Get Answer: Chief Complaint Daily Question Guide
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Original Question
Chief Complaint Daily headaches X 2 weeks. Tracks All tracks Assessment What are three reasonable differentials for this patient? How will you differentiate between the three differentials? Does this condition affect neuronal function and synaptic transmission? If so, how? For each differential, explain the epidemiology, etiology, pathophysiology, related risk factors, and how the patient’s symptoms correlate with the pathophysiology. Which of your differentials is most likely? What are pertinent positives that might support the most likely differential and pertinent negatives that help you rule out the other differentials? These pertinent positives and negatives can be relevant to any part of the subjective section (chief complaint, HPI, history, and review of systems) or the objective section (physical assessment, any laboratory work, and so on). Plan How would you describe each of the differentials to your patient? How does the patient’s age and presentation impact your clinical decision making and clinical reasoning? What additional testing and/or imaging would be helpful for you if you were ruling in or out these differentials? This does not have to be specific, just in general, what else would you want to know that would help inform how you care for the patient? What should treatment interventions accomplish from a pathophysiological standpoint? Consider both pharmacological and non-pharmacological. You do not need to select medications but consider what you would want a medication to do from a pathophysiology standpoint. What will you provide in terms of education for this patient about the three potential diagnoses? Consider adding details about what might happen if no treatment is provided. For example, how might this patient deteriorate given the three potential differentials?
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