Primary and differential diagnoses in patient management
NSG 6330 Week 7 Discussion Latest SU
NSG 6330 Week 7 Discussion Latest SU
NSG 6330 Week 7 Discussion
iHuman Case Study – Erin Davis
This discussion assignment provides a forum for discussing relevant topics for this week based on the course competencies covered .For this assignment, make sure you post your initial response to the Discussion Area by the due date assigned .
To support your work, use your course textbook readings and the South University Online Library .As in all assignments, cite your sources in your work and provide references for the citations in APA format .
Start reviewing and responding to the postings of your classmates as early in the week as possible .Respond to at least two of your classmates’ initial postings .Participate in the discussion by asking a question, providing a statement of clarification, providing a point of view with a rationale, challenging an aspect of the discussion, or indicating a relationship between two or more lines of reasoning in the discussion .Cite resources in your responses to other classmates .Complete your participation for this assignment by the end of the week .
For this assignment, you will complete an iHuman case study based on the course objectives and weekly content .The iHuman cases emphasize core learning objectives for an evidence-based primary care curriculum .Throughout your nurse practitioner program, you will use the iHuman case studies to promote the development of clinical reasoning through the use of ongoing assessments and diagnostic skills, and to develop patient care plans that are grounded in the latest clinical guidelines and evidence-based practice .
The iHuman assignments are highly interactive and a dynamic way to enhance your learning .Material from the iHuman cases may be present in the quizzes, the midterm exam, and the final exam .
Click here for information on how to access and navigate iHuman .
This week, complete the iHuman case titled “Erin Davis” .
After completing your iHuman Case Study, answer the following questions using the latest evidenced based guidelines:
Discuss the questions that would be important to include when interviewing a patient with this issue .
Describe the clinical findings that may be present in a patient with this issue .
Are there any diagnostic studies that should be ordered on this patient? Why?
List the primary diagnosis and three differential diagnoses for this patient .Explain your reasoning for each .
Discuss your management plan for this patient, including pharmacologic therapies, tests, patient education, referrals, and follow-ups .
SAMPLE PAPER
Primary and differential diagnoses in patient management
Introduction
differential diagnosis is the process of considering and diagnosing a disease or condition which explains a set of signs or symptoms. It is an essential part of patient management as it can help to rule out other possible causes of the presenting symptoms in order to arrive at a correct diagnosis. There are two types of differential diagnoses: primary and secondary. A primary differential diagnosis is used when there is only one possible cause of the symptoms. A secondary differential diagnosis is used when there are multiple possible causes of the symptoms. The purpose of this blog post is to explore the different methods that can be used to arrive at a primary or secondary differential diagnosis in patient management. We will also discuss the importance of an accurate diagnosis and how it can help to improve patient care.
Overview of Primary and Differential Diagnoses
A primary diagnosis is the first step in patient management and is based on the symptoms presented. It is important to consider all possible diagnoses when making a primary diagnosis. Differential diagnoses are used to rule out other potential causes of the presenting symptoms.identify the most likely cause of the symptoms.
The process of making a primary and differential diagnosis can be complex, but there are some general steps that can be followed. The first step is to take a history from the patient. This includes asking about the current complaint, as well as any other relevant medical history. Next, a physical examination is performed. This helps to rule in or rule out certain diagnoses. Based on the information gathered, a list of possible diagnoses is created. Differential diagnoses are then made by considering which diagnosis is most likely based on the evidence.
Certain tests may also be ordered to help confirm or rule out a diagnosis. These may include blood tests, x-rays, or other imaging studies. In some cases, a biopsy may also be necessary. Once all of the information has been gathered, a final diagnosis is made and treatment can begin.
How to Use Primary and Differential Diagnoses in Patient Management
Differential diagnoses are what a clinician uses to narrow down the potential causes of a patient’s presenting signs and symptoms. It is important to remember that a differential diagnosis is not a final diagnosis, but rather a list of possible diagnoses that can be used to guide further testing and treatment.
Primary care providers often rely on clinical gestalt, or their “clinical intuition”, to come up with a list of potential differential diagnoses. However, this approach can lead to cognitive biases and missed diagnoses. A more systematic approach to differential diagnosis can help reduce error and improve patient outcomes.
When taking a systematic approach to differential diagnosis, it is helpful to start with the most common causes of the presenting signs and symptoms and then move on to less common causes. This process is sometimes referred to as “working from the top down” or “differentiating by etiology”. Another approach is to start with the most serious or life-threatening causes of the signs and symptoms and then move on to less serious possibilities; this is sometimes referred to as “working from the bottom up” or “differentiating by acuity”.
Once a provider has generated a list of possible differential diagnoses, they can further narrow down the list by taking into account the patient’s history (e.g., age, sex, race/ethnicity), demographics (e.g., country of origin), social factors (e.g.,
Case Studies
Differential diagnoses are an important part of patient management, as they can help identify the most likely cause of a patient’s symptoms. In some cases, a differential diagnosis may be used to rule out other potential causes of a patient’s symptoms.
A variety of tools and resources are available to help clinicians develop differential diagnoses. These include online resources, such as UpToDate and DynaMed Plus, as well as print resources, such as textbooks and journals.
Case studies can be particularly helpful in developing differential diagnoses. By reviewing the signs and symptoms of a particular case, clinicians can learn to recognize patterns that may help them arrive at a correct diagnosis.
Conclusion
In conclusion, a primary diagnosis is the first step in patient management and differential diagnoses help to identify other potential causes of the patient’s symptoms. It is important to consider both when making a treatment plan for a patient. Differential diagnoses should always be based on the individual’s symptoms and medical history.
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