NRNP 6552 Week 9 Assignment; iHuman case Gloria Jenkins

5969000-6970Performance Overview for Tonya London-Simpson on case Gloria Jenkins The following table summarizes your performance on each section of the case, whether you completed that section or not. Time spent: 8hr 19min 50sec Status: Submitted Case Section Status Your Score Time spent Performance Details Total Score 60% History Done 87% 1hr 17min 23sec 60 questions asked, 20 correct, 3 missed relative to the case's list Physical exams Done 61% 1hr 28min 21sec 26 exams performed, 10 correct, 0 partially correct, 3 missed relative to the case's list Key findings organization Done 5min 44sec 9 findings listed; 11 listed by the case Problem statement Done 9min 4sec 90 words long; the case's was 91 words Differentials Done 100% 12min 13sec 9 items in the DDx, 3 correct, 0 missed relative to the case's list Differentials ranking Done 100% (lead/alt score) 67% (must not miss score) 1min 40sec Tests Done 100% 7min 20sec 2 tests ordered, 2 correct, 0 missed relative to the case's list Diagnosis Done 100% 31sec Management plan Done 3hr 13min 6sec 746 words long; the case's was 72 words Exercises Done 80% (of scored items only) 7min 48sec 4 of 5 correct (of scored items only) Attempt: 2628878Report generated on 1/29/2023, 12:09:38 PM America/Denver Use this worksheet to organize your thoughts before developing a differential diagnosis list. Indicate key symptoms (Sx) you have identified from the history. Start with the patient's reason(s) for the encounter and add additional symptoms obtained from further questioning. Characterize the attributes of each symptom using "OLDCARTS". Capture the details in the appropriate column and row. Review your findings and consider possible diagnoses that may correlate with these symptoms. (Remember to consider the patient's age and risk factors.) Use your ideas to help guide your physical examination in the next section of the case. HPI Sx = back pain Sx = Sx = Sx = Sx = Sx = Onset 2 days ago Location lower back, Duration Continuous Characteristics sharp Aggravating walking Relieving none Timing / Treatments continuous Severity 7 out of 10 Attempt: 2628878Report generated on 1/29/2023, 12:09:38 PM America/Denver Mrs. Jenkins is a 65-year-old female who presents with acute lower back pain that started two days ago after rearranging tables at work. The pain started in her back and is radiating down her right leg. She describes the pain as sharp and interfering with her sleep. Walking makes her pain worse. On physical exam, she presents with a positive straight leg raise and contralateral straight leg raise on the right. Deep tendon and ROM testing showed deficits. Mrs. Jenkins has a past medical history of Asthma, osteoporosis, and hypertension. Attempt: 2628878Report generated on 1/29/2023, 12:09:38 PM America/Denver 1. Primary Diagnosis and ICD-10 code - Disk herniation {M51.26} Guarded et al. (2022) state that lumbar disc herniation occurs due to the loss of hydration in the nucleus pulposus, resulting in increased pressure on the annulus fibrosus and structural damage to the disk. Approximately 95 % of disc herniation occurs at L4 -L5 or