n a Microsoft Word document, respond to the self-reflection statement/question(

n a Microsoft Word document, respond to the self-reflection
statement/question(s) below. Include a title page in APA format using
the title “iHuman Reflection Week 5”. In 2-3 paragraphs, respond
substantively to each statement/question(s). Analyze your personal
strengths and areas for growth.
The process of clinical reasoning may seem opaque and even
mysterious to beginning students. Experienced clinicians often think
quickly, with little overt or conscious effort. They differ widely in
personal style, communication skills, clinical training, experience, and
expertise. Some clinicians may find it difficult to explain the logic
behind their clinical thinking. As you gain experience, your clinical
reasoning will begin at the outset of the patient encounter, not at the
end. Reflect on the clinical reasoning you used during this virtual
patient encounter. Describe the steps taken to identify and interpret
the key findings in this case. What are some “lessons learned” within
the assessment that you can apply to your professional practice as a
provider?
This is the History of present illness
Dorothy Jones 54-year-old woman.The patient complains of stomach pain as well as nausea and vomiting. The stomach ache began three days ago after dinner.She describes it as “ache,cramp midline abdominal pain.” Her abdominal pain has been worse over time and is worse when she eats.She says there was no triggering injury, and she hasn’t changed her appetite, weight, or had diarrhea. For the past three days, the patient has not had a bowel movement or passed gas, despite the fact that she usually voids her bowels once or twice a day. She complains of bloating in her stomach. She has been taking Citrucel on a regular basis with no improvement in her bowel movements. Constipation has been a problem for the previous two years. She complains of weariness and external hemorrhoids as a result of the condition.
physical exam : Alert and cooperative. Though processes are coherent and insight is
good. Oriented to person place and time. MMSE 30/30. Normal gait and posture.
Normal ROM upper extremities. Straight leg raise abnormal at 45 degrees on the right
with pain radiating down the anterior leg, below the knee. Contralateral leg raise also
positive with elevation of the left leg causing symptoms on the right. Unable to bend at
waist without significant pain. Right knee strength 4/5 limited by pain right hip
extension strength 4/5 limited by pain. all other muscle groups 5/5 Deep tendon
reflexes: Triceps C6/C7: 2/2 Bicepts C5/C6: 2/2 Brachioradiialis C5/C6: 2/2
Knee/Patella L3/L4: 2/2 Ankle/Achilles S1/S2: 1R 2L Moderate pain with gross pain
stimulus test. Sensory test: light touch was slightly diminished in the right lower
extremity along with the anterolateral thigh past the knee medial aspect of leg and
foot.
TEST done
abdomen xray,cbc,cmp,lipase, urinenalysis
official diagnosis disk herniation