Ihuman case: ?History Of Present Illness (PUT IN IHUMAN!!!!) ?Andrew Chen is a 14-year-old male patient who presents to the clinic with his father with ?complaints of pain, bru
Ihuman case: History Of Present Illness (PUT IN IHUMAN!!!!)
Andrew Chen is a 14-year-old male patient who presents to the clinic with his father with complaints of pain, bruising, and swelling in his right ankle. He was playing in an intense basketball game last night when he drove for a layup, in turn, stepping on his opponent's foot and falling. When he tried to get up, he had a pile of people on top of him. He had his trainer look at his ankle and wrap it with an ACE wrap when it happened. He took the ACE wrap off last night in order to shower and forgot to put it back on. He did ice and elevate his leg when he laid down. He says the bruising and swelling have both increased since the initial injury. He is unable to bear weight at this time due to the pain. He states the pain feels like someone is stabbing him at times and rates it a 10/10 when he tries to move his foot. There are no associated signs as he only complains of the pain from the ankle injury. He took Ibuprofen last night with some relief and again this morning about an hour ago.
Management Plan Template– must include these headings: This section is worth 40 points.
1. Primary Diagnosis—10 points (all areas must be addressed)
a. What is the ICD-10 code (2 points):
b. What is your rationale for arriving at this primary diagnosis? You must integrate the pertinent finding and support your rationale with evidence-based literature (resources)(6 points)
c. Include CPT codes, and any procedural codes (such as nurse lab draws, vaccinations given, biopsies) (2 points):
2. Guidelines used to develop this primary diagnosis. 5 points
Here DO NOT write references.
In this section you need to write the clinical guidelines that you used to help you develop and create the plan for this diagnosis. For instance, for a kid with strep, students can follow the Centor Scoring for diagnosing strep and follow the IDSA guidelines for the management of strep.
1b and #2 should be two distinct answers.
3. Differential diagnoses (ddx)with rationale and resources. Minimum of 3-5 differentials (primary dx does not count as a differential). For well-child visit, if there are no other health issues, then differentials are not needed. 5 points
DDx#1–
DDx#2-
DDX #3-
4. Medications including OTC, dosage and education, additional ancillary
tests needed, referrals and follow up – 10 pts
a. Medications (2 points)-
b. Pt. education (2 points)- –
c. Additional Ancillary (2 points)-
d. Referrals (2 points)- –
e. Follow-ups (2 points)- –
5. Problem Statement – 5 pts (simply write see problem statement written in iHuman section. Please note that the problem statement that I grade is the one written in the “Problem Statement” section within the iHuman.
6. Social Determinants of Health to consider, Health Promotion and Pt risk factors – 5 pts
a. Social Determinants of Health (3 points)
b. Health Promotion (1 point)-
c. Pt. Risk Factors (1 point)—
REFERENCES (USE APA)
Must have 3 and must show that it is cited within your text. Please understand that references provide the information necessary for readers to identify and retrieve each work cited in the text. If your references are not cited within your text, then points will be deducted.
**NO MAYO CLINIC, no pt. education websites, CDC should only be for stats. REFERENCES must be peer-reviewed literature. Please utilize the Walden Library. Use primary sources.
Collepals.com Plagiarism Free Papers
Are you looking for custom essay writing service or even dissertation writing services? Just request for our write my paper service, and we'll match you with the best essay writer in your subject! With an exceptional team of professional academic experts in a wide range of subjects, we can guarantee you an unrivaled quality of custom-written papers.
Get ZERO PLAGIARISM, HUMAN WRITTEN ESSAYS
Why Hire Collepals.com writers to do your paper?
Quality- We are experienced and have access to ample research materials.
We write plagiarism Free Content
Confidential- We never share or sell your personal information to third parties.
Support-Chat with us today! We are always waiting to answer all your questions.
