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Nursing 523 midterm exam instructions Fall2020.

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10/19/23, 9:58 AM N523 midterm exam instructions Fall2020




Midterm & Final Exam Instructions
Nursing 523


Please download and review the expanded clinical scenario. Read thru this patient’s story. Answer the
following questions in order asked, and answer under the specific heading of each question. This is
NOT a formal APA paper. Please keep your responses as brief as possible while remaining thorough.
Feel free to use tables, algorithms, outlines, or whatever format you believe would best explain your
responses, but these must be in the same document you submit, and they must be your responses. Do
make sure that you provide responses to each question. As always, please provide all appropriate
citations and references and make the work your own. At least 2 of your references must be obtained
from Foley library. Please review APA 6th edition of appropriate citation of references. Plagiarism will
not be tolerated. Poor grammar and spelling errors will result in point deduction. No more than 10-11
pages maximum (not counting reference page). The instructions are in an outline format, but you do
not have to use this outline to submit your work. The outline will guide you through everything that I
am looking for you to cover.

This assignment should not be in APA format (although your references should be). Instead,
please use the numbers 1 to 5 to separate out each of the categories below, answering each of the
areas within each heading. If you do cite a reference, then please do give credit as an in-text
reference (Author, year). When completing this assignment please give your responses in the
same sequence as the outline below. If you do not submit with your answers below the heading
of each area, it will be returned to you to be resubmitted with a late penalty. References should
be in APA format for your last page of the assignment.

To Submit: Click into “Turn it in.” It will guide you through the process step by step. Make sure
your first & last name are on the top of the document. “Turn it in” is in the same area you found
the mid-term case. It is an easy process (even I was able to do it). If you have difficulty you can
always email:

The midterm is due by Sunday October 25 @ 11:59 PM PST & the final is due by
Sunday November 29 @ 11:59 PM.

1. Differential Diagnosis Table

a. Complete a differential diagnosis table for this patient (see below)

i. A differential diagnosis list is a list of all the possible diagnoses
this patient could have based on the symptoms the patient presents
with, the available history and the physical exam. Examine what
you know about this patient, and consider the pathophysiology as
you make your list of possible diagnoses.

ii. You should be able to generate a list of at least 4-5 possibilities,
though there is space for more if you would like.

iii. Put them in a list of most likely being number 1, to less likely.




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,10/19/23, 9:58 AM N523 midterm exam instructions Fall2020




1. Your number one diagnosis is the one you think this patient
has, given the history and physical exam. This is the most
likely diagnosis given that there are more clinical
manifestations and findings in the history and exam that
support this diagnosis.

2. Include any differential that you think is appropriate for
this patient, given the information you have, but make sure
it is in the order of most likely.

3. Be specific in your possible diagnosis. Do not use generic
diseases or diagnoses. If there are more than one type of a
disease, list each separately, as likely the pathophysiology
is different.




Possible Diagnosis Signs and Symptoms seen in This patient that
(listed in order of make you consider this as a diagnosis
likelihood)


NEUROPATHIES
PAGE 583

Neuropathy (peripheral
neuropathy) https://my.clevelandclinic.org/health/diseases/14737-
neuropathy
(neurology




Spinal tumors/infection https://www.aans.org/en/Patients/Neurosurgical-
Conditions-and-Treatments/Spinal-Tumors




Diabetes


Peripheral artery Smoking, over 50, leg numbness or weakness,
disease painful with activities


Pernicious anemia/iron https://thearbor.com/can-alcohol-cause-anemia/




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, 10/19/23, 9:58 AM N523 midterm exam instructions Fall2020




deficiency anemia

low RBC, iron


Stomach flu Vomiting, fever


1. Multiple sclerosis


2. Back Pain


3. Diabetes


4.Peripheral neuropathy


5.Viral Gastroenteritis


6.Food poisoning


7. Musculoskeletal Legs weakness


8.Spinal cord cancer


9.Anemia Weakness, Fatigue (alcohol consumption, low iron
diets…)




MYELOPATHY AND CAUDA EQUINA SYNDROME

https://www.youtube.com/watch?v=iqDz9ixXILs




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