Consider what history would be necessary to collect from the patient. Consider what physical exams and diagnostic tests would be appropriate to gather more information about the patient's condition. How would the results be used to make a diagnosis? Identify at least 10 possible conditions that may be considered in a differential diagnosis for the patient. Note: Before you submit your initial post, replace the subject line (“Week 5 Discussion”) with “Review of Case Study ___,” identifying the number of the case study you were assigned.
Main post Week 5 Focused Throat Exam SUBJECTIVE DATA: Chief Complaint (CC): “ I have a sore throat and pain with swallowing. I have decreased appetite too.” Questions I would ask: 1.How long has the symptoms been present? 2.Has this happened before? Is it recurrent? 3.Do you have allergies or asthma ? 4.Have you had a recent cold or upper respiratory tract infection? 5.Does the hoarseness change during the day? 6.What other symptoms are present? 7.What medication/s are you taking for it? 8.What relieves your symptoms?
Respiratory: Denies SOB, or hemoptysis.Cardiovascular/Peripheral Vascular: Denies Chest pain. No history of chest pain.Gastrointestinal: Decreased appetite. Difficulty in swallowing. Denies any frank bleeding during bowel movements. No change in bowel habits. No hemorrhoids.Genitourinary : denies any urgency, burning while urinating. Regular periods of 28 days cycle. Denies dysmenorrhea. Not sexually active.Musculoskeletal: No pain in joints. No history of fracture.Psychiatric: denies depression or suicidal ideationNeurological: Headache. No dizziness or syncope. Skin: no color change or variation. No lesions or rashes.Hematologic: history of low Hgb in the past. Has been anemic but no blood transfusion in the past.
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- Fall '13
- Hoarseness, Common cold, Headaches, Medical diagnosis