Formulating a Differential Diagnosis for the Advanced Practice Provider PDF
Preview Formulating a Differential Diagnosis for the Advanced Practice Provider
FORMULATING A DIFFERENTIAL DIAGNOSIS FOR THE ADVANCED PRACTICE PROVIDER Jacqueline Rhoads, PhD, APRN-BC, CNL-BC, PMHNP-BE, FAANP, holds three board certifi cations as an acute care nurse practitioner, adult gerontology nurse practitioner, and clinical nurse leader. She is board eligible as a psychiatric mental health nurse practitioner. She has more than 30 years of clinical experience in leadership, critical care, acute care, and primary care nursing. Dr. Rhoads teaches in gradu- ate and baccalaureate programs in acute and primary care and in the family and adult nurse practitioner tracks. She has special interest in advanced health assessment and pharmacology. She has authored six major advanced practice textbooks related to advanced health assessment, diff erential diagnoses, and clinical management of psych/mental health, as well as numerous peer-reviewed articles. She has held research positions such as project director, principal investigator, and project coordinator in three major universities. Her areas of research include investigating posttraumatic stress disorder post-Vietnam, Des- ert Storm, and disaster-related situations. Dr. Rhoads earned her bachelor’s from University of the Incarnate Word, her master’s in Burns and Trauma at Texas Woman’s University, her PhD in Nursing at University of Texas in Austin, and four post-master’s degrees: as an acute care nurse practitioner, an adult nurse practitioner, a gerontology nurse practitioner, and a psychiatric mental health nurse practitioner. She is especially proud of her service in the U.S. Army Nurse Corps where she held strategic leadership positions as chief nurse, deployable med- ical (DEPMED) training offi cer, nuclear biological chemical offi cer, and head nurse. Julie C. Penick, DNP, PhD, MSN, FNP-BC, maintains both an active family practice, specializing in complementary and alternative medicine modalities, and an education practice where she is full-time faculty in a competency-based MSN program at Western Governors University. Dr. Penick earned her MSN in adult health nursing in 1992, her post-master’s family nurse practitioner certifi cate in 1996, her PhD in energy medicine in 2003, and her DNP in 2011. Dr. Penick has been involved with numerous clinical research projects, and continues to be involved in research projects that involve the application of “energy” as healing approaches—be that nutrient energy, subtle energy techniques, application of mag- netic fi eld energy, and application of direct or indirect current—Dr. Penick is active in curriculum writing and conducting continuing professional education for nurses. Dr. Penick has been a certifi ed nurse prac- titioner through the American Nurse Credentialing Center (ANCC) for more than 20 years. FORMULATING A DIFFERENTIAL DIAGNOSIS FOR THE ADVANCED PRACTICE PROVIDER Second Edition Jacqueline Rhoads, PhD, APRN-BC, CNL-BC, PMHNP-BE, FAANP Julie C. Penick, DNP, PhD, MSN, FNP-BC Editors Copyright © 2018 Springer Publishing Company, LLC All rights reserved. No part of this publication may be reproduced, stored in a retrieval system, or transmitted in any form or by any means, electronic, mechanical, photocopying, recording, or otherwise, without the prior permission of Springer Publishing Company, LLC, or authorization through payment of the appropriate fees to the Copyright Clearance Center, Inc., 222 Rosewood Drive, Danvers, MA 01923, 978-750-8400, fax 978-646-8600, [email protected] or on the Web at www.copyright.com. Springer Publishing Company, LLC 11 West 42nd Street New York, NY 10036 www.springerpub.com Acquisitions Editor: Margaret Zuccarini Compositor: Exeter Premedia Services Private Ltd. ISBN: 978-0-8261-5222-0 ebook ISBN: 978-0-8261-5223-7 17 18 19 20 / 5 4 3 2 1 Th e author and the publisher of this Work have made every eff ort to use sources believed to be reliable to provide information that is accurate and compatible with the standards generally accepted at the time of publication. Because medical science is continually advancing, our knowledge base continues to expand. Th erefore, as new information becomes available, changes in procedures become necessary. We recommend that the reader always consult current research and specifi c institutional policies before performing any clinical procedure. Th e author and publisher shall not be liable for any special, consequential, or exemplary damages resulting, in whole or in part, from the readers’ use of, or reliance on, the information contained in this book. Th e publisher has no responsibility for the persistence or accuracy of URLs for external or third-party Internet websites referred to in this publication and does not guarantee that any content on such websites is, or will remain, accurate or appropriate. Library of Congress Cataloging-in-Publication Data Names: Rhoads, Jacqueline, 1948- editor. | Penick, Julie C., editor. Title: Formulating a diff erential diagnosis for the advanced practice provider / Jacqueline Rhoads, Julie C. Penick [editors]. Other titles: Diff erential diagnosis for the advanced practice nurse Description: Second edition. | New York, NY : Springer Publishing Company, LLC, [2018] | Preceded by Diff erential diagnosis for the advanced practice nurse / Jacqueline Rhoads, Marilee Murphy Jensen, editors. 2015. | Includes index. Identifi ers: LCCN 2017029620| ISBN 9780826152220 (paperback) | ISBN 9780826152237 (ebook) Subjects: | MESH: Nursing Diagnosis—methods | Diagnosis, Diff erential | Physical Examination—nursing | Case Reports Classifi cation: LCC RT48 | NLM WY 100.4 | DDC 616.07/5—dc23 LC record available at https://lccn.loc.gov/2017029620 Contact us to receive discount rates on bulk purchases. We can also customize our books to meet your needs. For more information please contact: [email protected] Printed in the United States of America by McNaughton & Gunn. CONTENTS Contributors ix Foreword Maureen A. Knechtel, MPAS, PA-C xi Preface xiii Acknowledgments xv Introduction to Diff erential Diagnosis and Diagnosis of Common Problems xvii Share Formulating a Differential Diagnosis for the Advanced Practice Provider, Second Edition Abdominal Pain 1 Abdominal Swelling 9 Ankle Pain 15 Anxious Mood 21 Blood in Urine 27 Breast Lumps 33 Chest Pain 41 Confusion 51 Cough 59 Coughing Up Blood 71 Depressed Mood 79 Diarrhea 85 Diffi culty Achieving Bowel Movement 93 Diffi culty Speaking 99 Diffi culty Swallowing 107 Dizziness 113 Double Vision 121 Ear Discharge 127 Ear Pain 133 Elbow Pain 141 vi (cid:132) CONTENTS Enlarged Lymph Nodes 147 Eye Discharge 153 Eye Pain 161 Eye Redness 167 Fainting 173 Fatigue 181 Fever 189 Foot Pain 197 Frequency of Urination 203 Hand Pain and Swelling 209 Headache 217 Heartburn 225 Heavy Menstrual Flow 233 Hip Pain 241 Impotence 249 Incontinence 255 Itchiness in Skin 259 Jaundice 263 Joint Pain 271 Knee Pain 277 Leg Pain 285 Low Back Pain 291 Lower Extremity Edema 299 Memory Loss 307 Mouth Lesions 315 Muscle Weakness 321 Neck Pain 329 Night Sweats 337 Nipple Discharge 343 Painful Intercourse 349 Painful Urination 359 CONTENTS (cid:132) vii Palpitations 363 Panic Episodes 371 Pelvic Pain 377 Rectal Bleeding 383 Rectal Pain 391 Ringing in the Ears (Tinnitus) 397 Runny Nose 405 Shortness of Breath 413 Shoulder Pain 427 Skin Lesions 435 Skin Pain 443 Skin Rashes 447 Sleep Disturbances 455 Sore Th roat 463 Tremors 471 Unsteady Gait 479 Vaginal Discharge 483 Vaginal Itchiness 489 Vaginal Lesions 493 Vomiting 499 Weight Gain 507 Weight Loss 515 Wheezing 523 Wrist Pain 531 Index 539 CONTRIBUTORS Patricia Abbott, PhD, MSN, FNP-C, Assistant Professor, Regis University College of Nursing, Lakewood, Colorado Barbara Bjeletich, ARNP, Emergency Room Provider, University of Washington, Seattle, Washington Dorothy Cooper, MN, ARNP, ANP-BC, WHNP-BC, Nurse Practitioner, Th e Everett Clinic, Everett, Washington Patricia Cox, DNP, MPH, FNP-BC, Assistant Professor, DNP Clinical Coordinator, University of Portland, School of Nursing, Portland, Oregon John Cranmer, DNP, MPH, MSN, ANP-BC, Senior Research Fellow, Department of Global Health, University of Washington, Internal Medicine Nurse Practitioner, SeaMar Community Health Centers, Seattle, Washington Lynda Hillman, DNP, FNP-BC, Nurse Practitioner, Multiple Sclerosis Center/ Rehabilitation Medicine, University of Washington Medical Center, Seattle, Washington Marilee Murphy Jensen, ARNP, MSN, Family Nurse Practitioner, Northwest Hospital, University of Washington, Seattle, Washington Sarah Kooienga, PhD, ARNP, FNP, Assistant Professor, Washington State University College of Nursing, Vancouver, Washington Patricia Mathis, MSN, FNP-BC, Overlake Hospital Medical Center and Swedish Medical Center, Issaquah, Washington Melody Rasmor, EdD(c), APRN-BC, COHN-S, Assistant Professor, Washington State University College of Nursing, Vancouver, Washington Jacqueline Rhoads, PhD, APRN-BC, CNL-BC, PMHNP- BE, FAANP, Professor, Graduate Nursing Department, University of Texas Medical Branch School of Nursing, Galveston, Texas Christie Rivelli, MSN, FNP, Family Nurse Practitioner, Coastal Family Health Center, Battle Ground, Washington Kumhee Ro, DNP, ARNP, FNP, Clinical Assistant Professor, Biobehavioral Nursing and Health Systems, School of Nursing, University of Washington, Seattle, Washington
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