Case: 165484 Karen Barnes Date:
Reflective Thinking Exercises (start a new page)
1. History-Taking: Describe your history taking scores and strengths
... [Show More] you identified when gathering data. What went well? Also, describe your challenges in gathering data and list areas of your personal needed improvement. Note any missed areas that could be safety issues/errors leading to missed or incorrect diagnosis.
I find that even when the patient has answered the question you are still required to ask a specific question to get all the points.
I feel like I focused my questions using Dain’s and I still did get most of the questions. My score from the first attempt was 57% and 100% for the second attempt. I discovered that the question you have already askes has previously asked question notated after the question; that will help me in the next case.
2. Physical Exam: Describe your physical exam scores and strengths you identified when performing selected exams on your patient. Did you perform an excessive amount of exam items? Did you miss any pertinent exam items identified in the case leading to diagnosis? Note any missed areas that could be safety issues/errors leading to missed or incorrect diagnosis.
Difficulty identifying heart sound was difficult because there was another sound that could be heard behind the normal heart sounds. First attempt scores 87% and second attempt was also 87%.
3. Evidence-based decision making: Discuss the evidence-based resource(s) utilized while seeing the patient. These can be your course readings/IHUMAN lessons/other course info as well as any external articles or supporting literature to help you gain a better understanding of categorizing possible diagnoses in your case. How did you use the symptoms/patient presentation, plus your exam findings, to formulate a differential diagnosis list? What specific feedback from previous case studies has your faculty identified that you plan to incorporate on future cases to avoid pitfalls in data gathering or decision making? What will you do differently to improve?
The required text readings from S2D and Dain was very beneficial especially S2D with identifying differential diagnosis. Based on the use of these tools, I don’t agree that pulmonary embolism, esophagitis are not plausible differential diagnosis, The patient’s symptom is not really point to costochondritis [Show Less]