List Differential Diagnoses Explained for Students (Easy Guide)

This type of question evaluates analytical and critical thinking skills.

What This Question Is About

This question relates to list differential diagnoses and requires a structured academic response.

How to Approach This Question

Use appropriate theories and support your answer with clear reasoning.

Key Explanation

This topic involves list differential diagnoses. A strong answer should include explanation, application, and examples.

Original Question

1. List all differential diagnoses with positives and negatives and most likely final diagnosis 2. What is/are the final diagnoses with ICD Codes with rationale 3. List any test/labs etc that would be appropriate. 4.provide a comprehensive plan of care that includes a. Lab/tests identify which labs/test from your list above you are actually going to order at this visit b. Pharmacological Medications with calculated dosages and prescription (if needed) & non pharmacological treatments c. Patient Education (make sure this is written to the caregiver/patient in easy to understand working and using bullet points) d. Referrals (if needed) e. Follow up (next primary care visit, any other needed visits & reasons to go for emergency care) for the following patient: Chief Complaint: “abdominal pain” History of Present Illness: A 53-year-old woman presents with complaints of gnawing[GW1] and constant 6/10 abdominal pain that started the day prior. She states she is afraid to eat anything for fear the pain will worsen. She reports an episode similar to this occurring 5 years ago after returning home from overseas travel. She recalls being told by a physician that she “probably had food poisoning”, being given an antibiotic, and feeling better 2-3 days later. She says this has not happened since. Her last meal was a breakfast of rye toast and yogurt with blackberries yesterday. She reports feeling feverish, sweaty and nauseated when the pain first started. She denies vomiting but does admit to a few bouts of dry heaves. She says the pain is “all over”. She admits to feeling bloated and having multiple bowel movements- last one prior to visit. Her stools have gone from soft to loose thin ribbons. She denies dysuria. She has not traveled recently and denies known sick contacts. Her last colonoscopy was 5 years ago and was unremarkable. Review of Systems: Positive for subjective fever with chills, diaphoresis, difficulty sleeping due to abdominal pain, dry mouth, nausea and reduced appetite. Negative for recent unintentional weight loss or gain, trouble swallowing, vomiting, rectal bleeding, black or tarry stools, excessive belching or passing gas. Past Medical History: GERD, nephrolithiasis, uterine fibroids Past Surgical History: laparoscopic cholecystectomy, total abdominal hysterectomy Social History: Drinks 1-2 glasses of wine with dinner 2-3 nights a week. Family History: Mother- 84, alive, history of HTN and DM type 2. Father- 87, alive, history of dementia Allergies: Erythromycin (hives). No known food allergies Medications: Pantoprazole 40mg, PO QD, Calcium 600mg PO BID, Vitamin D 800 IU PO BID Physical Examination: Vitals: T 37.7C (99.8F[GW2] ), P86, R14, BP 146/94[GW3] , Ht 173 cm (68 inches), Wt 76 kg (168 lbs), BMI 25.5 General: well dressed and well nourished female who appears younger than stated age in obvious discomfort laying in the fetal position on the examining table. She is alert and oriented Psychiatric: Appears anxious, cooperative Skin: warm, dry and intact Head: no signs of trauma Neck: supple, no lymphadenopathy noted Eyes: non-icteric, sclera injected, conjunctiva pink BIL, PERRLA ENT/Mouth: dry mucosa, no lesions, 1+ tonsils pink without exudate, uvula midline Lungs: clear to auscultation BIL Heart: +S1/S2, RRR, no murmurs, rubs or gallops Abdomen: distended abdomen, well healed surgical scars in the mid-epigastric region, RUQ and suprapubic region, hyperactive BS x 4, diffusely tender mid to LLQ with rebound tenderness, no CVAT Rectal: +rectal tone, +guiac, no external hemorrhoids Neurologic: CN II-XII grossly intact, speech and gait appropriate

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