3P APEA Cohort Assignment
Objectives: Upon completion of this exam, the students will demonstrate clinical and diagnostic reasoning.
Instructions:
Based on the APEA 3P predictor test, the cohort assignment will focus on Urology (cohort score 48%), Orthopedics (cohort score 54%), and Dermatology (cohort score 62%). The rest of the test areas achieved score at or above the national average.
Instructions: This assignment is completed individually. Each item/case will weight 10 pts. Answer the questions below by providing a succinct but informative answer, 1-2 sentences per question in the case/item; some items may require a single word or naming a condition, others more explanation. Most but not all of the answers can be found in Visual Diagnosis and your textbooks. For other answers, you will need to use professional sites, guidelines, or peer reviewed references. Consider the most common and obvious answer. For each question, you must give the parenthetical reference/s (below the question) and full reference in the reference page; citied authors must appear in both). Any answer without a reference will be given no more than 50% credit if the answer is correct. If you use the same reference for more than one answer, please give the page number. You can write the paper as a narrative but keep APA formatting for the references.
Chief Complain Questions Answer with Reference: Open-book, short answer
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I. Case: 50 y.o. Caucasian obese male with urinary dysfunction including incomplete bladder emptying, disruption in urinary stream including hesitancy, intermittent flow, dribbling of urine.
1. What questions would you ask to collect subjective data for HPI?
2. What findings can you expect on physical exam?
3. List 3 Differential Diagnoses (DDs) with rationale and likelihood.
4. Compare and contrast 2 likely DDs.
5. What lab and diagnostic testing would support the primary DD?
6. How would you treat the patient? List first-line pharmaceutical and Health Promotion strategies.
II. Case: 12 y.o. Asian male. CC: Scaling red plaques with hair loss and broken hairs
1. What questions would you ask to collect subjective data for HPI?
2. What findings can you expect on physical exam?
3. List 3 Differential Diagnoses (DDs) with rationale and likelihood.
4. Compare and contrast 2 likely DDs.
5. What lab and diagnostic testing would support the primary DD?
6. How would you treat the patient? List first-line pharmaceutical and Health Promotion strategies.
III. Case: 7 y.o. African American female. CC: itching, vesicle bullae after taking Keflex for sore throat
1. What questions would you ask to collect subjective data for HPI?
2. What findings can you expect on physical exam?
3. List 3 Differential Diagnoses (DDs) with rationale and likelihood.
4. Compare and contrast 2 likely DDs.
5. What lab and diagnostic testing would support the primary DD?
6. How would you treat the patient? List first-line pharmaceutical and Health Promotion strategies.
IV. Case: 2 y.o. Caucasian male. CC: cough, fever, conjunctivitis for x3 days, followed by generalized purple-red macular and popular rash starting at the head and spreading over the body, red spots with small white centers on throat.
1. What questions would you ask to collect subjective data for HPI?
2. What findings can you expect on physical exam?
3. List 3 Differential Diagnoses (DDs) with rationale and likelihood.
4. Compare and contrast 2 likely DDs.
5. What lab and diagnostic testing would support the primary DD?
6. How would you treat the patient? List first-line pharmaceutical and Health Promotion strategies.
V. Case: 3 months old, Asian male. CC: sharply demarcated, beefy-red erythema; satellite pustules with scaly papules that coalesce into plaques. On exam, the NP notices what is on the image on right.
1. What questions would you ask to collect subjective data for HPI?
2. What findings can you expect on physical exam?
3. List 3 Differential Diagnoses (DDs) with rationale and likelihood.
4. Compare and contrast 2 likely DDs.
5. What lab and diagnostic testing would support the primary DD?
6. How would you treat the patient? List first-line pharmaceutical and Health Promotion strategies.
VI. Case: 23 y.o. African American male who lifts weights and plays golf and baseball. CC: right elbow pain. Pain is exacerbated with resisted forearm pronation and resisted wrist flexion. On X-ray, the NP notices what is on the image on right.
1. What questions would you ask to collect subjective data for HPI?
2. What findings can you expect on physical exam?
3. List 3 Differential Diagnoses (DDs) with rationale and likelihood.
4. Compare and contrast 2 likely DDs.
5. What lab and diagnostic testing would support the primary DD?
6. How would you treat the patient? List first-line pharmaceutical and Health Promotion strategies.
10. Lessons Learned, -add a paragraph with what you learned from this assignment. (5pts)
APA, Current References, Grammar and Mechanics. 5pts.
In-text reference must be provided for each answer. Any case without a reference support will be given no more than 50% credit if the answer is correct.
Full reference list must be added at the end. Reference List with all of the references
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