Advanced physical assessment is used to address complaints generating from the abdominal area and genitourinary system. This may lead to a diagnosis from patient records, a subjective history and the physical exam using clinical reasoning. Additionally these complaints may require diagnostic labs to be performed for an accurate diagnosis.
Complete one of the three scenarios.
Consider the chief complaint of lower abdominal pain in a 33-year-old female.
or
Consider the chief complaint of testicular pain in a 15-year-old male.
or
Consider the chief complaint of upper abdominal pain in a 55-year-old female.
Demonstrate clinical judgment with regards to the chief complaint
What pertinent information collected from the history would impact your assessment.
What would be pertinent positives or pertinent negatives found in the exam.
Include at least three differentials.
Include which diagnostics you would order based on your differentials and why.
How might a final diagnosis be determined?
Apply evidence-based support for your choices; including a clinical guideline for one of your differentials.
Finally address how both ethics and policy relate to genitourinary exams which are considered intimate in nature.