FNP_NR511_Week_3_SNAPPS_Template_for_Oral_Presentation.

FNP_NR511_Week_3_SNAPPS_Template_for_Oral_Presentation.SNAPPS Oral Presentation and Reflection Jessica (Lindner) Szymanski Chamberlain University NR 511 Differential Diagnosis and Primary Care Practicum Dr Marie Bazelais September 2022 This study source was downloaded by from CourseH on 04-05-2024 15:42:07 GMT -05:00 amuri 2 SNAPPS SNAPPS ORAL PRESENTATION TEMPLATE SUMMARIZE Using a patient seen in the practicum setting, summarize the H&P into an organized and concise format. CC Hematuria HPI statement using OLDCARTS data O – 5 days ago L – in the urine D – one time incident C – a single blood clot in the urine, also c/o burning with urination A - voiding R - unknown T – 1 time incident 5 days ago S – moderate Pertinent ROS  Hx of frequent male UTIs (3x in the last 4 months), BPH  C/O chronic frequency, hesitancy, and dysuria  UA during office visit +leukocytes +blood Pertinent PE On abdominal palpation the bladder was severely distended post providing urine sample (bladder scanner not available). Encouraged patient to try to void again and he was successful, repeat abdominal palpation done and bladder distention no longer present. NARROW Based on the H&P key findings, identify an appropriate differential. Based on the chief complaint of hematuria accompanied with frequency, hesitancy, and dysuria, a UA positive for leukocytes and RBCs, and bladder distention on palpation, the top appropriate differential is: Hematuria r/t urinary tract infection Additional possible differentials:  Pyelonephritis  Renal calculi  Bladder cancer ANALYZE Analyze the differential by co