Gastroesophageal Reflux Disease Essay Assignment Paper
Problem Statement:
J.A. is a 58 y/o healthy, borderline obese man who presents to primary care provider with a complaint of recent episodes of burning chest discomfort x 4. The pain is (4-5/10 at its worst) was substernal radiating into his neck. He currently has 1-2/10 discomfort. He has well-controlled hypertension and borderline lipid abnormality. Recent stress is concerned about the increasing price of college for his daughter. Medications include Lopressor and a GERD Cocktail. FH is significant for a father who died of a CVA at age 85 and mother with mild HTN Gastroesophageal Reflux Disease Essay Assignment Paper
The Primary Diagnosis is Gastroesophageal Reflux Disease (GERD)
Differential DX are:
Please use these to answer the following questions on the Management Plan
The Management Plan has to be in this order EXACTLY
Instructor docked points on the last Management Plan because of the following: Please include CPT Codes and any procedural codes, including nurse lab draws i.e., Troponin, EKG. Also, on Health Promotion and patient risk factors (Health Promotion should include a list of recommended health screening exams based on patients age/sex/risk factors).
When listing medications, instructor wants information about the medication and any Black Box Warnings. Gastroesophageal Reflux Disease Essay Assignment Paper
References have to be at least 3 SCHOLARLY and APA Format
Management plan template
Primary Diagnosis with ICD-10 code, rationale and
resources. Include CPT codes, and any procedural codes,
including nurse lab draws, vaccinations given, biopsies,
etc…10 pts.
Guidelines used to develop this primary diagnosis. 5 pts
Differential diagnoses with rationale and resources. 3-5
Ddx required, unless well visit. 5 pts
Medications including OTC, dosage and education,
additional ancillary tests needed, referrals and follow up –
10 pts
Problem Statement – 5 pts
Social Determinants of Health to consider, Health
Promotion and Pt risk factors – 5 pts
Must use 3 scholarly references
Worth 40 points
Management Plan Template– must include these
headings Gastroesophageal Reflux Disease Essay Assignment Paper