NR 601 Week 2 iHuman Report on Case Dylan Scott

  • NR 601 Week 2 iHuman Report on Case Dylan Scott
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Institution NR 601 Primary Care of the Maturing and Aged Family
Contributor Anika Fultz

Performance Overview on case Dylan Scott


The following table summarizes your performance on each section of the case, whether you completed that section or not.

 

History Notecard by Jessica Szymanski on case Dylan Scott

 

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.

 

Problem Statement by Jessica Szymanski on case Dylan Scott

 

Dylan is a 72 y.o male with complains of shortness of breath that has been progressively getting worse. He has a cough with white frothy phlegm, intermittent wheezing, wakes up short of breath at night, has leg swelling and abdominal bloating. He also reports increased fatigue. He eats a lot of salt and he has a past medical history of coronary artery disease with stent placement, hypertension, obesity and hypercholesterolemia.

 

Management Plan by Jessica Szymanski on case Dylan Scott

 

Electronic Health Record by Jessica Szymanski on case Dylan Scott

  • History of Present Illness
  • Past Medical History
  • Medications
  • Allergies
  • Preventive Health
  • Family History
  • Social History
  • Review of Systems
  • Physical Exams

 

 

Instituition / Term
Term Uploaded 2023
Institution NR 601 Primary Care of the Maturing and Aged Family
Contributor Anika Fultz
 

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