Briefly and concisely summarize the H&P findings as if you were presenting it to your preceptor using the pertinent facts from the case
Guide to NR511 Case Studies
Part1InPart 1, you are given a patient scenario.Using the information given, answer the following questions:
1.Brieflyand concisely summarize the H&P findings as if you were presenting it to your preceptor using the pertinentfacts from the case. Use shorthand wherepossible and approved medical abbreviations.Avoid redundancy and irrelevant information.
Example:
J.S.is a 34yo male with a CC of acute onset ST x 3 days [provide additionalinformation from the history that is relevant].
Physicalexam is significant for [provide relevant physical exam findings].
*Donot simply rewrite the information as it is presented in the case report. Thisshould mimic how you would present this patient to your preceptor.
2.Providea differential diagnosis (plural) which might explain the patients chiefcomplaintalongwith a brief statement of pathophysiology for each.
Example:
Diagnosis#1-Pathophysiologystatement
Diagnosis#2-Pathophysiologystatement
Diagnosis#3-Pathophysiologystatement
3.Analyzethe differential byusing the pertinent findings from the history and physical to argue for oragainst a diagnosis. Rank thedifferential in order of most likely to least likely.(Thisis where you present your argument for EACH DIAGNOSIS in your differentialusing the patients subjective and objective information that was given).
Example:
Diagnosis# 1, 2, & 3 (provide an analysis for each of the diagnoses listed above)Abrief argumentas to why this condition should be considered plus:-Pertinentpositive symptoms which support the diagnosis-Pertinentnegative symptoms which support the diagnosis
4.Identify any additional tests and/orprocedures that you feel is necessary or needed tohelp you narrow your differential. Alltesting decisions must be supported with an EBM argument as to why it isnecessary or pertinent in this case. Ifno testing is indicated or needed, you must also support this decision with EBMevidence.(Thisis where you identify, based on what you know thus far, test or test(s) thatyou would perform TODAY which would help you narrow your differential diagnosis).
*Do not list all of thepossible tests that can be done. You are being evaluated on your diagnosticreasoning skills as well your ability to make decisions that are in-line withcurrent practice recommendations. Just because a test is available does notmean it needs to be done.
Example:
Letssay my differential included bronchitis and pneumonia. In this case, a CXR might be useful indifferentiating the 2 conditions.However, remember that you have to have an EBM argument for thisdecision. So make sure you aretelling the reader why this is the best choice based on the literature (i.e.,it is not enough to say the test and cite the author & date). In this instance, my argument might look likethis: According to the InfectiousDisease Society of America (2012) a CXR is considered the gold standard fordiagnosing pneumonia. Keep in mind thatyou also need an EBM argument if you decide NOT to test too.
Part2InPart 2 you might be given some additional history, exam or test findings. Using this information and theinformation in Part 1, answer the following questions:
1.Whatis your primary diagnosis for this patient? Tell the reader how you came to thisconclusion using the information that you were given (i.e., CXR result, labresult). Interpret the results into yourdiagnosis decision (i.e., tell how this information helped you to narrow yourdifferential to the one diagnosis that you chose).
Example:
Diagnosis:Pharyngitis, streptococcal
Rationale:The CBC results arenormal which rules out infection and anemia. The RSA test was + which tells methat she has a very strong likelihood of streptococcal pharyngitis.
In the case where a diagnosis was madebased on clinical presentation and history, explain the criteria with an EBM argumentto support.
2.Identifythe corresponding ICD-10 Code for the diagnosis.
Example:
J02.0
Youcan find a link to an ICD-10 code finder by going to the Libraryhomepage>Browse guides>Course directory tab>select NR511 from the dropdown box>select Go. Otherwise, a google search will provide you with severalfree options you can use.
3.Providea treatment planfor this patients primary diagnosis which includes:
a) Medication-allprescriptions and OTC medications should be written in RX format with an EBM tosupport:Medication Name & Medication StrengthDispensing quantity:Sig:RF:
b) Anyadditional testing necessary for this particular diagnosis-typicallydone when you need more information to confirm a diagnosis or differentiate thediagnosis. Do not state all of thepossibilities that are available. To assess your diagnostic reasoning skill,you will need to be decisive.
c) Patienteducation-self explanatory
d) Referral-selfexplanatory
e) F/U plan-include if and when thepatient should follow-up
*If part of the plandoes not warrant an action, you must explain why. ALL medication and testing decisions(or decisions not to treat with medication or additional testing) MUST besupported with an EBM argument as you did in Part 1.
Example:
a. PenicillinVK 500mg, Disp #20, Sig: 1 tab twice daily x 10days; RF: 0 (full RX required)
Rationale: Penicillin isthe 1st line treatment recommendation for Group A Beta-hemolyticstreptococcal pharyngitis, based on their narrow spectrum of activity,infrequency of adverse reactions, and modest cost. (Shulman, Bisno, Clegg, Gerber, Kaplan, Lee,Martin, & Van Beneden, 2012). Mypatient has no noted allergies, so PCN VK is appropriate.
b.No additional testing will be performedtoday.
Rationale: Point of care, rapidstrep antigen tests are highly specific (approximately 95%) when compared withthroat cultures, so false-positive test results are highly unusual. Consequently, a therapeutic decision can beconfidently made based on the positive result which was reported for thispatient in the scenario (Shulman, Bisno, Clegg, Gerber, Kaplan, Lee, Martin,& Van Beneden, 2012).
c.Patient instructions:-takeall medication as prescribed (Reference, date)-F/Uin 10-14 days if symptoms are not resolved or sooner if they become worse,etc., (Reference, date)-Etc..
4.Providean active problem listfor this patient based on the information given in the case. This is where you list all of the knownmedical problems of the patient. This isdifferent than a differential.
Example:
1. StreptococcalPharyngitis2. Hypertension3. Obesity
Listyour references that were cited above according to APA rules. Format is notgraded (Canvas does a poor job in formatting the tabs and spaces) BUT all otherAPA elements are required.
ReferencesShulman,S., Bisno, A., Clegg, H., Gerber, M., Kaplan, E., Lee, G., Martin, J., &Van Beneden, C. (2012). ClinicalPractice Guideline for the Diagnosis and Management of Group A StreptococcalPharyngitis: A 2012 Update by InfectiousDiseases Society of America. Clinical Infectious Disease, 55(10), e89. DOI: 10.1093/cid/cis629
Guide to NR511 Case StudiesPart1InPart 1, you are given a patient scenario.Using the information given, answer the following questions:1.Brieflyand concisely summarize the H&P findings as if you were presenting it to your preceptor using the pertinentfacts from the case. Use shorthand wherepossible and approved medical abbreviations.Avoid redundancy and irrelevant information.Example:J.S.is a 34yo male with a CC of acute onset ST x 3 days [provide additionalinformation from the history that is relevant].Physicalexam is significant for [provide relevant physical exam findings].*Donot simply rewrite the information as it is presented in the case report. Thisshould mimic how you would present this patient to your preceptor. 2.Providea differential diagnosis (plural) which might explain the patients chiefcomplaintalongwith a brief statement of pathophysiology for each. Example:Diagnosis#1-PathophysiologystatementDiagnosis#2-PathophysiologystatementDiagnosis#3-Pathophysiologystatement3.Analyzethe differential byusing the pertinent findings from the history and physical to argue for oragainst a diagnosis. Rank thedifferential in order of most likely to least likely.(Thisis where you present your argument for EACH DIAGNOSIS in your differentialusing the patients subjective and objective information that was given).Example:Diagnosis# 1, 2, & 3 (provide an analysis for each of the diagnoses listed above)Abrief argumentas to why this condition should be considered plus:-Pertinentpositive symptoms which support the diagnosis-Pertinentnegative symptoms which support the diagnosis4.Identify any additional tests and/orprocedures that you feel is necessary or needed tohelp you narrow your differential. Alltesting decisions must be supported with an EBM argument as to why it isnecessary or pertinent in this case. Ifno testing is indicated or needed, you must also support this decision with EBMevidence.(Thisis where you identify, based on what you know thus far, test or test(s) thatyou would perform TODAY which would help you narrow your differential diagnosis). *Do not list all of thepossible tests that can be done. You are being evaluated on your diagnosticreasoning skills as well your ability to make decisions that are in-line withcurrent practice recommendations. Just because a test is available does notmean it needs to be done. Example: Letssay my differential included bronchitis and pneumonia. In this case, a CXR might be useful indifferentiating the 2 conditions.However, remember that you have to have an EBM argument for thisdecision. So make sure you aretelling the reader why this is the best choice based on the literature (i.e.,it is not enough to say the test and cite the author & date). In this instance, my argument might look likethis: According to the InfectiousDisease Society of America (2012) a CXR is considered the gold standard fordiagnosing pneumonia. Keep in mind thatyou also need an EBM argument if you decide NOT to test too. Part2InPart 2 you might be given some additional history, exam or test findings. Using this information and theinformation in Part 1, answer the following questions:1.Whatis your primary diagnosis for this patient? Tell the reader how you came to thisconclusion using the information that you were given (i.e., CXR result, labresult). Interpret the results into yourdiagnosis decision (i.e., tell how this information helped you to narrow yourdifferential to the one diagnosis that you chose). Example:Diagnosis:Pharyngitis, streptococcalRationale:The CBC results arenormal which rules out infection and anemia. The RSA test was + which tells methat she has a very strong likelihood of streptococcal pharyngitis.In the case where a diagnosis was madebased on clinical presentation and history, explain the criteria with an EBM argumentto support. 2.Identifythe corresponding ICD-10 Code for the diagnosis.Example:J02.0Youcan find a link to an ICD-10 code finder by going to the Libraryhomepage>Browse guides>Course directory tab>select NR511 from the dropdown box>select Go. Otherwise, a google search will provide you with severalfree options you can use.3.Providea treatment planfor this patients primary diagnosis which includes: a) Medication-allprescriptions and OTC medications should be written in RX format with an EBM tosupport:Medication Name & Medication StrengthDispensing quantity:Sig:RF:b) Anyadditional testing necessary for this particular diagnosis-typicallydone when you need more information to confirm a diagnosis or differentiate thediagnosis. Do not state all of thepossibilities that are available. To assess your diagnostic reasoning skill,you will need to be decisive.c) Patienteducation-self explanatoryd) Referral-selfexplanatorye) F/U plan-include if and when thepatient should follow-up*If part of the plandoes not warrant an action, you must explain why. ALL medication and testing decisions(or decisions not to treat with medication or additional testing) MUST besupported with an EBM argument as you did in Part 1. Example:a. PenicillinVK 500mg, Disp #20, Sig: 1 tab twice daily x 10days; RF: 0 (full RX required)Rationale: Penicillin isthe 1st line treatment recommendation for Group A Beta-hemolyticstreptococcal pharyngitis, based on their narrow spectrum of activity,infrequency of adverse reactions, and modest cost. (Shulman, Bisno, Clegg, Gerber, Kaplan, Lee,Martin, & Van Beneden, 2012). Mypatient has no noted allergies, so PCN VK is appropriate. b.No additional testing will be performedtoday.Rationale: Point of care, rapidstrep antigen tests are highly specific (approximately 95%) when compared withthroat cultures, so false-positive test results are highly unusual. Consequently, a therapeutic decision can beconfidently made based on the positive result which was reported for thispatient in the scenario (Shulman, Bisno, Clegg, Gerber, Kaplan, Lee, Martin,& Van Beneden, 2012). c.Patient instructions: -takeall medication as prescribed (Reference, date)-F/Uin 10-14 days if symptoms are not resolved or sooner if they become worse,etc., (Reference, date)-Etc..4.Providean active problem listfor this patient based on the information given in the case. This is where you list all of the knownmedical problems of the patient. This isdifferent than a differential.Example:1. StreptococcalPharyngitis2. Hypertension3. ObesityListyour references that were cited above according to APA rules. Format is notgraded (Canvas does a poor job in formatting the tabs and spaces) BUT all otherAPA elements are required.References Shulman,S., Bisno, A., Clegg, H., Gerber, M., Kaplan, E., Lee, G., Martin, J., &Van Beneden, C. (2012). ClinicalPractice Guideline for the Diagnosis and Management of Group A StreptococcalPharyngitis: A 2012 Update by InfectiousDiseases Society of America. Clinical Infectious Disease, 55(10), e89. DOI: 10.1093/cid/cis629
"You need a similar assignment done from scratch? Our qualified writers will help you with a guaranteed AI-free & plagiarism-free A+ quality paper, Confidentiality, Timely delivery & Livechat/phone Support.
Discount Code: CIPD30
Click ORDER NOW..
