Female Genitourinary, & Musculoskeletal For this Discussion, you will take on the role of a clinician who is building a health history for one of the following cases. Your instructor will assign you your case number. Case 1 Case 2 Case 3 Chief Complaint (CC) I have a tumor on my left breast I have pain during intercourse and urination My back hurts so bad I can barely walk History of Present Illness (HPI) A 55-year-old African American social worker presents to your clinic with a finding of a lump in her left breast while in the shower this past week. A 19-year-old female reports to you that she has sores on and in her vagina for the last three months. A 35-year-old male painter presents to your clinic with the complaint of low back pain. He recalls lifting a 5-gallon paint can and felt an immediate pull in the lower right side of his back. This happened 2 days ago and he had the weekend to rest, but after taking Motrin and using heat, he has not seen any improvement. His pain is sharp, stabbing, and he scored it as a 9 on a scale of 0 to 10. Drug Hx I took birth control pills for 10 years, starting when I was 20 I am not on hormone replacement She tries to practice safe sex but has a steady boyfriend and figures she doesnt need to be so careful since she is on the birth control pill Motrin for pain. Family Hx My grandmother had breast cancer when she was 76 years old Father hypertension Mother DM Subjective Denies any fever or chills. No changes in vision or hearing, no difficulty chewing or swallowing. Supple neck, states that she does self-breast-exams on occasion. Menopause at 52 No skin changes or nipple discharge from the left breast states I have sores and bumps on the inner creases of my thighs and pelvic area. There is yellowish discharge from the sores that comes and goes He is having some right leg pain but no bowel or bladder changes. No numbness or tingling Objective Data VS temperature 98.6F; respiratory rate (RR) 16; heart rate (HR) 80, regular; blood pressure (BP) 130/84; height: 58; weight 160 lbs; body mass index (BMI) 24 temperature: 100.2F; pulse 92; respirations 18; BP 122/78; weight 156 lbs, 25 lbs overweight; height 53 temperature: 98.2F, respiratory rate 16, heart rate 90, blood pressure 120/60 O2 saturation 98% General well developed, nourished, healthy-appearing female patient appears to have good hygiene; minimal makeup, pierced ears, no tattoos; well nourished (slightly overweight); no obvious distress noted well-developed healthy 35-year-old male; no gross deformities HEENT Atraumatic, normocephalic, PERRLA, EOMI, conjunctiva and sclera clear, nares patent, nasopharynx clear, eden Neuro No obvious deformities, CN grossly intact II-XII No obvious deficits and CN grossly intact II-XII DTRs 2+ lower sensory neurology intact to light touch and patient able to toe and heel walk. Gait was stable and no limping noted. Once you received your case number, answer the following questions: What other subjective data would you obtain? What other objective findings would you look for? What diagnostic exams do you want to order? Name 3 differential diagnoses based on this patient presenting symptoms? Give rationales for your each differential diagnosis. What teachings will you provide?