you will be given a case study about a young lady named Sarah Smith. Review the information provided and answer the questions following. Be sure to cite your references. Look at Sarah as if she is a patient in your office seeking care. What are your immediate concerns? What needs to be done for her? Be thorough and succinct in your responses. Case Study: Sarah Smith is a 28 y/o African American female who presents to the office with c/o wound to her left foot for the past few days. States she had tripped and fell while barefoot scraping the top of her foot on the pavement. She denies any other injury from the incident. Over the past 24 hours the wound has had ‘smelly’ drainage. Has been experiencing generalized achiness, but denies fever and chills. Did not seek medical attention at the time of injury. Has been using hydrogen peroxide to clean her wound. Is unclear of her last tetanus vaccination. Patient PMHx significant for DM II. States that she takes her medications when she remembers, and does not always check her blood sugar. PMHx: Asthma: no hospitalizations for exacerbation. DM II PSHx: Denies SHx: Former tobacco user: ceased smoking 2 years ago. Had smoked 1ppd x 5 years ETOH: socially Illicit drugs: denies FHx: Significant for paternal DM, otherwise unremarkable Medications: Metformin: 500mg BID po – did not take the last few days Albuterol MDI: 2 puffs every 6 hours prn – last use just PTA Singulair: 10mg po daily Trinessa: 1 tab po daily – last taken this am Allergies: PCN: hives LNMP: 2 weeks ago. G0p0 ROS: General: denies any weight changes, fatigue or fever; + body aches Skin: denies any rashes; + wound to left foot HEENT: denies headache, head injury, dizziness, lightheadedness; Denies any vision changes Denies any hearing changes, tinnitus, vertigo, earache Denies any nasal congestion, discharge, nose bleeds or sinus tenderness Denies any sore throat, difficulty swallowing Neck: denies any swollen glands, pain Breasts: denies any pain, discharge Respiratory: denies any dyspnea; positive cough and wheezing CV: denies any chest pain, edema GI: denies any nausea/vomiting/diarrhea/constipation; denies bloody stools PV: denies claudication, swelling to LE GU: denies frequency, urgency, burning; Denies vaginal discharge, itching, sores Denies penile discharge, itching or sores MS: positive pain to left foot Psych: denies nervousness, depression Neuro: denies Headache, dizziness, vertigo, syncope, weakness; + numbness to right LE Heme: denies any easy bruising Physical Exam: Vital signs: 100.5 (tympanic), 162/88, 118, 22, O2 sat 95% on RA Height: 5’5′ Weight: 250 lbs. Blood glucose: 230 (Fasting; states has not eaten yet today) patient awake, alert, oriented x 4 in NAD Skin: warm, dry, color WNL. 4 cm lesion noted to anterior left foot with crusting and purulent drng; + surrounding erythema extending up 7 cm proximally HEENT: head nontraumatic, normocephalic Pupils PERRLA, EOMs intact; disc margins sharp, without hemorrhages, exudates; no AV nicking noted Ears: bilateral TM with good cone of light and intact Nose: mucosa pink, septum midline; no sinus tenderness appreciated Mouth: mucosa pink, moist; tongue midline; tonsils 1+ without exudate Neck: supple; trachea midline; no LAD Resp: regular and unlabored; lungs with end expiratory wheezing throughout CV: RRR, S1 and S2 noted; no s3, s4 or murmur appreciated Abdomen: soft, non-distended; Bs + x 4; no tenderness with palpation; no CVA tenderness with percussion Genitalia: deferred Rectal: deferred Extremities: warm and without edema; calves supple, non-tender PV: no LE edema MS: + swelling to left foot; + tenderness of 2-4th left metatarsals; + left pedal pulse; CMS intact; Cap refill < 2 sec. Neuro: alert, cooperative; thought coherent; oriented x 4; cranial nerves II-XII intact Questions: List your differentials for her current problems. Remember you should have at least three different differentials for each problem. Include rationale for each differential. At this time what medical diagnoses are you most concerned about? Do they impact other diagnoses? If so, how? What diagnostic images would you order? Provide your rationale. What are you trying to rule in or out? What laboratory work would you order? What would you anticipate to be abnormal? Provide your rationale for each. What is your comprehensive plan of care? Include your rationales

Mastering the Art of Online Learning: Your Guide to Acing Online Courses

Introduction

In recent years, the popularity of online courses has skyrocketed, offering learners the flexibility to acquire new skills and knowledge from the comfort of their homes. However, succeeding in online courses requires a different approach compared to traditional classroom settings. To help you make the most of your online learning experience, this article presents essential strategies and tips to ace your online courses.

1. Set Clear Goals and Plan Ahead

Before embarking on an online course, establish clear goals and objectives. Determine what you hope to achieve by the end of the course and break down your goals into manageable milestones. Create a study schedule that aligns with your other commitments, ensuring you allocate dedicated time for coursework, assignments, and revision.

2. Create a Productive Study Environment

Establishing a conducive study environment is crucial for online learning success. Find a quiet, well-lit space where you can concentrate without distractions. Remove any potential interruptions, such as notifications from social media or email. Organize your study materials and have a reliable internet connection to ensure seamless access to course materials.

3. Actively Engage in the Course

Active participation is key to mastering online courses. Engage with course materials, including videos, readings, and interactive components. Take comprehensive notes, highlighting key concepts and ideas. Participate in discussion boards, forums, and virtual meetings to interact with instructors and peers, fostering a sense of community and enhancing your understanding of the subject matter.

4. Manage Your Time Effectively

Online courses offer flexibility, but it’s essential to manage your time wisely to avoid falling behind. Create a detailed schedule, allocating specific time slots for coursework, assignments, and studying. Break down larger tasks into smaller, manageable segments to prevent procrastination. Prioritize tasks based on deadlines and dedicate focused time to each one, ensuring consistent progress throughout the course.

5. Develop Effective Communication Skills

Online courses often rely on written communication, making it crucial to hone your skills in this area. Be concise and clear in your written responses, paying attention to grammar and spelling. Actively participate in discussions, asking thoughtful questions and providing constructive feedback to your peers. Regularly check your course emails and notifications, ensuring you stay updated with any important announcements or changes.

6. Utilize Available Resources

Take full advantage of the resources provided by your online course platform and instructors. Familiarize yourself with the learning management system (LMS) and explore its features. Access supplementary materials, such as textbooks, lecture slides, and external resources recommended by instructors. Utilize online libraries, research databases, and tutorial services to deepen your understanding of the subject matter.

7. Stay Motivated and Engaged

Maintaining motivation throughout an online course can be challenging, particularly when faced with competing priorities or a lack of face-to-face interaction. Set short-term goals and reward yourself upon their completion. Connect with fellow learners through virtual study groups or online forums to foster a sense of camaraderie. Regularly remind yourself of the benefits and personal growth associated with completing the course successfully.

8. Seek Support and Clarification

Don’t hesitate to seek support or clarification when needed. Reach out to your instructors for guidance or clarification on course material. Utilize online discussion forums to ask questions or engage in collaborative problem-solving. Leverage the support services provided by your course platform or institution, such as technical support or academic advising.

Conclusion

Online courses present unique opportunities for self-paced learning and personal growth. By setting clear goals, creating a productive study environment, actively engaging with course materials, and managing your time effectively, you can maximize your chances of acing online courses. Remember to stay motivated, seek support when needed, and make the most of the available resources. Embrace the flexibility and adaptability of online learning to achieve your educational goals.