The following table summarizes your performance on each section of the case, whether you completed that section or not. Time spent: 7hr 7min 1sec Status:
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Case Section Status
Your Score
Time spent Performance Details Total Score 95%
History Done 100% 25min 14sec
33 questions asked, 33 correct, 0 missed relative to the expert's list
Physical exams Done 86% 33min 0sec 32 exams performed, 9 correct, 2 missed relative to the expert's list
Key findings organization
Done 52sec 9 findings listed; 9 listed by expert
Problem statement
Done 6min 4sec 66 words long; expert's was 81 words
Differentials Done 100% 47sec 6 items in the DDx, 6 correct, 0 missed relative to the expert's list
Differentials ranking
Done 100% (lead/alt score) 100% (must not miss score)
1min 20sec
Tests Done 100% 4min 31sec 4 tests ordered, 4 correct, 0 missed relative to the expert's list Diagnosis Done 100% 11sec
Management plan
Done 5hr 6min 37sec
240 words long; expert's was 200 words
Exercises Done 100% (of scored items only)
6min 31sec 10 of 10 correct (of scored items only)
History Notecard by Skye Sauls on case Caleb Metz V5.1 PC
Use this worksheet to organize your thoughts before developing a differential diagnosis list.
1. Indicate key symptoms (Sx) you have identified from the history. Start with the patient's reason(s) for the encounter and add additional symptoms obtained from further questioning. 2. Characterize the attributes of each symptom using "OLDCARTS". Capture the details in the appropriate column and row. 3. Review your findings and consider possible diagnoses that may correlate with these symptoms. (Remember to consider the patient's age and risk factors.) Use your ideas to help guide your physical examination in the next section of the case.
HPI Sx = Testicular pain
Sx =
Sx =
Sx =
Sx =
Sx =
Onset two hours ago while playing basketball
Location Left testical Duration Characteristics like he got punched/constant Aggravating Relieving Timing / Treatments Severity 9/10 pain
Problem Statement by Skye Sauls on case Caleb Metz V5.1 PC
C.M. is a 13-year-old male who presents today with sudden onset of 9/10 left scrotal pain while playing basketball two hours prior to arrival to the ED. Patient is diaphoretic, tachycardic, nauseous, and restless upon examination and appears to be in a significant amount of pain, with one episode of emesis. Left scrotal tenderness, redness, and swelling with genital exam, absent cremasteric reflex on left side. [Show Less]