Review your answers for the Diagnostic Testing: Labs and Imaging activity. You receive one point for each correct differential diagnosis selected, and one point for each correct diagnostic test linked to a correct differential diagnosis.

Follow-Up Sick Visit: Musculoskeletal Shoshanna Tillman Shadow Health Treatment Plan

Treatment Plan: 25 of 25 (100.00%)
Problem Selection
9 out of 9
Primary Diagnosis

Review your answers for the Problem Selection activities. You receive one point for each correct diagnosis, and one point for each correct evidence linked to a correct diagnosis. If there are multiple correct diagnoses, you will also receive a point for correctly selecting which diagnosis is the primary diagnosis.

Learner Selection Model Documentation

Diagnosis: Primary Diagnosis

Identified as primary

Evidences:

Pain not associated with trauma

Learner Rationale:

The patient complains of (specific symptoms)

Score: 5 out of 5

Diagnosis: Secondary Diagnosis

Primary: Yes

Evidences:

Pain not associated with trauma

Model Rationale:

At this point in the diagnostic process, you can only provide Mrs. Tillman with preliminary diagnoses. In order to determine a definitive diagnosis, more diagnostic testing is required. In primary care, it is common to have multiple concerns in one visit. These two diagnoses may be related or are two unrelated situations; nonetheless, each diagnosis requires individual diagnostic investigation. Mrs. Tillman’s primary diagnosis is (primary diagnosis), while her secondary diagnosis is (secondary diagnosis). The preliminary diagnosis of (primary diagnosis) is supported by the evidence collected in the physical exam and reported by Mrs. Tillman: tenderness with palpation, pain not associated with trauma, and bilateral pain. The secondary diagnosis of (secondary diagnosis) is supported by the evidence reported by Mrs. Tillman: an unusual lack of energy, feeling tired, and having difficulty completing tasks due to feeling tired. When making a disease diagnosis, it is important to note that disease diagnosis documentation is permanent in the patient’s records and cannot be undone. Therefore, if you do not have the evidence and diagnostic testing to support a disease diagnosis, it is best to collect more data before determining a definitive diagnosis, even if the patient’s signs and symptoms point to a likely disease.

Additional Diagnosis

Learner Selection Model Documentation

Diagnosis: Additional Diagnosis

Evidences:

Feeling tired

Unusual lack of energy

Learner Rationale:

Patient complains of fatigue, general stress, sadness, and anxiety.

Score: 4 out of 4

Diagnosis: Secondary Diagnosis

Evidences:

Feeling tired

Unusual lack of energy

Model Rationale:

At this point in the diagnostic process, you can only provide Mrs. Tillman with preliminary diagnoses. In order to determine a definitive diagnosis, more diagnostic testing is required. In primary care, it is common to have multiple concerns in one visit. These two diagnoses may be related or are two unrelated situations; nonetheless, each diagnosis requires individual diagnostic investigation. Mrs. Tillman’s primary diagnosis is (primary diagnosis), while her secondary diagnosis is (secondary diagnosis).

The preliminary diagnosis of (primary diagnosis) is supported by the evidence collected in the physical exam and reported by Mrs. Tillman: tenderness with palpation, pain not associated with trauma, and bilateral pain. The secondary diagnosis of (secondary diagnosis) is supported by the evidence reported by Mrs. Tillman: an unusual lack of energy, feeling tired, and having difficulty completing tasks due to feeling tired. When making a disease diagnosis, it is important to note that disease diagnosis documentation is permanent in the patient’s records and cannot be undone. Therefore, if you do not have the evidence and diagnostic testing to support a disease diagnosis, it is best to collect more data before determining a definitive diagnosis, even if the patient’s signs and symptoms point to a likely disease.

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