Nursing

Legislation comparison Grid
Legislation comparison Grid
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The Assignment: (1- to 2-page Comparison Grid; 1- to 2-page Legislation Testimony/Advocacy Statement)
Based on the health-related bill you selected, complete the Legislation Template. Be sure to address the following:
Determine the legislative intent of the bill you have reviewed.
Identify the proponents/opponents of the bill.
Identify the target populations addressed by the bill.
Where in the process is the bill currently? Is it in hearings or committees?
Is it receiving press coverage?
Part 2: Legislation Testimony/Advocacy Statement
Based on the health-related bill you selected, develop a 1- to 2-page Legislation Testimony/Advocacy Statement that addresses the following:
Advocate a position for the bill you selected and write testimony in support of your position.
Describe how you would address the opponent to your position. Be specific and provide examples.
Recommend at least one amendment to the bill in support of your position.
Use this document to complete Part 1 of the Module 2 Assessment Legislation Comparison Grid and Testimony/Advocacy Statement
Health-related Bill Name
Description
Federal or State?
Legislative Intent
Target Population
Status of the bill (Is it in hearings or committees? Is it receiving press coverage?)
General Notes/Comments
The Assignment: (1- to 2-page Comparison Grid; 1- to 2-page Legislation Testimony/Advocacy Statement)
Based on the health-related bill you selected, complete the Legislation Comparison Grid Template. Be sure to address the following:
Determine the legislative intent of the bill you have reviewed.
Identify the proponents/opponents of the bill.
Identify the target populations addressed by the bill.
Where in the process is the bill currently? Is it in hearings or committees?
Is it receiving press coverage?
Part 2: Legislation Testimony/Advocacy Statement
Based on the health-related bill you selected, develop a 1- to 2-page Legislation Testimony/Advocacy Statement that addresses the following:
Advocate a position for the bill you selected and write testimony in support of your position.
Describe how you would address the opponent to your position. Be specific and provide examples.
Recommend at least one amendment to the bill in support of your position.
Use this document to complete Part 1 of the Module 2 Assessment Legislation Comparison Grid and Testimony/Advocacy Statement
Health-related Bill Name
Description
Federal or State?
Legislative Intent
Target Population
Status of the bill (Is it in hearings or committees? Is it receiving press coverage?)
General Notes/Comments

Assignment: interview with community health
Assignment: interview with community health
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is based in Ocala Florida/Marion County, the slides should be based on the spirit of the community, social interactions, common goals and interests, barriers, and challenges, including any identified social determinate of health.
every slide with pictures and speaker notes and references
Shouldbe 3or 4slides
This assignment consists of both an interview and a PowerPoint (PPT) presentation.
Assessment/Interview
Select a community of interest. It is important that the community selected be one in which a CLC group member currently resides. Students residing in the chosen community should be assigned to perform the physical assessment of the community.
Perform a direct assessment of a community of interest using the “Functional Health Patterns Community Assessment Guide.”
Interview a community health and public health provider regarding that person’s role and experiences within the community.
Interview Guidelines
Interviews can take place in-person, by phone, or by Skype. Complete the “Provider Interview Acknowledgement Form” and submit with the group presentation.
Develop one set of interview questions to gather information about the role of the provider in the community and the health issues faced by the chosen community.
Compile key findings from the interview, including the interview questions used, and submit with the group presentation.
PowerPoint Presentation
Within your group, create a PowerPoint presentation of 15-20 slides (slide count does not include title and reference slide) describing the chosen community interest.
Include the following in your presentation:
Description of community and community boundaries: the people and the geographic, geopolitical, financial, educational level, ethnic, and phenomenological features of the community as well as types of social interactions, common goals and interests, barriers, and challenges, including any identified social determinates of health.
Summary of community assessment: (a) funding sources and (b) partnerships.
Summary of interview with community health/public health provider.
Identification of an issue that is lacking or an opportunity for health promotion. The issue identified can be used for the Community Teaching Plan: Community Teaching Work Plan Proposal assignment.
A conclusion summarizing your key findings and a discussion of your impressions of the general health of the community.
In addition to submitting this assignment in the LoudCloud dropbox, email a copy of your submission to [email protected].
While APA style is not required for the body of this assignment, solid academic writing is expected, and documentation of sources should be presented using APA formatting guidelines, which can be found in the APA Style Guide, located in the Student Success Center.
This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.
You are not required to submit this assignment to Turnitin.
When submitting this assignment, include the interview questions, the interview findings, completed “Provider Interview Acknowledgement Form,” and the community assessment PPT presentation.

Discussion: Death and Dying Assessment
Discussion: Death and Dying Assessment
The practice of health care providers at all levels brings you into contact with people from a variety of faiths. This calls for knowledge and understanding of a diversity of faith expressions; for the purpose of this course, the focus will be on the Christian worldview.
Based on “Case Study: End of Life Decisions,” the Christian worldview, and the worldview questions presented in the required topic study materials you will complete an ethical analysis of George’s situation and his decision from the perspective of the Christian worldview.
Provide a 1,500-2,000-word ethical analysis while answering the following questions:
How would George interpret his suffering in light of the Christian narrative, with an emphasis on the fallenness of the world?
How would George interpret his suffering in light of the Christian narrative, with an emphasis on the hope of resurrection?
As George contemplates life with amyotrophic lateral sclerosis (ALS), how would the Christian worldview inform his view about the value of his life as a person?
What sorts of values and considerations would the Christian worldview focus on in deliberating about whether or not George should opt for euthanasia?
Given the above, what options would be morally justified in the Christian worldview for George and why?
Based on your worldview, what decision would you make if you were in George’s situation?
Remember to support your responses with the topic study materials.
Prepare this assignment according to the guidelines found in the APA Style Guide. An abstract is required.
This assignment uses a rubric.You are required to submit this assignment to LopesWrite.
1. Bioethics: A Primer for Christians
Read Chapters 6 and 12 in Bioethics: A Primer for Christians.
2. Called to Care: A Christian Worldview for Nursing
Read Chapters 10-12 in Called to Care: A Christian Worldview for Nursing.
3. Defining Death: Medical, Legal and Ethical Issues in the Determination of Death
Read the Introduction and Chapters 1-3 of “Defining Death: Medical, Legal and Ethical Issues in the Determination of Death” by the President’s Commission for the Study of Ethical Problems in Medicine and Biomedical and Behavioral Research (1984).
Rubric
Analysis of how the man would interpret his suffering in light of the Christian narrative and the fallenness of the world is clear and demonstrates a deep understanding that is skillfully supported by topic study materials. 12%
Analysis of how the man would interpret his suffering in light of the Christian narrative and the hope of resurrection is clear and demonstrates a deep understanding that is skillfully supported by topic study materials. 12%
Analysis of how the Christian worldview of the man might inform his view about the value of his life as a person with ALS is clear and demonstrates a deep understanding that is skillfully supported by topic study materials.12%
Evaluation of which values and considerations the Christian worldview focuses on when deliberating the option of euthanasia for the man is clear and demonstrates a deep understanding that is skillfully supported by topic study materials. 12%
Evaluation of which options would be justified in the Christian worldview for the man is clear and demonstrates a deep understanding that is skillfully supported by topic study materials. 12%
Reflection hypothesis of which personal choices would be make if faced with ALS based on personal worldview is clear, relevant, and insightful. 10%
Thesis is comprehensive and contains the essence of the paper. Thesis statement makes the purpose of the paper clear. 7%
Clear and convincing argument presents a persuasive claim in a distinctive and compelling manner. All sources are authoritative. 8%
Writer is clearly in command of standard, written, academic English. 5%
All format elements are correct.5%
Sources are completely and correctly documented, as appropriate to assignment and style, and format is free of error. 5%

Discussion: Developmental Red Flags
Discussion: Developmental Red Flags
Wellness visits are an important part of pediatric primary care. During these visits, patient growth and development are assessed. As an advanced practice nurse who performs these assessments, you must be able to distinguish between normal and abnormal growth and development to recognize red flags. While some patients may not meet milestones due to differences in rates of development, abnormal development might also be a red flag of an underlying problem. In this Discussion, you examine the following case studies and consider potential developmental red flags:
Case Study 1
A mother brings in her 16-month-old, Brittany, for treatment of an acute illness. During the history, the mother reports that her mother-in-law is concerned about the toddler’s development. Further questioning reveals the following:
Brittany was a term infant born vaginally with no intrapartum complications. Birth weight was 8 pounds 1 ounce and current weight is 26 pounds 9 ounces.
She was breastfed until 12 months of age and now drinks 24 ounces of whole milk and eats table foods daily.
Physical milestones are as follows: Rolled front to back at 6 months, developed pincer grasp at 11 months, crawled at 8 months, and began cruising at 10 months. She does not walk independently.
Social development includes mimicking adult behavior, four-word vocabulary (mama, dada, baba, and no), follows one-step commands, and quiets easily when comforted.Wellness visits are an important part of pediatric primary care. During these visits, patient growth and development are assessed. As an advanced practice nurse who performs these assessments, you must be able to distinguish between normal and abnormal growth and development to recognize red flags. While some patients may not meet milestones due to differences in rates of development, abnormal development might also be a red flag of an underlying problem. In this Discussion, you examine the following case studies and consider potential developmental red flags:
Case Study 1
A mother brings in her 16-month-old, Brittany, for treatment of an acute illness. During the history, the mother reports that her mother-in-law is concerned about the toddler’s development. Further questioning reveals the following:

Assignment: Counterargument Presentation
Assignment: Counterargument Presentation
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This paper assignment expands upon your Week One Assignment and prepares you for the Final Paper. The expansion is to learn to improve one’s argument after investigating and fairly representing the opposite point of view. The main new tasks are to revise your previous argument created in Week One, to present a counterargument (an argument for a contrary conclusion), and to develop an objection to your original argument.
Assignment: Counterargument Presentation
Here are the steps to prepare to write the counterargument paper:
Begin reviewing your previous paper paying particular attention to suggestions for improvement made by your instructor.
Revise your argument, improving it as much as possible, accounting for any suggestions and in light of further material you have learned in the course. If your argument is inductive, make sure that it is strong. If your argument is deductive, make sure that it is valid.
Construct what you take to be the strongest possible argument for a conclusion contrary to the one you argued for in your Week One paper. This is your counterargument. This should be based on careful thought and appropriate research.
Consider the primary points of disagreement between the point of view of your original argument and that of the counterargument.
Think about what you take to be the strongest objection to your original argument and how you might answer the objection while being fair to both sides. Search in the Ashford University Library for quality academic sources that support some aspect of your argument or counterargument.
In your paper,
Present a revised argument in standard form, with each premise and the conclusion on a separate line.
Present a counterargument in standard form, with each premise and the conclusion on a separate line.
Provide support for each premise of your counterargument. Clarify the meaning of the premise and supporting evidence for the premise.
Pay special attention to those premises that could be seen as controversial. Evidence may include academic research sources, supporting arguments, or other ways of demonstrating the truth of the premise (for more ideas about how to support the truth of premises take a look at the instructor guidance for this week). This section should include at least one scholarly research source. For guidance about how to develop a conclusion see the Ashford Writing Center’s .
Explain how the conclusion of the counterargument follows from its premises. [One paragraph]
Discuss the primary points of disagreement between sincere and intelligent proponents of both sides. [One to two paragraphs]
For example, you might list any premises or background assumptions on which you think such proponents would disagree and briefly state what you see as the source of the disagreement, you could give a brief explanation of any reasoning that you think each side would find objectionable, or you could do a combination of these.
Present the best objectionto your original argument. Clearly indicate what part of the argument your objection is aimed at, and provide a paragraph of supporting evidence for the objection. Reference at least one scholarly research source. [One to two paragraphs]
See the “Practicing Effective Criticism” section of Chapter 9 of your primary textbook for more information about how to present an objection.
For further instruction on how to create arguments, see the and documents as well as the video .
For an example of how to complete this paper, take a look at the following Week Three . Let your instructor know if you have questions about how to complete this paper.
The Counterargument Paper
Must be 500 to 800 words in length (not including title and references pages) and formatted according to APA style as outlined in the Ashford Writing Center (for more information about using APA style, take a look at the webpage).
Must include a separate title page with the following:
Title of paper
Student’s name
Course name and number
Instructor’s name
Date submitted
Must use at least two scholarly sources in addition to the course text.
The offers additional guidance on appropriate source types. If you have questions about whether a specific source is appropriate for this assignment, please contact your instructor. Your instructor has the final say about the appropriateness of a specific source for a particular assignment.
Must document all sources in APA style as outlined in the Ashford Writing Center (for more information about how to create an APA reference list, take a look at the webpage).
Must include a separate references page that is formatted according to APA style as outlined in the Ashford Writing Center.
Carefully review the for the criteria that will be used to evaluate your assignment.

Assignment: patient care plan
Assignment: patient care plan
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Question 1 A nurse is developing a care plan for a patient who has multiple sclerosis. An expected outcome for the patient who is receiving glatiramer would be a decrease in
A) chest pain
B) fatigue
C) breathing difficulties
D) heart palpitations
Question 2 A nurse is teaching a patient about his newly prescribed drug, colchicine, for gout. The nurse will instruct the patient to avoid which of the following foods?
A) Green beans
B) Shrimp
C) Eggs
D) Milk
Question 3 A patient with type 1 diabetes has been admitted to the hospital for orthopedic surgery and the care team anticipates some disruptions to the patient’s blood glucose levels in the days following surgery. Which of the following insulin regimens is most likely to achieve adequate glycemic control?
A) Small doses of long-acting insulin administered four to five times daily
B) Doses of basal insulin twice daily with regular insulin before each meal
C) Large doses of rapid-acting insulin combined with long-acting insulin each morning and evening
D) Divided doses of intermediate-acting insulin every 2 hours, around the clock
Question 4 A 65-year-old woman has an advanced form of rheumatoid arthritis. Her treatment includes a regular dosage of methotrexate. The nurse will advise her to take which of the following vitamin supplements while taking the drug?
A) Vitamin A
B) Vitamin B
C) Vitamin C
D) Vitamin D
Question 5 A 49-year-old woman has been diagnosed with myalgia. The physician has recommended aspirin. The patient is concerned that the aspirin will upset her stomach. The nurse will encourage the patient to
A) crush the tablet before swallowing
B) swallow the tablet whole
C) swallow the tablet with milk or food
D) avoid drinking milk for 3 hours after swallowing the tablet

Medical Coding ICD10CM codes
Medical Coding ICD10CM codes
QUESTION 1
1. For the statement “ovarian androgen hormone hypersecretion” the main term to reference in the Index is __________.
[removed] a. ovarian
[removed] b. androgen
[removed] c. hormone
[removed] d. hypersecretion
QUESTION 2
1. For the statement “oligospermia due to efferent duct obstruction” the main term to reference in the Index is __________.
[removed] a. oligospermia
[removed] b. efferent
[removed] c. duct
[removed] d. obstruction
QUESTION 3
1. For the statement “acute antitubular basement membrane nephritis” the main term to reference in the Index is __________.
[removed] a. antitibular
[removed] b. basement
[removed] c. membrane
[removed] d. nephritis
QUESTION 4
1. For the statement “adhesive shoulder joint capsulitis” the main term to reference in the Index is ___________.
[removed] a. adhesive
[removed] b. shoulder
[removed] c. joint
[removed] d. capsulitis
QUESTION 5
1. Acute adenoviral follicular conjunctivitis is reported with code(s) _____________.
[removed] a. B30
[removed] b. B30.1
[removed] c. B30.1, H10.9
[removed] d. B30.9
QUESTION 6
1. Viral endocarditis is reported with code(s) __________.
[removed] a. B33.21, I38
[removed] b. B33.24, I38
[removed] c. B33.24
[removed] d. B33.21
QUESTION 7
1. Mast cell leukemia in remission is reported with code ___________.
[removed] a. C94.3
[removed] b. C94.30
[removed] c. C94.31
[removed] d. C94.32
QUESTION 8
1. Evans syndrome is reported with code __________.
[removed] a. D69
[removed] b. D69.4
[removed] c. D69.41
[removed] d. D69.49
QUESTION 9
1. Medullary hypoplasia is reported with code ___________.
[removed] a. D61.9
[removed] b. D61.1
[removed] c. D62
[removed] d. D63.8
QUESTION 10
1. Tommy Jones was hospitalized, and the discharge diagnosis recorded for his case is meningitis due to Lyme disease. The correct code(s) for this case is/are __________.
[removed] a. A69.20
[removed] b. A69.20, G03.9
[removed] c. G03.9
[removed] d. A69.21
QUESTION 11
1. Malignant neoplasm of the tail of the pancreas is reported with code __________.
[removed] a. C24.9
[removed] b. C25
[removed] c. C25.2
[removed] d. C26.9
QUESTION 12
1. Sally was admitted with a mass on her left ovary. After work-up it was determined that the mass was a benign neoplasm. The correct code for the principal diagnosis is __________.
[removed] a. R19.01
[removed] b. D26.0
[removed] c. D27.1
[removed] d. R19.00
QUESTION 13
1. Tuberculosis cerebral arteritis is reported with code _____________.
[removed] a. I77.6
[removed] b. A18.89
[removed] c. M31.6
[removed] d. A18.85
QUESTION 14
1. Scarlet fever with otitis media is reported with code __________.
[removed] a. A38.9
[removed] b. A38.1
[removed] c. A38.0
[removed] d. A38.8
1. Tom Jones is being seen today by Dr. Smith for gonococcal tenosynovitis. The correct code for this case is _____________.
[removed] a. A54.49
[removed] b. M65.9
[removed] c. A54.42
[removed] d. A54.4
QUESTION 16
1. Tim Hill has been experiencing diarrhea for a number of weeks with weight loss. Testing has determined that he has a beef tapeworm infection. Code(s) ________________________ would be reported for this case.
[removed] a. R19.7
[removed] b. R19.7, B68.1
[removed] c. B68.1
[removed] d. B71.9
QUESTION 17
1. The code used to report a benign neoplam of ureteric orifice of bladder is ____________.
[removed] a. D30.3
[removed] b. C67.6
[removed] c. C67.5
[removed] d. D30
QUESTION 18
1. A benign neoplasm of the hepatic flexure is coded with code ____________.
[removed] a. C18.3
[removed] b. D12.3
[removed] c. D12
[removed] d. D12.9
QUESTION 19
1. Janet is an 84 year old complaining of being tired and weak for the last week. She drove herself to the emergency department. The provided ordered blood work-up that revealed mast cell leukemia. The diagnostic code to report for this encounter is _____________.
[removed] a. C94.32
[removed] b. C94.31
[removed] c. C94
[removed] d. C94.30
QUESTION 20
1. Linda has been tired and complains of feeling weak for the last two to three months. Blood work shows that she has folic acid deficiency anemia. The code(s) for this case are _____________.
[removed] a. R53.1
[removed] b. R53.1, D52.9
[removed] c. D52.9
[removed] d. D52.0

Assignment: characteristic of pharmaceutical rep
Assignment: characteristic of pharmaceutical rep
What is typically NOT a characteristic of a pharmaceutical rep?
Pharmaceutical sales reps are authentic and real.
Pharmaceutical sales reps are creative.
Pharmaceutical sale reps are focused.
Pharmaceutical sale reps are not concerned about competitors.
Which of the following refers to all active and inert pharmaceutical ingredients in a drug, including fillers and colors?
Formulation
Mycoplasma
Peptide
Saccharide
Senior citizens consume over——–times as many pharmaceutical as people under 65.
Three
Five
Ten
Fifteen
What is passive diffusion?
A type of pinocytosis
Membrane transport via vesicles
The use of energy to help a substance pass from a low concentration gradient to a high one
When a substance freely moves through a membrane from a high concentration gradient to a low one
What are all metabolites?
Type of pinocytosis
Membrane transport via vesicles]
The use of energy to help a substance pass a low concentration gradient to a high one
When a substance freely moves through a membrane from a high concentration gradient to a low one
When a drug is administered orally, where does first-pass metabolism occur?
Intestine
Liver
Pancreas
Stomach
Which of the following is NOT part of the Seven Step Cascade of Emotion?
Be a consultant, not a rep
Identify what your product does
Reflect
Visualize the power 10
If a sales representative’s product is placed on the second tier of a standard three-tier formulary, which of the following is most likely true?
It has not been reviewed by the P&T committee.
It is in a neutral position unless it is at parity with other drugs
It probably has exclusive preferred status if it is not at parity with any other drugs.
It will essentially sell itself if it is granted exclusive preferred status.
According to your manual, what is a common complaint that physicians have about traditional sampling methods?
That drug sample supply is too unpredictable
That patients are less likely to take free samples because they think they are lower quality
That patients do not like seeing drug representatives in their offices
That they receive too many drug samples
Which of the following would help you build trust with a physician?
Asking if he or she is having any problems with the managed care coverage of your products
Repeating a question you already asked
Surprising the office staff with a new poster in the break room
None of these would help you build trust with a physician
As of November 2013, which of these countries has legalized DTC advertising of prescription drugs?
Canada
Japan
Spain
None of these
Which phase of clinical trial is also known as the pivotal phase?
Phase I
Phase III
Phase IV
Phase IX
During which phase of clinical trials is also known as the pivotal phase?
Preclinical
Phase I
Phase II
Phase III
What is one of the biggest time wasters for a pharmaceutical sales rep?
Winterers
Pharmacists
Receptionists
Physicians
What is the percentage fee that the dispenser pays the wholesaler for distribution?
Margin fee
Recharge
Standard fee
Upcharge

Assignment: Diagnosis of multiple sclerosis
Assignment: Diagnosis of multiple sclerosis
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Question 19
A nurse is developing a care plan for a patient who has multiple sclerosis An expected outcome for the patient who is receiving glatiramer would be a decrease in
A) chest pain.
B) fatigue.
C) breathing difficulties.
D) heart palpitations.
Question 20
A 32-year-old female patient is taking tizanidine (Zanaflex) for spasticity related to her multiple sclerosis The nurse will inform the patient and her husband that the adverse effect that poses the greatest safety risk to the patient is
A) constipation.
B) dry mouth.
C) fatigue.
D) hypotension.
Question 21
A 34-year-old male patient is prescribed methimazole (MMI)The nurse will advise him to report which of the following immediately?
A) Vertigo
B) Intolerance to cold
C) Loss of appetite
D) Epigastric distress
Question 22
A 43-year-old woman was diagnosed with multiple sclerosis 2 years ago and has experienced a recent exacerbation of her symptoms, including muscle spasticity Consequently, she has been prescribed Dantrolene (Dantrium)In light of this new addition to her drug regimen, what teaching point should the woman’s nurse provide?
A) “This will likely relieve your muscle spasms but you’ll probably develop a certain amount of dependence on the drug over time.”
B) “We’ll need to closely monitor your blood sugar levels for the next week.”
C) “There’s a small risk that you might experience some hallucinations in the first few days that you begin taking this drug.”
D) “You might find that this drug exacerbates some of your muscle weakness while it relieves your spasticity.”
Question 23
A patient with type 1 diabetes has been admitted to the hospital for orthopedic surgery and the care team anticipates some disruptions to the patient’s blood glucose levels in the days following surgery Which of the following insulin regimens is most likely to achieve adequate glycemic control?
A) Small doses of long-acting insulin administered four to five times daily
B) Doses of basal insulin twice daily with regular insulin before each meal
C) Large doses of rapid-acting insulin combined with long-acting insulin each morning and evening
D) Divided doses of intermediate-acting insulin every 2 hours, around the clock

Assignment: Review Genitourinary Disorders
Assignment: Review Genitourinary Disorders
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Week 10
To prepare:
Review “Genitourinary Disorders” in the Burns et al. text.
Review and select one of the three provided case studies. Analyze the patient information.
Consider a differential diagnosis for the patient in the case study you selected. Think about the most likely diagnosis for the patient.
Think about a treatment and management plan for the patient. Be sure to consider appropriate dosages for any recommended pharmacologic and/or non-pharmacologic treatments.
Consider strategies for educating patients and families on the treatment and management of the genitourinary disorder.
By Day 3
Post an explanation of the differential diagnosis for the patient in the case study you selected. Explain which is the most likely diagnosis for the patient and why. Include an explanation of unique characteristics of the disorder you identified as the primary diagnosis. Then, explain a treatment and management plan for the patient, including appropriate dosages for any recommended treatments. Finally, explain strategies for educating patients and families on the treatment and management of the genitourinary disorder.
Case Study 1
You see a 3-year-old with a 2-day history of complaints of dysuria with frequent episodes of enuresis despite potty training about 7 months ago. She is afebrile and denies vomiting. Physical examination is normal. Dipstick voided urine analysis reveals: specific gravity 1.015, Protein 1+ non-hemolyzed blood, 1+ nitrites, 1+ leukocytes, and glucose-negative.
Case Study 2
Mark is a 15-year-old with complaint of acute left scrotal pain with nausea. The pain began approximately 6 hours ago as a dull ache and has gradually worsened to where he can no longer stand without doubling over. He is afebrile and in marked pain. Physical exam is negative except for elevation of the left testicle, diffuse scrotal edema, and the presence of a blue dot sign.
Case Study 3
Maya is a 5-year-old who presents for a well-child visit. She is a healthy child with no complaints. Physical examination is normal. Routine urinalysis indicates 2+ proteinuria; specific gravity 1.020; negative for glucose, blood, leukocytes, and nitrites. Her blood pressure is normal, and she is at the 60th percentile for height and weight.