Assignment: Lab Assignment: Assessing the Genitalia and Rectum
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Assignment: Lab Assignment: Assessing the
Genitalia and Rectum
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Patients are frequently uncomfortable discussing with healthcare professional’s issues
that involve the genitalia and rectum; however, gathering an adequate history and
properly conducting a physical exam are vital. Examining case studies of genital and
rectal abnormalities can help prepare advanced practice nurses to accurately assess
patients with problems in these areas.
In this Lab Assignment, you will analyze an Episodic note case study that describes
abnormal findings in patients seen in a clinical setting. You will consider what history
should be collected from the patients, as well as which physical exams and diagnostic
tests should be conducted. You will also formulate a differential diagnosis with several
Review the Episodic note case study your instructor provides you for this week’s
Assignment. Please see the “Course Announcements” section of the classroom for your
Episodic note case study.
Based on the Episodic note case study:
o Review this week’s Learning Resources, and consider the insights they provide
about the case study. Refer to Chapter 3 of the Sullivan resource to guide you as
you complete your Lab Assignment.
o Search the Walden library or the Internet for evidence-based resources to support
your answers to the questions provided.
o Consider what history would be necessary to collect from the patient in the case
o Consider what physical exams and diagnostic tests would be appropriate to gather
more information about the patient’s condition. How would the results be used to
make a diagnosis?
o Identify at least five possible conditions that may be considered in a differential
diagnosis for the patient.
The Lab Assignment
Using evidence-based resources from your search, answer the following questions and support
your answers using current evidence from the literature.
Analyze the subjective portion of the note. List additional information that should be
included in the documentation.
Analyze the objective portion of the note. List additional information that should be
included in the documentation.
Is the assessment supported by the subjective and objective information? Why or why
Would diagnostics be appropriate for this case, and how would the results be used to
make a diagnosis?
Would you reject/accept the current diagnosis? Why or why not? Identify three possible
conditions that may be considered as a differential diagnosis for this patient. Explain your
reasoning using at least three different references from current evidence-based literature.
By Day 7 of Week 10
Submit your Assignment.
Submission and Grading Information
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Click the Week 10 Assignment Rubric to review the Grading Criteria for the
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criteria from this area.
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Submit your Week 10 Assignment draft and review the originality report.
Submit Your Assignment by Day 7 of Week 10
To participate in this Assignment:
Week 10 Assignment
Required Readings (click to expand/reduce)
Ball, J. W., Dains, J. E., Flynn, J. A., Solomon, B. S., & Stewart, R. W. (2019).
Seidel's guide to physical examination: An interprofessional approach (9th ed.).
St. Louis, MO: Elsevier Mosby.
Chapter 17, “Breasts and Axillae”
This chapter focuses on examining the breasts and axillae. The authors
describe the examination procedures and the anatomy and physiology of
Chapter 19, “Female Genitalia”
In this chapter, the authors explain how to conduct an examination of
female genitalia. The chapter also describes the form and function of
Chapter 20, “Male Genitalia”
The authors explain the biology of the penis, testicles, epididymides,
scrotum, prostate gland, and seminal vesicles. Additionally, the chapter
explains how to perform an exam of these areas.
Chapter 21, “Anus, Rectum, and Prostate”
This chapter focuses on performing an exam of the anus, rectum, and
prostate. The authors also explain the anatomy and physiology of the anus,
rectum, and prostate.
Dains, J. E., Baumann, L. C., & Scheibel, P. (2019). Advanced health assessment
and clinical diagnosis in primary care (6th ed.). St. Louis, MO: Elsevier Mosby.
Credit Line: Advanced Health Assessment and Clinical Diagnosis in Primary
Care, 6th Edition by Dains, J.E., Baumann, L. C., & Scheibel, P. Copyright 2019
by Mosby. Reprinted by permission of Mosby via the Copyright Clearance
Chapter 5, “Amenorrhea”
Amenorrhea, or the absence of menstruation, is the focus of this chapter. The
authors include key questions to ask patients when taking histories and explain
what to look for in the physical exam.
Chapter 6, “Breast Lumps and Nipple Discharge”
This chapter focuses on the important topic of breast lumps and nipple discharge.
Because breast cancer is the most common type of cancer in women, it is
important to get an accurate diagnosis. Information in the chapter includes key
questions to ask and what to look for in the physical exam.
Chapter 7, “Breast Pain”
Determining the cause of breast pain can be difficult. This chapter examines how
to determine the likely cause of the pain through diagnostic tests, physical
examination, and careful analysis of a patient’s health history.
Chapter 27, “Penile Discharge”
The focus of this chapter is on how to diagnose the causes of penile discharge.
The authors include specific questions to ask when gathering a patient’s history to
narrow down the likely diagnosis. They also give advice on performing a focused
Chapter 36, “Vaginal Bleeding”
In this chapter, the causes of vaginal bleeding are explored. The authors focus on
symptoms outside the regular menstrual cycle. The authors discuss key questions
to ask the patient as well as specific physical examination procedures and
laboratory studies that may be useful in reaching a diagnosis.
Chapter 37, “Vaginal Discharge and Itching”
This chapter examines the process of identifying causes of vaginal discharge and
itching. The authors include questions on the characteristics of the discharge, the
possibility of the issues being the result of a sexually transmitted infection, and
how often the discharge occurs. A chart highlights potential diagnoses based on
patient history, physical findings, and diagnostic studies.
Sullivan, D. D. (2019). Guide to clinical documentation (3rd ed.). Philadelphia,
PA: F. A. Davis.
Chapter 3, "SOAP Notes" (Previously read in Week 8)
Cucci, E., Santoro, A., DiGesu, C., DiCerce, R., & Sallustio, G. (2015).
Sclerosing adenosis of the breast: Report of two cases and review of the literature.
Polish Journal of Radiology, 80, 122–127. doi:10.12659/PJR.892706. Retrieved
Sabbagh , C., Mauvis, F., Vecten, A., Ainseba, N., Cosse, C., Diouf, M., &
Regimbeau, J. M. (2014). What is the best position for analyzing the lower and
middle rectum and sphincter function in a digital rectal examination? A
randomized, controlled study in men. Digestive and Liver Disease, 46(12),
Westhoff , C. L., Jones, H. E., & Guiahi, M. (2011). Do new guidelines and
technology make the routine pelvic examination obsolete? Journal of Women’s
Health, 20(1), 5–10.
This article describes the benefits of new technology and guidelines
for pelvic exams. The authors also detail which guidelines and
technology may become obsolete.
Centers for Disease Control and Prevention. (2019). Sexually transmitted diseases
(STDs). Retrieved from http://www.cdc.gov/std/#
This section of the CDC website provides a range of information on sexually
transmitted diseases (STDs). The website includes reports on STDs, related
projects and initiatives, treatment information, and program tools.
Document: Final Exam Review (Word document)
LeBlond, R. F., Brown, D. D., & DeGowin, R. L. (2014). DeGowin’s diagnostic
examination (10th ed.). New York, NY: McGraw Hill Medical.
Chapter 8, “The Chest: Chest Wall, Pulmonary, and Cardiovascular
Systems; The Breasts” (Section 2, “The Breasts,” pp. 434–444)
Section 2 of this chapter focuses on the anatomy and physiology of
breasts. The section provides descriptions of breast examinations and
common breast conditions.
Chapter 11, “The Female Genitalia and Reproductive System” (pp.
In this chapter, the authors provide an overview of the female reproductive
system. The authors also describe symptoms of disorders in the
Chapter 12, “The Male Genitalia and Reproductive System” (pp.
The authors of this chapter detail the anatomy of the male reproductive
system. Additionally, the authors describe how to conduct an exam of the
male reproductive system.
Review of Chapter 9, “The Abdomen, Perineum, Anus, and
Rectosigmoid” (pp. 445–527)
Required Media (click to expand/reduce)
Special Examinations – Breast, Genital, Prostate, and Rectal – Week 10 (14m)
Online media for Seidel's Guide to Physical Examination
It is highly recommended that you access and view the resources included with the course
text, Seidel's Guide to Physical Examination. Focus on the videos and animations in
Chapters 16 and 18–20 that relate to special examinations, including breast, genital,
prostate, and rectal. Refer to the Week 4 Learning Resources area for access instructions