Heterosexual Choices Assignment

Heterosexual Choices Assignment

Heterosexual Choices Assignment

I need a response for 2 peers, below is the case study:

Male 20 y/o Self employee landscaping Marihuana ocassional user. Heterosexual choices with no regular single partner. He loves parties and Practice Soccer regularly.

Ricardo does not speak English so he comes to see you with his sister. She says that he has a very sore throat and feels very tired. On closer questioning, you find out that the sore throat started approximately 24 hours ago. He has pain on swallowing, and he does not have a cough. He has not taken any tablets for pain. On examination, Ricardo’s temperature is 38 degrees centigrade and he has tender enlarged anterior cervical lymph nodes on the left side. He has an enlarged red left tonsil partially covered in white exudate. The right tonsil is also red but not so enlarged. He is breathing and swallowing normally throughout the consultation.

You do not have any access to Ricardo’s past medical history as he has just registered with your practice and he previously lived in Brazil. Ricardo’s sister says that Ricardo has not had serious medical conditions before and has never been allergic to antibiotics.

What are the provisional primary and differential diagnoses?

The following are the peers answers:


Ricardo is a 20-year-old male who comes to the clinic complaining of “a very sore throat and feels very tired”. On assessment I discover patient has had the sore throat for 24 hours with pain on swallowing. Patient has been having fevers of 100.4F/ 38C. Patient has tender enlarged anterior cervical lymph nodes on the left side. His left tonsil is enlarged and partially covered in white exudate. The right tonsil however is red not enlarged. His respiration and swallowing are within normal limits.

Primary Diagnosis

Tonsillitis- Tonsillitis is generally the result of an infection, which may be viral or bacterial. Viral etiologies are the most common. The most common viral causes are usually those that cause the common cold, including rhinovirus, respiratory syncytial virus, adenovirus, and coronavirus. These typically have low virulence and rarely lead to complications. Other viral causes such as Epstein-Barr (causing mononucleosis), cytomegalovirus, hepatitis A, rubella, and HIV may also cause tonsilitis. (Georgala CC,Tolley NS, Narula PA,2014)

Differential Diagnosis

Streptococcus Pharyngitis- infection with Streptococcus pyogenes. Symptom onset in streptococcal infection is usually abrupt and includes intense sore throat, fever, chills, malaise, headache, tender enlarged anterior cervical lymph nodes, and pharyngeal or tonsillar exudate. (Ebell, Smith, Barry, Ives, & Carey, 2000; Shaikh, Leonard, & Martin, 2010).

Viral Pharyngitis-Pharyngitis is an inflammation of the pharynx resulting in a sore throat. Pharyngitis is a symptom rather than a condition. Most often it is caused by viral infections like the common cold and flu. (Pharyngitis, n.d.)


Base on to the descriptions in the case study, Mr. Ortego is a 20 years old heterosexual male with no regular single partner. According to his sister, who interpret for him, he used to live in Brazil, does not speak English, has no past serious medical history and is not allergic to any Antibiotics. He recently came to the clinic complaining of sore throat for the last 24hours. He represent with signs and symptoms of pain when swallowing, no cough, a temperature of 38 degrees Celsius (100.4 degrees), tender and enlarged anterior cervical lymph nodes on the left side, and his left tonsil is red, enlarged and partially covered with exudate, the right tonsil is red but not enlarged, and no difficulty breathing.

Primary Diagnosis:

Tonsillitis: Mr. Ortego present with signs and symptoms that includes left red swollen tonsil enlarged and partially covered with exudate, sore throat, painful swallowing, fever, and tender and enlarged anterior cervical lymph nodes (Mayo Clinic 2018).

Deferential Diagnosis:

1. Acute Streptococcal Pharyngitis: Due to the patient’s complaints of sore throat for the last 24hrs, and along with fever and swollen lymph nodes and no cough provide reason for this differential diagnosis (Center for Disease control and Prevention 2018).

2. Mononucleosis: Mr. Ortego is heterosexual male with no regular single partner, he presents with sore throat, fever, swollen glands, exudate on the tonsil. Infectious mononucleosis is transmitted by exposure to saliva, so it can be spread by kissing, it is usually caused by the Epstein-Barr virus. It most often affects children, teenagers, and young adults (Ebell 2016).

Whether you agree or disagree explain why with supporting evidence and concepts from the readings or a related experience. Include a reference, link, or citation when appropriate. APA 6th edition format for references as well as in-text citations is expected, but are not mandatory.




You must proofread your paper. But do not strictly rely on your computer’s spell-checker and grammar-checker; failure to do so indicates a lack of effort on your part and you can expect your grade to suffer accordingly. Papers with numerous misspelled words and grammatical mistakes will be penalized. Read over your paper – in silence and then aloud – before handing it in and make corrections as necessary. Often it is advantageous to have a friend proofread your paper for obvious errors. Handwritten corrections are preferable to uncorrected mistakes.

Use a standard 10 to 12 point (10 to 12 characters per inch) typeface. Smaller or compressed type and papers with small margins or single-spacing are hard to read. It is better to let your essay run over the recommended number of pages than to try to compress it into fewer pages.

Likewise, large type, large margins, large indentations, triple-spacing, increased leading (space between lines), increased kerning (space between letters), and any other such attempts at “padding” to increase the length of a paper are unacceptable, wasteful of trees, and will not fool your professor.

The paper must be neatly formatted, double-spaced with a one-inch margin on the top, bottom, and sides of each page. When submitting hard copy, be sure to use white paper and print out using dark ink. If it is hard to read your essay, it will also be hard to follow your argument.


Discussion Questions (DQ)

Initial responses to the DQ should address all components of the questions asked, include a minimum of one scholarly source, and be at least 250 words.
Successful responses are substantive (i.e., add something new to the discussion, engage others in the discussion, well-developed idea) and include at least one scholarly source.
One or two sentence responses, simple statements of agreement or “good post,” and responses that are off-topic will not count as substantive. Substantive responses should be at least 150 words.
I encourage you to incorporate the readings from the week (as applicable) into your responses.
Weekly Participation

Your initial responses to the mandatory DQ do not count toward participation and are graded separately.
In addition to the DQ responses, you must post at least one reply to peers (or me) on three separate days, for a total of three replies.
Participation posts do not require a scholarly source/citation (unless you cite someone else’s work).
Part of your weekly participation includes viewing the weekly announcement and attesting to watching it in the comments. These announcements are made to ensure you understand everything that is due during the week.
APA Format and Writing Quality

Familiarize yourself with APA format and practice using it correctly. It is used for most writing assignments for your degree. Visit the Writing Center in the Student Success Center, under the Resources tab in LoudCloud for APA paper templates, citation examples, tips, etc. Points will be deducted for poor use of APA format or absence of APA format (if required).
Cite all sources of information! When in doubt, cite the source. Paraphrasing also requires a citation.
I highly recommend using the APA Publication Manual, 6th edition.
Use of Direct Quotes

I discourage overutilization of direct quotes in DQs and assignments at the Masters’ level and deduct points accordingly.
As Masters’ level students, it is important that you be able to critically analyze and interpret information from journal articles and other resources. Simply restating someone else’s words does not demonstrate an understanding of the content or critical analysis of the content.
It is best to paraphrase content and cite your source.
LopesWrite Policy

For assignments that need to be submitted to LopesWrite, please be sure you have received your report and Similarity Index (SI) percentage BEFORE you do a “final submit” to me.
Once you have received your report, please review it. This report will show you grammatical, punctuation, and spelling errors that can easily be fixed. Take the extra few minutes to review instead of getting counted off for these mistakes.
Review your similarities. Did you forget to cite something? Did you not paraphrase well enough? Is your paper made up of someone else’s thoughts more than your own?
Visit the Writing Center in the Student Success Center, under the Resources tab in LoudCloud for tips on improving your paper and SI score.
Late Policy

The university’s policy on late assignments is 10% penalty PER DAY LATE. This also applies to late DQ replies.
Please communicate with me if you anticipate having to submit an assignment late. I am happy to be flexible, with advance notice. We may be able to work out an extension based on extenuating circumstances.
If you do not communicate with me before submitting an assignment late, the GCU late policy will be in effect.
I do not accept assignments that are two or more weeks late unless we have worked out an extension.
As per policy, no assignments are accepted after the last day of class. Any assignment submitted after midnight on the last day of class will not be accepted for grading.

Communication is so very important. There are multiple ways to communicate with me:
Questions to Instructor Forum: This is a great place to ask course content or assignment questions. If you have a question, there is a good chance one of your peers does as well. This is a public forum for the class.
Individual Forum: This is a private forum to ask me questions or send me messages. This will be checked at least once every 24 hours.