History of Presenting Problem: (10 points) Describe the history of the problem concisely but thoroughly. Include: Chief complaint, history of the present issue, past history related to the present problem, and family history related to the present problem.
History of Presenting Problem: (10 points) Describe the history of the problem concisely but thoroughly. Include: Chief complaint, history of the present issue, past history related to the present problem, and family history related to the present problem. What additional probing questions would be the most pertinent to help clarify the patient’s problem? Review of Symptoms: (7 points) Identify the symptoms relevant to making a diagnosis. List any appropriate evidence-based assessment tools you might use. Differential Diagnosis: (6 points) Provide a focused list of diagnoses to be considered based on the patient presentation. Final Diagnosis: (10 points) What final diagnosis will you make based on your differential diagnoses? Provide supporting evidence why you made the final diagnosis and why you did not choose the other diagnoses? Treatment Plan: (12 points) Management and Treatment Plan: Based on the final diagnosis, how will you proceed with management? What medications will be prescribed as if you were writing the order for the drug: include dose, timing, duration, side effects, black box warnings, and patient education? What non-medication interventions would you consider? What is your follow-up plan? Would this patient need a referral and why? Common potential complications associated with the disorder’s process that must be anticipated.
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