Health Assessment Case Study Discussion

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DISCUSSION QUESTION 1

Based on your performance and the expert feedback in your HISTORY collection, describe two missed questions and your understanding of why they were important to collect for this case history. Use specific references from your text to explain.

DISCUSSION QUESTION 2

Based on your performance and the expert feedback in your PHYSICAL EXAM collection, describe two errors in your exam performance or documentation. Use specific references from your text to explain the importance of these findings in correct assessment of this client Health Assessment Case Study Discussion.

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DISCUSSION QUESTION 3

Based on your performance on the PHYSICAL EXAM collection, describe one key finding that you included in your list and describe a specific physical exam that you can perform at the point-of-care to further evaluate the finding. Use specific references from your text.

DISCUSSION QUESTION 4

Based on your performance and the expert feedback in your ASSESSMENT identification of problem categories, choose one missed/incorrect category and use specific references from your text to explain the importance of this category in arriving at correct differential diagnoses for this client.

DISCUSSION QUESTION 5

Based on your performance and the expert feedback in your ASSESSMENT of differential diagnoses, describe one incorrect/missed differential diagnosis and use specific references from your text to support the inclusion of the diagnosis for this client.

Human patients Welcome ozioma ihieri Jason Carter V3 PC (Basic DDx) Instructions: & **** HELPFUL HINTS **** 58 years 5′ 10″ 205 pounds Jason Carter The Avatars and cases in the IHP case library are based on “real patients and as such may at times provide minor incongruent information. As an example, an Avatar may claim to have a “rash” but the skin lesions are not, by medical definition, a rash. Avatars may refuse to answer questions, just like real patients. Phrasing of questions IS important. Asking a “similar” question that is less specific may not be scored correct if it does not provide the clarity of information needed to narrow the differential. Our recommendation is to pretend this is a real clinical patient encounter and select a time so you can enjoy the process and not feel pressured for time. Remember, you are not scored on whether you get the correct diagnosis, but rather have you mastered the process. Mastery of the process will help you avoid making diagnostic errors throughout your clinical career. Chief complaint: Progressive dyspnea Start Detailed Instructions Below: Your session will be saved automatically as you proceed through the case. 1. Take the patient’s history. AMAS Content for this one is made possible through a generous grant from the American Medical Association AMERICAN MEDICAL ASSOCIATION Start by determining why the patient is here to see you. During the interview process, try to determine the severity of illness and whether hospitalization is a possibility, if so, a more complete history is frequently warranted. Health Assessment Case Study Discussion

TIPS: Always check to see if you have a prior record; use the file folder system (if available) to assist in finding the questions you want to ask, don’t forget to look under body systems for ROS questions, always ask the questions you missed when compared to the expert as the additional information will assist you develop a more complete differential diagnosis list. = A A Jason Carter V3 PC (Basic DDx) Human patients History Physical Exam Assessment Tests Show Patient Record Diagnosis Plan Summary It has been getting worse each day, within 24 hours… it is worse by the end of the day You have asked 54 questions. Key Findings DDX Choose a category: Chief complaint (CC) Do you have a problem with swelling? Categories Create one entry for each key finding you identify during your H&P. HPI: Constitutional Complaints Where more precisely is the swelling? HPI: Environmental When did your swelling start? * UNOSSANONG Lung Cancer HPI: Fainting What are the events surrounding the start of your swelling problem? HPI: Fatigue Does anything make your swelling problem better or worse? HPI: Fever Do you have any pain or other symptoms associated with your swelling? HPI: General state of health How severe is your swelling? HPI: Night sweats HPI: Swelling Have you had swelling like this before? HPI: Weakness Has there been any change in your swelling problem over time? HPI: Weight gain Does your problem with swelling come and go? HPI: Weight loss How long does your swelling last? HD.Other Complainte A. le vourewallinn nrohlam hatter or worca at any time of day week ar vaar? Interview Progress Next Step: Get Clinical Feedback = AA Jason Carter V3 PC (Basic DDx) Human patients History Physical Exam Assessment Tests Diagnosis Plan Couple of days ago. But now it’s gotten worse Summary Show Patient Record You have asked 49 questions. Choose a category Chief complaint (CC) Key Findings DDx Do you have a problem with swelling? Categories Create one entry for each key finding you identify during your H&P. HPI: Constitutional Complaints Where more precisely is the swelling? HPI: Environmental When did your swelling start? HPI: Fainting ALTE o What are the events surrounding the start of your swelling problem? HPI: Fatigue Does anything make your swelling problem better or worse? HPI: Fever Do you have any pain or other symptoms associated with your swelling? HPI: General state of health HPI: Night sweats How severe is your swelling? HPI: Swelling Have you had swelling like this before? HPI: Weakness Has there been any change in your swelling problem over time? HPI: Weight gain Does your problem with swelling come and go? HPI: Weight loss How long does your swelling last? HD. Other Complainte A.) le vour cwallina nroblem hatter or worce at any time of daw wook or wear? Interview Progress Next Step: Get Clinical Feedback = AA Jason Carter V3 PC (Basic DDx)Health Assessment Case Study Discussion

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Human patients ? Yeah. Just recently History Physical Exam Assessment Tests Show Patient Record Diagnosis Plan Summary You have asked 73 questions. Key Findings Choose a category: nri. vveakness DDx Do you have a cough? Categories HPI: Weight gain Create one entry for each key finding you identify during your H&P. When did your cough start? HPI: Weight loss What are the events surrounding the start of your cough? Cancer VHPI: Other Complaints (A-H) DESTRONG 0 Has your cough persisted after having flu-like symptoms? HPI: Abnormal vaginal bleeding Do you get short of breath and cough with exertion? HPI: Acute gastrointestinal bleeding Do you have a chronic cough? HPI: Blood in urine (hematuria) Does anything make your cough better or worse? HPI: Bowel/constipation Do you have any pain or other symptoms associated with your cough? HPI: Breast complaints Does your cough come from the throat or lungs? HPI: Confusion Are you coughing up any sputum? HPI: Cough What does your sputum look like? Interview Progress Next Step: Get Clinical Feedback Ξ AΆ Jason Carter V3 PC (Basic DDx) Human patients History Not really. If I do it’s mostly clear. Physical Exam Assessment Tests Diagnosis Show Patient Record Plan Summary You have asked 80 questions. Key Findings Choose a category: nei veakness DDx Do you have a cough? Categories HPI: Weight gain Create one entry for each key finding you identify during your H&P. When did your cough start? HPI: Weight loss What are the events surrounding the start of your cough? HPI: Other Complaints (A-H) UAEON Lung Cancer 0 Has your cough persisted after having flu-like symptoms? HPI: Abnormal vaginal bleeding HPI: Acute gastrointestinal bleeding Do you get short of breath and cough with exertion? Do you have a chronic cough? HPI: Blood in urine (hematuria) Does anything make your cough better or worse? HPI: Bowel/constipation Do you have any pain or other symptoms associated with your cough? HPI: Breast complaints Does your cough come from the throat or lungs? HPI: Confusion Are you coughing up any sputum? HPI: Cough What does your sputum look like? Interview Progress Next Step: Get Clinical Feedback Health Assessment Case Study Discussion