Guide to NR511 Case Studies (Week 3 & 6)
Part 1
In Part 1, you are given a patient scenario. Using the information given, answer the
... [Show More] following
questions:
1. Briefly and concisely summarize the H&P findings as if you were presenting it to
your preceptor using the pertinent facts from the case. Use shorthand where
possible and approved medical abbreviations. Avoid redundancy and irrelevant
information.
Do NOT simply rewrite the information as is it is presented in the case. This is NOT a SOAP
note. The information that you present to your preceptor should include only what is needed.
State the chief complaint (CC), HPI, and relevant history and physical findings. You can use
shorthand and medical abbreviations. Don’t be redundant.
Example:
“J.S. is a 34yo male with a CC of acute onset ST x 3 days” [provide additional
information from the history that is relevant].
“Physical exam is significant for” [provide relevant physical exam findings].
2. Provide a differential diagnosis (minimum of 3) which might explain the patient’s
chief complaint along with a brief statement of pathophysiology for each.
The pathophysiology statement does not need to be extensive but it should not be vague either.
Just list the diagnosis and follow with a pathophysiology statement for each diagnosis.
Example:
Diagnosis #1
-Pathophysiology statement
3. Analyze the differential by using the pertinent findings from the history and
physical to argue for or against a diagnosis. Rank the differential in order of most
likely to least likely. (This is where you present your argument for EACH DIAGNOSIS
in your differential using the patient’s subjective and objective information that was
given).
This is where you present your argument for EACH DIAGNOSIS individually using the patient’s
pertinent subjective and objective information from the scenario.
Example:
Diagnosis # 1-Streptococcal pharyngitis
Strep pharyngitis is at the top of my differential. A streptococcal bacterial infection
should be ruled out in a patient presenting with pharyngitis to prevent serious
complications such as rheumatic fever.
• Pertinent positive findings:
ST, fever, nausea, lymph node swelling, bad breath {subjective findings};
posterior pharynx erythema, 3+ tonsillar edema, tonsillar exudate, halitosis,
anterior cervical chain lymphadenopathy and tenderness, T 101.5 {objective
findings}
• Pertinent negative findings:
No known recent exposure to person with strep, no rash, no cough
4. Identify any addit [Show Less]