Week 9

Complete two (2) scenarios. Once from each section.

If you completed one of these in the discussion you may use that content for the related scenario and complete a new one from the other section below. Otherwise follow the directions and complete one from each group.

Complete one of these scenarios.

Consider the chief complaint of worsening memory in a 78-year-old. Existing diagnosis of Alzheimers

or

Consider the chief complaint of mid back pain in an 82-year-old. Existing diagnosis of osteoporosis.

or

Consider the chief complaint of swelling in ankles in a 67-year-old. Existing diagnosis of hypertension

And then one of these scenarios.

Consider the chief complaint of constant crying in a 6 week old child, of migrant worker parents.

or

Consider the chief complaint of prolonged sadness in a pregnant woman at 32 weeks gestation.

or

Consider the chief complaint of shortness of breath in a 77-year-old recent widower.

Demonstrate clinical judgment regarding the chief complaint by including this content: Complete one of the three scenarios:

What pertinent information collected from the history would impact your assessment?

What other systems need assessment due to the symptoms of the patient?

What would be pertinent positives or pertinent negatives found in the exam?

Include at least three differentials.

Include which diagnostics you would order based on your differentials and why.

How might a final diagnosis be determined?

Address a possible brief management plan.

Finally address the relationship between compassion and clinical judgment for all patients and for special populations.