NARRATIVE GENITALIA ASSESSMENT

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GENITALIA ASSESSMENT

Subjective:

• CC: “I have bumps on my bottom that I want to have checked out.”

• HPI: AB, a 21-year-old WF college student reports to your clinic with external bumps on her genital area. She states the bumps are painless and feel rough. She states she is sexually active and has had more than one partner during the past year. Her initial sexual contact occurred at age 18. She reports no abnormal vaginal discharge. She is unsure how long the bumps have been there but noticed them about a week ago. Her last Pap smear exam was 3 years ago, and no dysplasia was found; the exam results were normal. She reports one sexually transmitted infection (chlamydia) about 2 years ago. She completed the treatment for chlamydia as prescribed.

• PMH: Asthma

• Medications: Symbicort 160/4.5mcg

• Allergies: NKDA

• FH: No hx of breast or cervical cancer, Father hx HTN, Mother hx HTN, GERD

• Social: Denies tobacco use; occasional etoh, married, 3 children (1 girl, 2 boys)

Objective:

• VS: Temp 98.6; BP 120/86; RR 16; P 92; HT 5’10”; WT 169lbs

• Heart: RRR, no murmurs

• Lungs: CTA, chest wall symmetrical

• Genital: Normal female hair pattern distribution; no masses or swelling. Urethral

meatus intact without erythema or discharge. Perineum intact. Vaginal mucosa

pink and moist with rugae present, pos for firm, round, small, painless ulcer noted

on external labia

• Abd: soft, normoactive bowel sounds, neg rebound, neg murphy’s, neg McBurney

• Diagnostics: HSV specimen obtained

Assessment: Chancre

PLAN:

 

 

 

Assignment: This is to be a NARRATIVE (PARAGRAPHS). Answer each question

· 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 not?

· 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 at least five possible conditions that may be considered in a differential diagnosis for the patient. Explain your reasoning using at least three different references from current evidence-based literature

 

 

Note: This is to be a NARRATIVE (PARAGRAPHS). Answer each question

 
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Sexual Tolerance: The Times They Are A’changing

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People in the United States vary widely in their acceptance of the sexual and gender choices and orientations.   Recent changes in the legality of same sex marriage, the changing role of women in the military, and increasing awareness of transgender issues have highlighted how much has changed in recent months.

Choose one of these sources:

  • Find an article or graph that illustrates a recent change in law, attitude, or policy regarding sexual tolerance.
  • Joel Burns:  It Gets Better  https://www.youtube.com/watch?v=ax96cghOnY4 (transcript located on YouTube site)

Write a 5-paragraph essay that introduces the topic you’ve chosen, summarizes the various points of view, and concludes with the current status of the issue you are addressing.  Be sure to use at least 2 references to support your essay. Your paper must meet the minimum 750-word count requirements.

All assignments and forums in the class are designed for you to demonstrate your understanding and your knowledge of the material content.  It is never acceptable or appropriate to simply provide information that is copied and pasted from a source – any source.  Even if the information were cited properly, copying and pasting does not demonstrate knowledge.   <o:p>

All assignments are submitted to Turnitin, which is a plagiarism checking tool.  Any assignment receiving a score of 30% or better raises serious concerns about the originality of your work.  An originality score should generally be no more than 20%.  Originality scores between 20 and 50% will be graded with a point deduction.  Any originality score over 50% after review will be graded with a 0.  Please keep this in mind as you are submitting work. <o:p>

 
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Philosophy Final Paper

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“Say, Saying, Said” Method

Paper Assignments

Intro to Philosophy

Professor LaMendola

 

What is the structure of a paper?

 

Introduction – Your first paragraph (Say what you’re going to say)

• Issue – What is the main issue your paper is about and why is it important.

• Thesis – What position are you going to take on the issue and why? o The thesis is the most important, and sometimes most difficult part of the paper.

Practicing writing thesis statements is an invaluable tool.

o Netflix movie descriptions; “Striving for an economy of language”

• e.g., In the following paper I will argue that we should stop eating at Torchy’s Tacos, specifically explaining how what is served should not be considered a taco.

 

o Write in first person. Using first person does not cause bias or confusion. If anything, first person allows you to speak to the reader in an authentic, immediate

and clear manner.

Road map – What will be the main sections of your paper?

• The Form – “First, I’m going to give an overview of the issue and position X; second, I’m going to explain and evaluate the first argument; third, I’m going to explain and evaluate

the second argument; fourth, I’m going to give my own argument; finally, I will conclude

that, based on the evaluations of the available arguments, X is not a very plausible

solution to/explanation of the issue, instead we ought to adopt an approach more like Y.

However, it is critical I begin discussing X.”

 

• Example – First I will explain how Torchy’s Tacos come to be, highlighting those factors I believe lead to them serve hip taco recipes. Second, I will explain criteria for a taco and

how Torchy’s does not met that standard. Finally, I will explain how Torchy’s at best

serves ‘honky tacos’, but regardless we should not consider their food as genuine tacos. I

will conclude with a general approach to relieving taco ordering anxiety, as well as

alternative venues to purchase genuine tacos in the Houston and Austin areas. Let’s

begin our inquiry into taconess.

 

Body (Saying what you’re going to say) – Three Parts

 

Pt. 1 – Exposition

• The exposition can be done in two possible ways: One is to write this section in terms of the position you’ll be defending, the other is to focus on explaining the position you’ll be

arguing against. Either way is fine. About a page to a page and a half should be dedicated

to explaining precisely what the main issue is and what the points of debate are (i.e., sub-

 

 

issues). You don’t need to give the particular arguments for or against a position in

detailed form, but once you’ve outlined the contested sub-issues, you should, in a

sentence, state what the main positions are on that sub-issue. In this section, you should

also make clear any technical terms you or the author introduce which are relevant.

• Don’t cite the dictionary. There’s generally accepted definitions (which anyone can find), and there the way the assigned authors are using the terms in question. You should be

concerned with the latter.

Pt. 2 – Arguments and Dialectic – Following your roadmap, the second part of paper is the

nuanced bit where you must make clear to the reader the fine-grained points at hand.

• Your paper should clearly identify the following: o the main premises of the argument you’ll be evaluating. o the main objection(s) to this argument. o what position you’ll eventually side with and why

▪ Specifically considered in terms of whether the objections are successful or fail

Pt. 3 – Opinions and Solutions

• Depending on how you structure your paper, your own input might be in the form of (a) analysis or original reply/counter-argument within the context of the dialectic in Body Pt.

2; and/or (b) adding an innovation to or strengthening an existing argument or response.

 

• However, you may also, if you so choose, introduce your own original line of argument into the issue. If you choose to do this, you should follow this structure:

o Introduce your own line of argument for/against the main position. o Explain why your argument is relevant to the debate. o Consider objections to your argument. o Show why those objections don’t, on balance, defeat your argument.

▪ The last part might be difficult for the short papers you have been assigned. But if you have an idea, I would like to discuss it with you.

 

Conclusion (Say what you said)

• Restate the main issue and the position you were arguing for/against. o Thesis and Body Pt.1

• Summarize the main reasons for which position X should be accepted or rejected o i.e., your arguments/conclusions from Body Pt.2&3

• Suggest how your conclusion might have implications for other issues (Optional).

 
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Lab 3 Mitosis and Meiosis BIO201L

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Lab 3 Mitosis and Meiosis BIO201L

Student Name:

Access Code (located on the lid of your lab kit):

 

Pre-Lab Questions

”1. What are chromosomes made of?”

 

”2. Compare and contrast mitosis and meiosis. ”

 

”3. Cancer is a disease related to uncontrolled cell division. Investigate two known causes for these rapidly dividing cells and use this knowledge to invent a drug that would inhibit the growth of cancer cells. ”

 

 

Experiment 1: Observation of Mitosis in a Plant Cell

Table 1: Mitosis Predictions

Predictions Click here to enter text.
Supporting Evidence Click here to enter text.

 

Table 2: Mitosis Data

Chosen Image Click here to enter text.
Stage Number of Cells in Stage Total Number of Cells Calculated % of Time Spent in Stage
Interphase Click here to enter text. Click here to enter text. Click here to enter text.
Prophase Click here to enter text. Click here to enter text. Click here to enter text.
Metaphase Click here to enter text. Click here to enter text. Click here to enter text.
Anaphase Click here to enter text. Click here to enter text. Click here to enter text.
Telophase Click here to enter text. Click here to enter text. Click here to enter text.
Cytokinesis Click here to enter text. Click here to enter text. Click here to enter text.

 

Table 3: Stage Drawings

Cell Stage Drawing REMEMBER: Your drawings should have your name and access code handwritten in the background.
Interphase  
Prophase  
Metaphase  
Anaphase  
Telophase  
Cytokinesis  

 

Post-Lab Questions

”1. Label the arrows in the slide image below with the appropriate stage of the cell cycle. ”

A- Click here to enter text.

B- Click here to enter text.

C- Click here to enter text.

D- Click here to enter text.

E- Click here to enter text.

F- Click here to enter text.

 

”2. What stage were most of the onion root tip cells in? Why does this make sense? ”

Click here to enter text.

”3. As a cell grows, what happens to its surface area : volume ratio? (Think of a balloon being blown up). How is this changing ratio related to cell division? ”

Click here to enter text.

”4. What is the function of mitosis in a cell that is about to divide? ”

Click here to enter text.

”5. What would happen if mitosis were uncontrolled? ”

Click here to enter text.

”6. How accurate were your time predictions for each stage of the cell cycle? ”

Click here to enter text.

”7. Discuss one observation that you found interesting while looking at the onion root tip cells.”

Click here to enter text.

 

Experiment 2: Tracking Chromosomes Through Mitosis

Once you have completed the digital exercise, select the “Results Table” button at the bottom right-hand corner of the screen and select the “Generate PDF” button at the top of the following screen. Insert your download into this document by selecting the Insert > Object > Text from file. Resize if necessary.

 

Post-Lab Questions

1. How many chromosomes were present before mitosis?

Click here to enter text.

1. How many chromosomes did each of the daughter cells contain after mitosis?

Click here to enter text.

1. Cite an example of a type of cell that undergoes mitosis. Why is it important for each daughter cell to contain information identical to the parent cell?

Click here to enter text.

1. Human skin cells divide at a higher rate than neurons (nerve cells). Hypothesize why this may be.

Click here to enter text.

1. Hypothesize what would happen if the sister chromatids did not split equally during anaphase of mitosis.

Click here to enter text.

 

Experiment 3: Following Chromosomal DNA Movement through Meiosis

Part 1: Once you have completed the digital exercise, select the “Results Table” button at the bottom right-hand corner of the screen and select the “Generate PDF” button at the top of the following screen. Insert your download into this document by selecting the Insert > Object > Text from file. Resize if necessary.

 

Parts 2, 3, and 4: Once you have completed the digital exercise, select the “View Data Table” button at the bottom left-hand corner of the home screen. Review your table. If you would like to make any changes, select the “Return” button in the bottom right-hand corner. If you are satisfied with your answers, select the “Generate PDF” button at the top of the screen. Insert screenshots below. Resize if necessary:

 

Post-Lab Questions

How did crossing over affect the genetic content in the gametes? Use your results to support your answer.

Click here to enter text.

What is the ploidy of the daughter cells at the end of meiosis I? What about at the end of meiosis II?

Click here to enter text.

List two differences between meiosis I and meiosis II.

Click here to enter text.

Based on your observations in the digital exercise, what can you conclude about the severity of nondisjunction that occurs in meiosis I as opposed to meiosis II?

Click here to enter text.

Why is it necessary to reduce the number of chromosomes in gametes, but not in other cells?

Click here to enter text.

Blue whales have 44 chromosomes in every cell. Determine how many chromosomes you would expect to find in the following: ”

”Sperm Cell: ” Click here to enter text.

”Egg Cell: ” Click here to enter text.

”Daughter Cell from Mitosis: ” Click here to enter text.

”Daughter Cell from Meiosis II: ” Click here to enter text.

 

Experiment 4: The Importance of Cell Cycle Control

Data:

1. Click here to enter text. 2. Click here to enter text. 3. Click here to enter text. 4. Click here to enter text. 5. Click here to enter text.

 

Post-Lab Questions

”1. Record your hypothesis from Step 1 in the Procedure section here. ”

Click here to enter text.

”2. What do your results indicate about cell cycle control? ”

Click here to enter text.

”3. Suppose a person developed a mutation in a somatic cell which diminishes the performance of the body’s natural cell cycle control proteins. This mutation resulted in cancer yet, but was effectively treated with a cocktail of cancer-fighting techniques. Is it possible for this person’s future children to inherit this cancer-causing mutation? Be specific when you explain why or why not. ”

Click here to enter text.

”4. Why do cells which lack cell cycle control exhibit karyotypes which look physically different than cells with normal cell cycle. ”

Click here to enter text.

”5. What are HeLa cells? Why are HeLa cells appropriate for this experiment? ”

Click here to enter text.

”6. Research the function of the protein called p53. What does this function do? Explain how it can affect cell cycle control. ”

Click here to enter text.

”7. What is the Philadelphia chromosome? How is this chromosome related to cancer? Identify how this chromosome appears physically different on a karyotype than it appears on a karyotype of normal chromosomes. ”

Click here to enter text.

 
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