that alone and recently such as oncologists,
and comes to the complained of characterized by contains estrogen, relocated, which to evaluate the
office for a well- Breast Exam Walnut vaginal dryness. symptoms such as such as estradiol, may cause social breast mass, which
woman visit and to size palpable breast With a history of Itching. Discharge relieves symptoms isolation. A person includes a biopsy
establish care. She mass located at the HPV positive, the (which may be and loose and who is in a negative and possible
is the mother of 3 9:00 position on the pap smear will rule white, gray, yellow, dryness in the mental and treatment.
healthy children left breast. Right out any progression or green). Pain vaginal area by emotional state
and has been breast normal with of her condition, during intercourse. directly applying to may find it difficult OBGYN to manage
pregnant 3 times. no nipple discharge such as cervical redness and the vaginal tissues to process some postmenopausal
Her history includes noted. dysplasia. swelling of the increasing the information. symptoms following
regular cervical vulva. Vaginal estrogen levels. her HPV with
cancer screenings, Speculum Exam: Mammogram and dryness after Estradiol cream 1 Another challenge routine screening.
with the last one multiparous cervix, breast ultrasound menopause is gram daily for two to health care is
being two years no discharge or bilaterally. CPT primarily caused weeks, then one access to services. Encouraging her to
ago, when she had lesions Codes 77066, by a decrease in gram daily for 1 Relocating can go to grief
a abnormal pap and 76641 estrogen week via an interrupt access to counseling should
, HPV positive with a Bimanual Exam : She has a noted left production, leading application for 21 quality healthcare, also be offered to
negative cytology. Uterus absent via breast mass that's to thinner, drier, days then 2 days a making it hard for Lucy, as she may
Her chief complaint surgery palpable and a and less elastic week thereafter forpatients to maintain have inadvertently
today is vaginal family history of vaginal tissues vaginal dryness. wellness routines neglected her
dryness along with Abdomen: breast cancer. Early (Santoro et al., due to new health related to
painful intercourse. Surgical scar noted cancer detected has 2021). She is Breast Neoplasm networks, the emotional
She notes never abdomen soft its benefits of postmenopausal The Tyrer-Cuzick unfamiliar stress of the loss of
being on any without distention. noninvasive care as and she is questionnaire providers, and her husband.
hormone Bowel sounds are late stages can be encountering assesses breast limited options.
replacement present in all four very critical to vaginal dryness cancer risk based Moving to a new Literature on the
therapy; however, quadrants. systemic health which leads to on a woman’s area disrupts many effects of long-term
she will consider it painful intercourse. answers to aspects of daily life, alcohol usage.
as an option. Her Needed Test Bone Density CPT questions about age but perhaps none Health services for
current medical code 77080. She is at first period, more critical than alcohol intake
history includes Pelvic exam and pap at risk for height, weight, healthcare. Medical reduction or
Breast Neoplasm
osteopenia, smear due to HPV developing childbearing history and provider elimination and
ICD- 10 code C50.2
hypothyroidism, history, thyroid osteoporosis and history, family relationships are information on
dyslipidemia, and levels, and bone being that she history of breast vital to quality care, support groups.
uterine fibroids. Her density testing due to already has Breast cancer is one cancer, menopausal and how patients
surgical history her diagnosis of osteopenia, we of the most status, and use of establish new Educating her on
consists of a osteopenia and need to make sure common cancers hormone healthcare continued physical
hysterectomy in imaging of breast of the extent of the that affects women. replacement connections after activity is essential
2009 with cervix mass osteopenia, so a It happens when therapy (Ferrer et relocating can to long-term health.
and ovaries bone mineral cancerous cells in al., 2025). The significantly impact
retained. Family density scan is your breast multiply calculated score their well-being.
history includes necessary. and provides the risk of Alcohol
Father who passed become tumors. developing invasive consumption in
away at age 70 with About 80% of breast cancer women is more
CVA and Leukemia. breast cancer cases within 10 years of vulnerable to
Mother who passed TSH (thyroid are invasive, the current age, as developing alcohol-
away at 62 with stimulating meaning a tumor well as over a related liver
breast cancer. Her hormone) CPT code may spread from lifetime. At the disease, including
menstrual cycle 84443. Any thyroid your breast to other helm and having a hepatitis and
areas of your body
