Creating a Clinical Case Study a 10 step model
... Provide a list of all possible tests to students from which to
select. Allow more senior students to brainstorm tests.
Student Task: Students select only the most appropriate tests
for this presentation and are prepared to defend their selection.
Points may be taken away for potentially harmful, inv ...
MEDICALLY COMPROMISED PATIENTS
... This is discovered through questioning of the patient, evaluation of their medications
and discussion with the physician. These sources also give an indication of the
severity. For example a patient on a diuretic may have a mild hypertension or mild
heart failure. A patient on the same diuretic plus ...
Complete an initial prescription chart for Mrs Robinson
... Your registrar has reviewed the patient and thinks pulmonary embolism is the most likely
diagnosis but it is midnight and the definitive radiological investigation to confirm the diagnosis is
not available until the next morning.
Cardiac Stress Tests Informed Consent
... complete. The patient will notify the provider of any such symptoms. Heart rate and rhythm are
constantly monitored on a special heart monitor and periodic blood pressures checked by a
cardiology stress technician.
Hypertension Decision Aid (HDA) - An Internet
... Periodical evaluation treatment plans
Query the database for the latest data
Derive a list of medications ranked by Certainty Factor (CF) values
Takes appropriate action based on the difference in CF value
between current medication and the top-ranked medication:
Case 1: <0. ...
in PULMONARY EMBOLISM
... sudden onset of dyspnea, deterioration of
existing dyspnea, or onset of pleuritic
chest pain without another apparent
cause), the clinician should determine
which diagnostic modalities are available
and how much the hospital is experienced
in performing and interpreting spiral CT
CLINICAL ENDOCRINOLOGY FOR PRIMARY CARE PHYSICIANS
... The content, views and opinions presented in this educational activity are those of the authors and do
not necessarily reflect those of Medical Education Resources. The authors have disclosed if there is
any discussion of published and/or investigational uses of agents that are not indicated by the ...
CPC 12/7/07 - Clinical Correlations
... The students must submit a complete diagnosis indicating the entity, as well as the
manifestations in the patient. All infectious diagnoses must include reference to the etiologic agent by
genus and species. Malignant diagnoses must contain enough specificity of cell type to eliminate
ambiguity. Car ...
Primary Hyperparathyroidism Handout
... until it becomes apparent with cognitive and physical consequences, for example, mental
status change, severe constipation, and fracture.
Risk factors for PHPT include:
... • .A previously healthy 3-year-old girl was brought
to our emergency room in severe respiratory
distress. She had a sore throat for the past 48 h,
mild fever and minor respiratory difficulty
Chapter 1 Answer Keys
... 1. History and Physical—Written or dictated by admitting physician; details patient’s history, results of physician’s
examination, initial diagnoses, and physician’s plan of treatment
2. Physician’s Orders—Complete list of care, medications, tests, and treatments physician orders for patient
3. Nurs ...
... 1. Chief Complaint (what is the reason the
patient came into the office – write down
preferably in the patient’s own words)
2. History of Present Illness – This is where a
more complete description of why the
patient presented. It will include everything
historically (questioning of patient) that ca ...
EUH Dictation Instructions
... in order for coding, which is essential to reflect severity of
illness and risk of mortality.
• Principal diagnosis is “that condition established after study to
be chiefly responsible for occasioning the admission of the
patient to the hospital for care.” This includes final diagnoses
determined on ...
MEAT Documentation Tips
... Document each patient encounter as if it is the only encounter
Codes should be assigned for every condition documented in the chart note that has evidence of
MEAT, not just the condition for which the patient came in.
All chronic and complex conditions need to be coded annually.
o Review and documen ...
Seizures in early postpartum period
... Seizures in the postpartum period poses a clinical challenge since there are several causes. Evaluation and management should be performed in a stepwise fashion and may
require a multidisciplinary approach with other specialties such as neurology. Differential diagnosis includes eclamps ...
ATEP Matrix HPS 352 – General Medical Conditions in Athletics
... 1. Identify the common congenital and acquired risk factors and causes of musculoskeletal
injuries and common illnesses that may influence physical activity in pediatric,
adolescent, adult, and aging populations.
2. Identify the patient’s participation restrictions (disabilities) and activity limita ...
case study - Bakersfield College
... • Has she been sick with a cold or flu?
• Are there any animals in the home?
• Has she been exposed to any toxins such as bug spray,
smoke, or paint fumes?
• Did she perform any type of strenuous activity?
• Are her immunizations up to date?
Glucose-6-Phosphate Dehydrogenase (G6PD) deficiency
... variably characterized by neonatal jaundice, acute hemolytic anemia in response to oxidative stress, and chronic
nonspherocytic hemolytic anemia in the absence of oxidative stressors. Residual enzyme levels vary even in
symptomatic individuals and are not necessarily predictive of disease severity. ...
... looked well and was discharged by the primary
service for outpatient workup. He failed to keep his
appointments and presented to the ER with SOB
approx. 1 month after discharge. During this second
admission, workup included echocardiography, left
and right heart cath. The echocardiographic
Mr. Practice pre clinical research Sp17
... How would you chart the information assessed?
A&A, Ox3, In NAD at present. Rates pain 5/10, states
cramping to lower back, began 5 mins ago, no relief c
position change, or diversion. Sitting upright in bed @
60Ο angle. Smiling. Skin W/D c even color distribution.
Pupils PERRLA. O2 @ 2L NC. Teeth in ...
... stated and supported by information in record: requiring
diagnostic evaluation or confirmation
Goals of the OMT evaluation
... An OMT evaluation that shows no
correlation between signs and symptoms
usually indicates that the patient's problem
originates from outside of the
In medicine, a differential diagnosis is the distinguishing of a particular disease or condition from others that present similar symptoms. Differential diagnostic procedures are used by physicians and other trained medical professionals to diagnose the specific disease in a patient, or, at least, to eliminate any imminently life-threatening conditions. Often each individual option of a possible disease is called a differential diagnosis (for example, bronchitis could be a differential diagnosis in the evaluation of a cough that ends up with a final diagnosis of common cold).More generally, a differential diagnostic procedure is a systematic diagnostic method used to identify the presence of an entity where multiple alternatives are possible. This method is essentially a process of elimination or at least a process of obtaining information that shrinks the ""probabilities"" of candidate conditions to negligible levels, by using evidence such as symptoms, patient history, and medical knowledge to adjust epistemic confidences in the mind of the diagnostician (or, for computerized or computer-assisted diagnosis, the software of the system).Differential diagnosis can be regarded as implementing aspects of the hypothetico-deductive method, in the sense that the potential presence of candidate diseases or conditions can be viewed as hypotheses that physicians further determine as being true or false.Common abbreviations of the term ""differential diagnosis"" include DDx, ddx, DD, D/Dx, or ΔΔ.