Case Study Analysis: Amanda Wheaton - Pharyngitis, Assignments of Nursing

Download Case Study Analysis: Amanda Wheaton - Pharyngitis and more Assignments Nursing in PDF only on Docsity! lOMoARcPSD|1709022 lOMoARcPSD|1709022 Performance Overview for Michelle Denise Smiley on case Amanda Wheaton The following table summarizes your performance on each section of the case, whether you completed that section or not. Time spent: 7hr 4min 34sec Status: Submitted Case Section Stat us Your Score Time spent Performance Details Total Score 35% History Done 100% 1hr 21min 24sec 64 questions asked, 22 correct, 0 missed relative to the case's list Physical exams Done 82% 30min 37sec 60 exams performed, 11 correct, 2 partially correct, 1 missed relative to the case's list Key findings organizati on Done 5mi n 34se c 10 findings listed; 7 listed by the case Problem statement Done 14min 29sec 118 words long; the case's was 57 words Differentials Done 40% 5min 3sec 4 items in the DDx, 2 correct, 3 missed relative to the case's list Differenti als ranking Done 100% (lead/ alt score) 40% (mus t not miss scor e) 2mi n 22se c Tests Done 75% 1hr 28min 49sec 3 correct tests ordered, 0 extraneous, 1 missed relative to the case's list Diagnosis Done 100% 9sec Managem ent plan Done 4mi n 58se c 659 words long; the case's was 219 words Exercises Done 100% (of score d items only) 6min 0sec 1 of 1 correct (of scored items only) Attempt: 2705828 Report generated on 3/26/2023, 3:45:44 PM America/Denver lOMoARcPSD|1709022 History Notecard by Michelle Denise Smiley on case Amanda Wheaton Use this worksheet to organize your thoughts before developing a differential diagnosis list. 1. Indicate key symptoms (Sx) you have identified from the history. Start with the patient's reason(s) for the encounter and add additional symptoms obtained from further questioning. 2. Characterize the attributes of each symptom using "OLDCARTS". Capture the details in the appropriate column and row. 3. Review your findings and consider possible diagnoses that may correlate with these symptoms. (Remember to consider the patient's age and risk factors.) Use your ideas to help guide your physical examination in the next section of the case. HPI Sx = Sx = Sx = Sx = Sx = Sx = Onset Location Duration Characterist ics Aggravating Relieving Timing / Treatments Severity Attempt: 2705828 Report generated on 3/26/2023, 3:45:44 PM America/Denver lOMoARcPSD|1709022 Cervical cancer screening, STI screening, Covid-19 and yearly influenza vaccine, hypertension, and diabetic screening, breast, and skin cancer screening. References lOMoARcPSD|1709022 Bridwell, R. E., Koyfman, A., & Long, B. (2022). High risk and low prevalence diseases: Adult epiglottitis. American Journal of Emergency Medicine, 57, 14–20. https://doi.org/10.1016/j.ajem.2022.04.018 Ong, L. Q., Klaiber, P., DeLongis, A., & Sin, N. L. (2022). Everyday discrimination, daily affect, and physical symptoms during the COVID-19 pandemic. Health Psychology, 41(11), 843–852. https://doi.org/10.1037/hea0001242.supp (Supplemental) Petersen, A. (2023, January 10). How Long Do Flu Symptoms Last and How Long Are You Contagious? Wall Street Journal - Online Edition, N.PAG. Reddy, S. (2022, December 21). What Are the Symptoms of Flu, Covid-19, RSV and Strep Throat? Wall Street Journal - Online Edition, N.PAG. Zahid Mustafa, & Masoumeh Ghaffari. (2020). Diagnostic Methods, Clinical Guidelines, and Antibiotic Treatment for Group A Streptococcal Pharyngitis: A Narrative Review. Frontiers in Cellular and Infection Microbiology, 10. https://doi.org/10.3389/fcimb.2020.563627 Attempt: 2705828 Report generated on 3/26/2023, 3:45:44 PM America/Denver lOMoARcPSD|1709022 Electronic Health Record by Michelle Denise Smiley on case Amanda Wheaton History of Present Illness Category Data entered by Michelle Denise Smiley Reason for Encounter Severe Sore Throat x 2 days History of present illness Amanda is a 23 y/o female evaluated for c/o sore throat, fever of 101.8 and chills, mild headache, and tender lymph nodes x 2 days. Pt states her roommate had a sore throat earlier in the week. Onset: 2 days ago (acute) location: Throat Duration: Constant Characteristics- Painful "Ice Pick" feeling Aggravating/Relieving- Swallowing /Ice-cream & Tylenol Radiating- None Timing- constant Severity-11/10 (severe) Past Medical History Category Data entered by Michelle Denise Smiley Past Medical History Pt reports having MONO at age 15 Hospitalizations / Surgeries Denies any past hospitalizations or surgeries Medications Category Data entered by Michelle Denise Smiley Medications (drospirenone/ ethinyl estradiol) 3mg /0.02mg daily (Birth Control) Allergies Category Data entered by Michelle Denise Smiley Allergies Pt NKDA Preventive Health Category Data entered by Michelle Denise Smiley Preventive health Pt receives regular pap smears (last pap. negative)