The low score then most likely reflects “lack of continuity” of thought. Try to set aside enough time to complete the case in its entirety in a single sitting. This software is aimed at trying to help assess your critical thinking and diagnostic reasoning skills with patients similar to those you will be seeing in the clinical setting. It is extremely important for you to take these cases seriously as they will be used to determine how appropriate your interactions are with patients and if your clinical decision making skills are appropriate for this level in the program. HISTORY You asked 66 questions. 10 (15%) were key questions suggested by the expert case author. You asked an additional 56 questions (85%). Missing Oops. You didn't ask all important questions suggested by the expert author for this case. You missed asking 11 of the 21 key questions. (Note: Sometimes there is more than one way to get similar
information from your patient. Eliciting information in more than one way when interviewing a patient can be useful.) Missing questions are: Associated Sx/Sx Characteristics: Do you have any breast lump or discharge? Risk Factors: PMH: Any new or recent change in medications? HPI/ROS: Do you have any of the following problems: fatigue, difficulty sleeping, unintentional weight loss or gain, fevers, night sweats? Do you have any problems with: headaches that don’t go away with aspirin or Tylenol (acetaminophen), double or blurred vision, difficulty with night vision, problems hearing, ear pain, sinus problems, chronic sore throats, difficulty swallowing? Do you experience: chest pain, discomfort, pressure, pain/pressure/dizziness with exertion or getting angry, palpitations, decreased exercise tolerance, blue/cold fingers and toes? Do you experience: shortness of breath, wheezing, difficulty catching your breath, chronic cough, sputum production? Do you have problems with: nausea, vomiting, constipation, diarrhea, coffee grounds in your vomit, dark tarry stool, bright red blood in your bowel movements, early satiety, bloating? Have you noticed: any bruising, bleeding gums or other sites of increased bleeding? Do you have any of the following: heat or cold intolerance, increased thirst, sweating, frequent urination, change in appetite? Do you have any of the following: dizziness, fainting, spinning room, seizures, weakness, numbness, tingling, tremor? When you urinate, have you noticed: pain, difficulty starting or stopping, dribbling, incontinence, urgency during day or night. Any changes in frequency? Any blood in your urine?
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- Spring '20
- Physical examination, Medical diagnosis, breast lump