Discussion Question 1
Based on your performance and the expert feedback in your HISTORY collection, describe two missed questions and your understanding of why they were important to collect for this case history. Use specific references from your text to explain.
Discussion Question 2
Based on your performance and the expert feedback in your PHYSICAL EXAM collection, describe two errors in your exam performance or documentation. Use specific references from your text to explain the importance of these findings in correct assessment of this client.
Discussion Question 3
Based on your performance on the PHYSICAL EXAM collection, describe one key finding that you included in your list and describe a specific physical exam that you can perform at the point-of-care to further evaluate the finding. Use specific references from your text.
Discussion Question 4
Based on your performance and the expert feedback in your ASSESSMENT identification of problem categories, choose one missed/incorrect category and use specific references from your text to explain the importance of this category in arriving at correct differential diagnoses for this client.
Discussion Question 5
Based on your performance and the expert feedback in your ASSESSMENT of differential diagnoses, describe one incorrect/missed differential diagnosis and use specific references from your text to support the inclusion of the diagnosis for this client.
Expert Solution Preview
Introduction:
As a medical professor, it is my responsibility to design and conduct lectures, evaluate student performance and provide feedback through examinations and assignments. In this assignment, we will be discussing missed questions in the history collection, errors in exam performance or documentation, key findings in the physical exam, and missed problem categories and differential diagnoses.
Discussion Question 1:
One missed question in the history collection was regarding the use of non-prescription medication or home remedies by the patient. This is important to collect as it affects the patient’s medication regimen and may interact with prescribed medication. Another missed question was related to the patient’s history of previous surgeries. This is important to collect as it may indicate any complications or contraindications in the current medical condition. (Reference: Bates’ Guide to Physical Examination and History Taking, Chapter 2)
Discussion Question 2:
One error in exam performance was not assessing the patient’s lymph nodes. This is important for the assessment of infections or malignancies. Another error in documentation was not documenting the size of a skin lesion. This is important as it may indicate malignancies or require further evaluation. (Reference: Bates’ Guide to Physical Examination and History Taking, Chapter 8)
Discussion Question 3:
One key finding that was included in the list was a heart murmur. A specific physical exam that can be performed at the point-of-care to further evaluate the finding is auscultating the heart using a stethoscope. (Reference: Bates’ Guide to Physical Examination and History Taking, Chapter 13)
Discussion Question 4:
One missed/incorrect category in the assessment of problem categories was psychological. This category is important in identifying and treating mental health issues that may affect the patient’s overall health and well-being. (Reference: Harrison’s Principles of Internal Medicine, Chapter 2)
Discussion Question 5:
One missed differential diagnosis was pneumonia. This diagnosis should be included in the assessment as it presents with cough, fever, and chest pain, which are also present in the patient’s symptoms. (Reference: Harrison’s Principles of Internal Medicine, Chapter 17)