THEME FOR THE WEEK: DIFFERENTIAL DIAGNOSIS
Case study:
You are working in an ER and your next patient to see is a 47 year old female who began having trouble breathing 3 days ago. She felt like it has gotten a little worse today. It is worse when she lays back, and when she tries to take a deep breath, although she feels like it is hard to breathe in general. She denies chest pain, but does have some discomfort in her chest and radiating to the back. She denies any recent weight loss or gain. She is adopted so is uncertain whether she has any family history of medical problems. She smoked for 20 years, 1/2 pack per day, and quit 4 years ago when she got remarried. She did notice a slight headache yesterday, that is worse today. She noticed a little cough today as well with some sputum production. She was started one week ago on two new medications lisinopril and atorvastatin. She has a past medical history of GERD, depression, hyperlipidemia, and hypertension. Her vitals and medications are listed below.
Vitals: P-113, RR-18, BP-113/83, O2-91% on room air, Temp-37.9, Weight 89.4kg, Height 66 inches.
Omeprazole 20mg PO Daily
Sertraline 100mg PO Daily
Chlorthalidone 25mg PO Daily
Atorvastatin 40mg PO Daily
Lisinopril 10mg PO Daily
Ethinyl estradiol and norethindrone 1 tablet PO Daily
Post in paragraph form your top four differential diagnosis and why you believe that is a likely diagnosis? You should have four paragraphs, one for each diagnosis.
Submission Instructions:
Your initial post should be at least 500 words, formatted, and cited in current APA style with support from at least 2 academic sources.
You should respond to at least two of your peers by extending, refuting/correcting, or adding additional nuance to their posts.
All replies must be constructive and use literature where possible. They must be at least 100 words and supported by at least one source.
Please post your initial response by 23:59 Thursday, and comment on the posts of two classmates by 23:59 Sunday.
You can expect feedback from the instructor within 48 to 72 hours from the Sunday due date.
Your assignment will be graded according to the grading rubric.
Category Points Description
Application of Course Knowledge 4 The quality of this category is determined by the ability to analyze, synthesize, and/or apply principles and concepts learned in the course lessons and outside readings and relate them to real-life professional situations
Scholarliness and Scholarly Resources
3
This category is evaluated on the quality of the student’s ability to: Support writing with appropriate, scholarly sources; provide relevant evidence of scholarly inquiry clearly stating how the evidence-informed or changed professional or academic decisions; evaluate literature resources to develop a comprehensive analysis or synthesis; use sources published within the last 5 years; match reference list and in-text citations match, and minimize or appropriately format direct quotations
Grammar, Spelling, Syntax, Mechanics and APA Format 1
Reflection post has minimal grammar, spelling, syntax, punctuation, and APA* errors. Direct quotes (if used) are limited to 1 short statement** which adds substantively to the post.
* APA style references and in-text citations are required; however, there are no deductions for errors in indentation or spacing of references. All elements of the reference otherwise must be included.
**Direct quote should not exceed 15 words & must add substantively to the discussion
Interactive Dialogue 2 The quality for this category is determined by substantive written responses to a peer and faculty member’s questions in the threaded discussion. Substantive posts add importance, depth, and meaningfulness to the discussion. Students must respond to at least two peers in the threaded discussion. If no question asked directly from faculty, students must respond to questions posed to the entire class. The post must include at least one scholarly source.
Total 10
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