The week’s assignment concerns briefing a case from the readings. You can pick any case from the readings. You must pick an actual court case

The week’s assignment concerns briefing a case from the readings. You can pick any case from the readings. You must pick an actual court case and give the citation. The brief should concern a legal case that is relevant to the following Week 3, Torts and Criminal Law, objectives. Brief the case. Use the IRAC methodology. Discuss the: The brief is followed by discussion of whether your team agrees or disagrees with the court opinion. The paper is a minimum 1000 words in length Stella’s medical costs were $11,000. Stella asked McDonald’s to pay her $20,000 to settle the case, but McDonald’s offered only $800. Stella refused this settlement and sued McDonald’s in court for negligence for selling coffee that was too hot and for failing to warn her of the danger of the hot coffee it served. At trial, McDonald’s denied that it had been negligent and asserted that Stella’s own negligence—opening a hot coffee cup on her lap—had caused her injuries. The jury heard the following evidence: · McDonald’s enforces a quality-control rule that requires its restaurants and franchises to serve coffee at 180 to 190 degrees Fahrenheit. · Third-degree burns occur on skin in just two to five seconds when coffee is served at 185 degrees. · McDonald’s coffee temperature was 20 degrees hotter than coffee served by competing restaurant chains. · McDonald’s coffee temperature was approximately 40 to 50 degrees hotter than normal house-brewed coffee. · McDonald’s had received more than 700 prior complaints of people who had been scalded by McDonald’s coffee. · McDonald’s did not place a warning on its coffee cups to alert patrons that the coffee it served was exceptionally hot. Based on this evidence, the jury concluded that McDonald’s acted recklessly and awarded Stella $200,000 in compensatory damages, which was then reduced by $40,000 because of her own negligence, and $2.7 million in punitive damages. The trial court judge reduced the amount of punitive damages to $480,000, which was three times the amount of compensatory damages. McDonald’s now places a warning on its coffee cups that its coffee is hot. (New Mexico District Court, Bernalillo County, New Mexico, 1994)

These analyses will be in the form of arguments and explanation. You will be required to first write a sound argument including at least 2

These analyses will be in the form of arguments and explanation. You will be required to first write a sound argument including at least 2 about utilitarianism premises and a conclusion. You will then be required to write an analysis of that argument including whether you think it is sound or not and why. You will need to write 350 words on this topic including your argument. These analyses should draw on your experiences, ideas, reflections on the readings, or the discussions you have with your colleagues about the assigned topics. Sample: Argument: Therefore, hydraulic fracturing for local petroleum is a virtuous action. Analysis: According to the first premise, it states that hydraulic fracturing, also known as fracking, for petroleum is being resourceful. The process of hydraulic fracturing consists of extracting shale oil, a type of petroleum product, locally from within the United States. I believe fracking is an action of self-reliance as it is pumped in the United States, and does not rely on foreign supplies. In the third premise, being resourceful means having a way to produce a product in an efficient way. In hydraulic fracturing, shale oil is extracted from a rock by using a pressurized liquid source to allow the petroleum to leak out. Resourcefulness is an action that involves a fast and clever method to overcome a dilemma. Hydraulic fracturing circumvents the cost of shipping petrol overseas and reduces oil spills. Although it might be opposed for its methane leakage into water supplies, virtue ethics explains that what is resourceful is the most important. In addition, virtue ethics also describe how self-reliance is a virtuous action by ing the majority of people. Fracking s the majority of people by providing a fuel to power their vehicles as a temporary short term solution. In doing so, it outweighs the negative consequence of environmental impacts within the area of hydraulic fracturing being worked. Overall, I agree with the argument of hydraulic fracturing for petrol follows virtue ethics because it provides a resource for consumers to have at a lower price. It makes use of the abundant petroleum resources within the country in order decrease the dependability of foreign crude oil. Importing foreign petroleum increases fuel prices because of OPEC’s volatile marketing. I believe hydraulic fracturing is a virtuous action because it provides a temporary cheap method to produce petrol on a temporary basis. Hydraulic fracturing can be a resourceful and self-reliant method for the meantime while the electric vehicle infrastructure expands and grows.

This module’s discussion focuses your understanding of Software Development, Agile & SCRUM. Check out the following links and post a message of at least 100

This module’s discussion focuses your understanding of Software Development, Agile  & SCRUM. Check out the following links and post a message of at least 100 words in ” ” to meet the following requirements: AT LEAST 1 PAGE 1. You should tell us what you think about Agile and Scrum, or other Agile methods. You can also include link(s) to videos or articles that you think is interesting and ful for you to understand these software development and the development methods ETHICS- 4 Read the attached which continues the discussion on how software engineers can actually live up to ethical standards and what is the end goal of an ethical life in software engineering. Then proceed to answer the questions inside the reading: How can software engineers live up to their ethical obligations, both professionally and in their private lives? There are a number of common habits and practices that create obstacles to living well in the moral sense; fortunately, there are also a number of common habits and practices that are highly conducive to living well: Five Ethically Constructive Habits of Mind and Action: 1.  Self- Reflection/Examination:  This  involves  spending  time  on  a  regular  basis (even  daily)  thinking  about  the  person  you  want  to  become,  in  relation  to  the person you are today. It involves identifying character traits and habits that you would like to change or improve in your private and professional life; reflecting on whether you would be happy if those whom you admire and respect most knew all that you know about your actions, choices and character; and asking yourself how fully you are living up to the values you profess to yourself and others. 2. Looking  for  Moral  Exemplars: Many of us spend a great deal of our time, often more than we realize, judging the shortcomings of others.  We wallow in irritation or anger at what we perceive as unfair, unkind or incompetent behavior of others, we comfort ourselves by noting the even greater professional or private failings of others, and we justify ignoring the need for our own ethical improvement by noting that many others seem to be in no hurry to become better people either.  What we miss when we focus on the shared faults of humanity are those exemplary actions we witness, and the exemplary persons in our communities, that offer us a path forward in our own self-development. Exemplary acts of forgiveness, compassion, grace,  courage,  creativity  and  justice  have  the  power  to  draw  our  aspirations upward;  especially  when  we  consider  that  there  is  no  reason  why  we  would  be incapable of these actions ourselves. But this cannot happen unless we are in the habit of looking for, and taking notice of, moral exemplars in the world around us. Because for many ethics questions there is no absolutely right or wrong answers as such, your responses will be graded based on completeness and thoughtfulness as opposed to rote or perfunctory ones. There are three grade levels for this assignment based on your responses to all the questions: 20 (no reasoning in responses), 35 (minimal to little reasoning), and 50 (sufficient reasoning and consideration). Write your answers in a Word file using Times New Roman font (no smaller than 10 pt but no bigger than 12 pt), single spacing, 1″ margins on all sides. AT LEAST 2 PAGES.

Use the following Case Scenario, Subjective Data, and Objective Data to answer the Critical Thinking Questions. Mrs. J. is a 63-year-old woman who has a

Use the following Case Scenario, Subjective Data, and Objective Data to answer the Critical Thinking Questions. Mrs. J. is a 63-year-old woman who has a history of hypertension, chronic heart failure, and sleep apnea. She has been smoking two packs of cigarettes a day for 40 years and has refused to quit. Three days ago, she had an onset of flu with fever, pharyngitis, and malaise. She has not taken her antihypertensive medications or her medications to control her heart failure for 4 days. Today, she has been admitted to the hospital ICU with acute decompensated heart failure. What nursing interventions are appropriate for Mrs. J. at the time of her admission? Drug therapy is started for Mrs. J. to control her symptoms. What is the rationale for the administration of each of the following medications? Describe four cardiovascular conditions that may lead to heart failure and what can be done in the form of medical/nursing interventions to prevent the development of heart failure in each condition. Taking into consideration the fact that most mature adults take at least six prescription medications, discuss four nursing interventions that can prevent problems caused by multiple drug interactions in older patients. Provide rationale for each of the interventions you recommend.

For this assignment you will write your Frankenstein1 application essay. You are required to submit only your final draft for this assignment though we encourage

For this assignment you will write your Frankenstein1 application essay. You are required to submit only your final draft for this assignment though we encourage all students to take advantage of the additional feedback a draft can provide. Use grader feedback, along with the course lessons and your own ideas, to revise your optional draft prior to submitting the required final copy. Literary works like Frankenstein explore the “human condition” or experiences that humans encounter. The study guides for Frankenstein offer several “Real Life Considerations” meant to you critically analyze the applications of the work’s themes in today’s world. Now, you will choose one of these topics and explore it using secondary resources to learn more about the novel and its relevant social topics. You might find information about social issues in familiar sources such as magazines, newspapers, or social science journals. Make sure your sources are credible—you do not want a random website or an encyclopedic website such as Wikipedia.2 Your sources will preferably be a scholarly ones. Here are some ideas of places where you might find appropriate sources for this assignment: Your thesis statement and paper must address both the literary qualities and the social issues as you evaluate the novel, Frankenstein. However, keep in mind, your essay does not have to answer ALL of the questions listed under each topic. Only answer the questions you feel are the most relevant to the thesis statement you choose. Develop your essay so it has a clear introduction, body, and conclusion. Ensure that each of your claims is supported with valid evidence from the novel, Frankenstein, and at least three other credible external sources.3 Using proper MLA style, insert parenthetical citations and signal phrases for all borrowed information in addition to a Works Cited page for Frankenstein and your chosen external sources. Assignment: Can science go too far? There is an ongoing battle between faith or spirituality and science that has been active even before the time of Mary Shelley. What are some of the dilemmas she addresses that are still important today? What are some of the ethical questions she brings up regarding the scientific definition of life and death? What does she illustrate about the power science has to blur the line between life and death? What is a current news item that is similar to this issue? Hint: Develop a thesis that answers a question like this one: “How and how well does Mary Shelley’s Frankenstein address ethical issues of science and/or faith for audiences, regardless of when they read the novel?” Length: This assignment should be at least 1100 words. Header: Include a header in the upper left-hand corner of your writing assignment with the following information: Purchase the answer to view it

I need someone that knows a lot about history and has the knowledge to write specific examples. I need a very simple tone essay since

I need someone that knows a lot about history and has the knowledge to write specific examples. I need a very simple tone essay since English is my second language.  Discuss the positive and negative effects of the Industrial Revolution. Include at least three major examples with accompanying pertinent and specific historical evidence. · Formatting o  one page long (approximately 250-300 words). o Do not exceed one page per essay. o Double-space o 12pt font o 1” margins · Content o Include a thesis statement o Thoroughly address the prompt, citing historical evidence to support your points. o Organize your information logically. o Include a conclusion. o If using direct quotes, include citations. o Information can come from supplementary books, Blackboard readings, and/or other reputable sources (print sources and online journals preferred). · Style and Mechanics o Write as clearly and concisely as possible. o  grammar and mechanics do count.

Assignment: Students will create a PowerPoint project on a focused topic studied in this course. The presentation must be interdisciplinary (in a true Humanities format),

Assignment: Students will create a PowerPoint project on a focused topic studied in this course. The presentation must be interdisciplinary (in a true Humanities format), research based, and must include images. Videos and music can also be included in the presentation. Select a topic and approach it from historical, geographical, socio-economic, aesthetic, literary, political, philosophic, religious, and other related disciplines’ perspective. The PowerPoint will be a total of 12 slides. The first slide must list the specific topic, and the student’s name and course/section number.The next ten slides must introduce, develop, and conclude the topic.The last slide must list all the resources that are used for the PowerPoint. An Islamic city can be identified by architectural design and key symbols. Architectural design of an Islamic city is based on four principles: 1) Natural laws (follows the weather and topography of the region; architectural features such as courtyard, terrace, narrow covered streets and gardens enable habitation in hot and dry climates, 2) Cultural and religious beliefs (features that identify and reinforce Islam, such as a central congregational mosque, smaller neighborhood/sectarian mosques, suq (market), 3) Sharia Law (regulates the physical and social relations between public and private realms, and between neighbors and social groups), and 4) Social principles (section the city based on blood line, ethnic origin, and cultural views). Key symbols identifying an Islamic city: 1) A main mosque in the center of town; this is a large congregational mosque (jama masjid) to accommodate the Friday afternoon (zuhr) community prayer. Some mosque complexes contain a madrasa (religious school), soup kitchen, hospital, and tombs. 2) Suqs (markets) that economically support the town by providing goods to locals. Suqs generally surround the main mosque(s) 3) A citadel, home to the governor 4) Residential quarters that identified sections of houses with commonalities 5) A street network specifically designed to connect housing quarters with the central mosque and market 6) A wall surrounding the city 7) Animal markets are outside city limits, as are cemeteries 8) Gardens and fountains are also a common symbol within the Islamic city. In this module, we will focus on the Islamic city. We will discuss the term Islamic city and we will try to give you a general idea of what these medieval Islamic cities look like, how were the cities organized, and how could they grow to the size they did. Especially important is the role of water and the large quantities that were needed to sustain these large city populations. We will go into that in a second video. But let’s start with the term Islamic city. Why do we call it Islamic city? Much has been written on the Islamic city. But why do we interpret towns with a majority population of Muslims in terms of the dominating religion? We do not after all label towns in Europe as Christian or Jewish. Is there indeed something in the Islamic city that justifies this religious labeling? Before we can answer this question, we should look into the determining features of this so-called typical Islamic city. The concept of a Muslim or Islamic city, described as a recurring structure or pattern in scholarly writing, became popular between the 1920s and the 1950s and first only occurred in France. However, it was soon adopted elsewhere and is now often used by scholars in the Middle East itself as well. The initial accounts were strongly based on a black and white worldview of East versus West, whereby the defining feature of the East is considered the dominant religion, Islam. The description of Islamic cities was therefore mostly a comparison to a superior example of the European city. In some cases, it is in fact easier to find a description of what the Islamic city is not than of what it is. A typical Islamic city is generally described as a place of limited central planning. So, a quarter is a collection of individual houses and a city is a collection of individual quarters. That way of building inevitably leads to a labyrinth-like structure with irregular winding streets, many ending in a cul-de-sac. Some of the quarters almost functioned as a town within a town. Ethnic communities and religious minorities tended to unite within their own quarters. These communities would function fairly autonomously. Another distinguishing feature that is often mentioned is a strong contrast between zones. There are public zones and private zones. In the public zone, the central mosque and one or more souks or marketplaces formed the heart of the city. A distinctive feature of the marketplaces was that they were at least in part covered. Up until today, we can find this covered markets in old centers of many Muslim cities. Other distinguishing buildings in an Islamic city center were the madrasa school and the Hammam bathhouse. Not surprisingly, in larger cities that fulfilled a regional or national function, elements of governing structure could be found as well, such as palaces, courts, and a citadel. In residential areas, houses were typically turned inwards. The image of a Muslim house is one which on the outside would be made of plain-looking blank walls. All the splendor of the house, like a rich garden or courtyard, would remain hidden from the public view and was only accessible to the select few who had permission to enter the house. Though often mentioned as a typical Islamic building style, we can in fact find examples of enclosed gardens and courtyards throughout the Mediterranean and predating the rise of Islam as well. Moreover, this style of living seems to have been preserved for the rich. Since most interpretations of Islam forbid the depiction of human beings, and especially of the Prophet Muhammad, alternative styles of decoration evolved, most notably calligraphy and geometrical mosaics. These decorations tend to be very prominent in mosques, but we do find them in many other buildings as well. Though the shapes are different from one region to the next, they are very recognizable as Islamic decoration. Not as visible as landmarks like the central mosque, but essential to the functioning of the towns were elaborate water structures. Hydraulic engineering was already an important factor in the success of the Romans and the Persians but it was further developed by the Arabs in the Middle Ages. Since the heartland of the Muslim Empire was in a warm and dry area, careful water management was essential to the growth of Islamic cities. But back to our question: Can we justify what we call these cities Islamic cities? One reason for calling cities Islamic would be the presence of Islamic laws, sharia that determine the shape of cities. If we look at the early sources, Koran and Hadith, we hardly find any texts worth mentioning. If we look at later text, we do though, not surprisingly, find legislation concerned with city life, for instance, with regard to property, ownership, and commerce. However, there’s no reason to assume that the architectural shape of the city was determined by that legislation. Indeed, it makes more sense to conclude that the legislation derived from common practice. We do see that behavior or city life was in some ways dictated by Islamic laws. We see, for instance, that due to dietary changes, pigs quickly declined in number. But again, this hardly affected the architecture of the city. One thing we can argue affected city planning was the presence of fairly large communities of religious and ethnic minorities. Because Islamic laws protected Jews and Christians, we can see large communities living in their own quarters building their own houses of prayer and other institutions. Since the labyrinth structure of Islamic cities is largely due to these different communities creating towns within a town, we can state that one of the determining features of the medieval Islamic city paradoxically is the presence of non-Muslims with their own institutions and structures. But all in all, we should conclude that we cannot find any determining religious Islamic features, except maybe for the presence of a mosque in the architecture of cities all the way from Morocco to Indonesia that would really justify the use of the term Islamic city. Neither in terms of time nor in terms of geography can we indicate a strong denominator of where the Islamic city starts or ends. It is also clear that Islam did not determine everything that people did or thought in the cities. Scholars have therefore now mostly stopped using Islamic, preferring terms like Islamicate. You can read more about this in the assigned readings. However, the common in daily use remains Islamic city, and we will therefore use it in this course too. But by explaining the background of this term, we hope you understand the limitations and objections of this terminology.

Final Assignment: 2. Final Social Welfare Policy Paper You will use your first midterm exam paper to build a more complete policy analysis. You will

Final    Assignment: 2.    Final    Social    Welfare    Policy    Paper You    will    use    your    first    midterm    exam    paper    to    build    a    more    complete    policy    analysis.    You    will    write    an analysis    on    the    topic    you    chose    (8–10    pages)    using    the    edited    first    paper    with    the    same    criteria    as above    except    your    final    will    include    those    edits    and    a    more    precise    treatment    of    the    sections    you already    did    as    well    as    the following: 6)    Identification    of    stakeholders    and    discussion    of    the    social    welfare    issue/problem    in    relation    to them    (stakeholders    are    those    with    a    vested    interest    in    the    issue).7)    An    analysis    of    your    topic    in    the    context    of    your    course    readings    and    the connection(s)    between    your policy    solution,    the    NASW    Code    of    Ethics,    and    social    justice. 8)    A    conclusion    that    provides    a    final    summary    of    why    this    matters    and    what    specific    action    should    be taken. This    paper    requires    8–10    relevant    references    in    APA    format.     do    not    use    obscure    websites    or Wiki-anything.    You    must    use    peer-reviewed    research    or    published    journals.    This    paper    is    due    in    Week 13. EVALUATION    OF    THIS    PAPER • Grading    assesses    the    overall    quality    of    the    paper    along    with    the    substantive    content:    This includes    writing,    critical    thinking, and    presentation    of    ideas.    See    the    specific    rubric    categories    for these    elements. • The    midterm    paper    will    use    the    same    scoring    rubric    but    with    the    understanding    that    the    paper    is a    work    in    progress.    For    the    midterm, the    scoring    rubric    will    assess    the    extent    to    which    each    of the    elements    of    the    paper    are    present    and    articulated    in    enough    detail    to    determine    the    logic    of the    analysis. • Empowerment    and argument    frame:    You    should    pay    attention    to    how    you    frame    your    issue.    For example,    IF    you    intend    to    use    the    adjective    vulnerable to    describe    a    group    and/or    individual, you will    need    to    be    very    clear    how    you    present    this    and    why    you    are    choosing    this    work.    Do NOT    use adjectives    alone    to    describe    people—e.g., the    elderly.    You    must    include    a    noun—e.g., older    adults. People    are    nouns—give    them    life    in    your    papers—otherwise    you    risk    marginalizing    them

This assignment consists of two (2) sections: an infrastructure document and a revised Gantt chart or project plan. You must submit both sections as separate

This assignment consists of two (2) sections: an infrastructure document and a revised Gantt chart or project plan. You must submit both sections as separate files for the completion of this assignment. Label each file name according to the section of the assignment it is written for. Additionally, you may create and / or assume all necessary assumptions needed for the completion of this assignment. The infrastructure which encompasses the network solution and security considerations is a major consideration for your company. Considering that the company will be expanding from one (1) floor to three (3) floors in the very near future you, as the CIO, are responsible for the design of the infrastructure and security protocols. You have been tasked with designing a network that is stable, redundant, and scalable. In addition, speed and reliability are important considerations. Assumptions should be drawn regarding network usage in relationship to network services and resources. All the established criteria that were set at the onset should be adhered to within your plan. The network solution that is chosen should support the conceived information system and allow for scalability. The network infrastructure will support organizational operations; therefore, a pictorial view of workstations, servers, routers, bridges, gateways, and access points should be used. In addition, access paths for Internet access should be depicted. Additionally, the security of the network should be in the forefront of your design because protecting your data is a primary consideration. Section 1: Infrastructure Document Your assignment must follow these formatting requirements: Section 2: Revised Project Plan Use Microsoft Project to: The specific course learning outcomes associated with this assignment are: Purchase the answer to view it Purchase the answer to view it

I need 1 reply comment to each post with a credible sources, citation and years above 2013 in APA format. Post 1 Shortness of Breath

I need 1 reply comment to each post with a credible sources, citation and years above 2013 in APA format. Post 1 Shortness of Breath and cough Pt presents with complaints of shortness of breath and productive cough.  Pt relates he is coughing up thick green sputum with occasional bloody sputum. Pt relates that he has increased shortness of breath with walking.  Patient relates that he is also short of breath at rest. Pt also relates that he has had some chills and sweats and felt like he may have a fever.  He states that he has taken Tylenol for those symptoms. Temperature 100.9, Respiratory rate 20, Heart rate 82, Blood pressure right arm 128/70, Oxygen saturation 89% on room air, Weight 210 pounds, EKG shows normal sinus rhythm, Chest radiograph Skin is warm and moist. Thorax is symmetrical with diminished breath sounds with rales and expiratory wheezes throughout, negative for rhonchi. Wet productive cough noted during exam. Heart is regular sinus rhythm with rate of 82. Good S1, S2; negative S3 or S4 and negative for murmur. Abdomen protuberant with normoactive bowel sounds auscultated in all four quadrants. No pedal edema noted. 2+ dorsalis pedis pulses bilaterally. Neurologic: Patient is awake, alert and oriented to person, place and time. Chest radiograph shows infiltrate in the right middle lobe. Priority diagnosis includes 1. Pneumonia 2. Myocardial Infarction 3. Pulmonary embolism   4. Congestive Heart Failure 5. Asthma 1. Pneumonia: The patient presents with productive cough and shortness of breath with exertion.  Patient has elevated temperature and low oxygen saturations along with diminished breath sounds, rales and expiratory wheezes which are all consistent symptoms with community acquired pneumonia. (Lynn, 2017).  Chest radiograph shows right middle lobe infiltrate which is also consistent with pneumonia. (Kaysin and Viera, 2016). 2. Myocardial Infarction: The patient presents with shortness of breath and low oxygen saturations.  Pt states that his shortness of breath is worse with exertion but is present at rest also.  Dyspnea is a frequent associated symptom with MI. (Lawesson, Thylen, Ericsson, Swahn, Isaksson and Angerud, 2018). The patient did have an EKG completed that revealed a normal sinus rhythm at a rate of 80 with no obvious signs of ectopy.  Evaluation of troponin level would assist in ruling out MI as a diagnosis for this patient. (Berliner, Schneider, Welte and Bauersachs, 2016). 3. Pulmonary Embolism: Dyspnea is the primary symptom for patients with PE. (Garcia-Sanz, Pena-Alvarez, Lopez-Landeiro, Bermo-Dominguez, Fonturbel and Gonzalex-Barcala, 2014). Onset of dyspnea with PE is typically sudden and further history for this patient related to onset of symptoms.  Evaluation of any extremity pain and swelling, D-dimer or chest angiography would also assist in determining if this was a more likely diagnosis. (Berliner, Schneider, Welte and Bauersachs, 2016). 4. Congestive Heart Failure: Dyspnea is also a common symptom with congestive heart failure.  Fatigue, diminished exercise tolerance and fluid retention are also common symptoms of CHF. (Berliner, Schneider, Welte and Bauersachs, 2016). The patient has rales noted upon auscultation which could be consistent with congestive heart failure however coupled with the remainder of the exam including productive cough with thick green sputum and fever, CHF would not be the primary diagnosis. Further evaluation of extremities of abdomen and extremities for signs of fluid retention would be indicated as well as labs such as BNP. 5. Asthma: The patient has expiratory wheezes and shortness of breath which are both consistent with asthma; however the patient also has fever and productive cough which are not consistent asthma symptoms. (Huether and McCance, 2017). : Not indicated References Arcangelo, V. P., Peterson, A. M., Wilbur, V. & Reinhold, J. A.  (Eds.). (2017). (4th ed.). Ambler, PA: Lippincott Williams & Wilkins. Ball, J. W., Dains, J. E., Flynn, J. A., Solomon, B. S., & Stewart, R. W. (2015). (8th ed.). St. Louis, MO: Elsevier Mosby. Berliner, D., Schneider, N., Welte, T., & Bauersachs, J. (2016). The Differential Diagnosis of Dyspnea. , (49), 834. doi:10.3238/arztebl.2016.0834 Debasis, D., & David C., H. (2009). Chest X-ray manifestations of pneumonia. , (10), 453. doi:10.1016/j.mpsur.2009.08.006 Dains, J. E., Baumann, L. C., & Scheibel, P. (2016). (5th ed.). St. Louis, MO: Elsevier Mosby. García-Sanz, M., Pena-Álvarez, C., López-Landeiro, P., Bermo-Domínguez, A., Fontúrbel, T., & González-Barcala, F. (2014). Original article: Symptoms, location and prognosis of pulmonary embolism. , 194-199. doi:10.1016/j.rppneu.2013.09.006 Post  2 Chief Complaint: “I am having chest pain at this time” History of Present Illness: Pleasant, Caucasian male experiencing an acute onset of sharp, constant chest pain when taking a deep breath.  Denies any alleviating factors. Yesterday his wife noticed his RT leg was edematous with erythema, denies any injury. Recently he returned from a vacation with an 8-hour plane ride. The patient was not asked if his pain radiated or if he had nausea or dizziness. Past Medical History: Denies taking any medications. Allergies, surgeries, past medical conditions “not provided.” History of cancer or deep vein thrombosis not provided. Social History: Married Review of symptoms: General: Feels short of breath when taking a deep breath, also having sharp lower RT rib pain. Cardiovascular: Experiencing tachycardia. Peripheral edema started yesterday in RT lower leg. Pulmonary: Reports having sharp pain when taking a deep breath with no relief measures noted. Complains of dyspnea with productive hemoptysis cough this morning. Gastrointestinal: “not provided.” VS: BP 148/88 RT arm; P 112 and irregular; R 32 and labored; T 97.9 orally; Pulse Ox 90% on RA; His current weight is stable at 210 pounds. General: Well-nourished, a well developed Caucasian male who is alert and cooperative. He is a good historian and answers questions appropriately. Patient sitting upright at the side of the cot appears anxious with labored breathing. Guarding noted in the anterior, distal RT rib area. Cardiovascular: Skin is pallor, cool and diaphoretic. Heart rate is tachycardic. S1 and S2 irregular with no S3, S4, or murmur auscultated. RT calf with erythema, 2+ edema, warmth, and tender with palpation. LT leg with no edema, tenderness, or erythema noted. Bilateral 2+ dorsalis pedis pulse. Telemetry showing a sinus arrhythmia. Gastrointestinal: Protuberant abdomen with active bowels x 4 quadrants. Pulmonary: LT Lung clear to auscultation, RT middle and lower lobes with diminished breath sounds. No rales, rhonchi, or wheezing auscultated. Respirations labored. Respiratory excursion symmetrical. Diagnostic results: CXR, ECG, venous doppler studies and ultrasound for DVT, V/Q scan, CT of the chest, labs- sputum culture, cardiac enzymes. Telemetry. Differential Diagnosis: 1.) Pulmonary Embolism 2.) Pneumonia 3.) Lung Cancer 4.) Myocardial Infarction 5.) Cardiac Arrythmia “not required” Evidence and Justification of Differential Diagnosis and Diagnostic Tests Gruettner J. et al. (2015) report the Wells risk score assesses the history of a previous DVT or PE in a patient. Assessment of tachycardia, recent surgeries or immobilization, observation of DVT signs, an alternative diagnosis less likely than pulmonary embolism, hemoptysis, and cancer are gathered.  Each area is assigned a score and the calculated total score interprets the probability of having a pulmonary embolism. The patient calculated score indicated a pulmonary embolism even though the history of cancer was unknown. The diagnostic test of a CT angiography was found to be successful in the diagnosis of a pulmonary embolism with Gruettner J. et al. (2015) research. The D-dimer, ABG, EKG, and computed tomography showed little value in the diagnosis (Gruettner J. et al., 2015). Dains, J. E., Baumann, L. C., & Scheibel, P. (2016) indicate pneumonia causes the