Differential Selection : 2 of 2 (100.0%)
In this Introduction to Advanced Diagnostics Tanner Bailey activity, you were asked to identify which differential diagnoses were essential to investigate to ensure patient safety. You were automatically evaluated by the simulation on whether or not you identified the appropriate list of Do-Not-Miss diagnoses.
Review the list of most appropriate Do-Not-Miss diagnoses below. Correct selections have been marked with a , while selections you missed have been marked with a .
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| Do Not Miss | Student Rationale | Model Rationale |
|---|---|---|
COVID-19
|
fatigue, cough, fever, sore throat, loss of appetite and contact with sick people at work | Fatigue, sore throat, fever, and cough, can be signs of COVID-19. Exposure to COVID-infected contacts can be a risk factor. |
Pneumonia
|
fever, cough and fatigue | Fever, cough, and fatigue can be signs of pneumonia, a condition which can present an urgent danger to the patient. This differential is a Do-Not-Miss selection because it can range in severity and acuteness. Depending on when it is diagnosed, it can require more caretaking and a higher level of treatment. |
Other Differentials
You were asked to select other potential differential diagnoses that you thought were applicable to the case. Review the list of differential diagnoses below and compare your answers to Diana’s list. Your selections in this section are not automatically scored by the simulation, but your instructor may choose to grade this list.
| Differential | Student Rationale | Model Rationale |
|---|---|---|
|
persistent cough | The patient’s cough, fever, and cold symptoms can be signs of bronchitis. |
|
fatigue, sore throat, and exposure to sick people at work | Fatigue, sore throat, fever, and cough can be signs of Influenza. Exposure to other ill contacts can be a risk factor. Introduction to Advanced Diagnostics Tanner Bailey |
|
fatigue, sore throat, tonsils 3+, painful swallow, tender anterior cervical lymph nodes | Though this condition can present without fever, fatigue and sore throat can be signs of. |
Upper Respiratory Infection
|
sore throat, fever, exposure to sick people at work Introduction to Advanced Diagnostics Tanner Bailey | Sore throat, fever, and dry cough, can be signs of Upper Respiratory Infection. Exposure to other ill contacts can be a risk factor. |
Test Linking : 3 of 3 (100.0%)
In this activity, you were asked to link each selected diagnostic test to a differential it helps to investigate.
Review the most appropriate diagnostic test selections below. Correct selections have been marked with a , while selections you missed have been marked with a .
| Test | Student Rationale | Model Rationale |
|---|---|---|
| x Nasopharyngeal Qualitative PCR You Selected: xx
|
fever, cough, sore throat, fatigue, loss of appetite. A x Nasopharyngeal Qualitative PCR is appropriate to rule out the diagnosis of x timely due to its high specificity and sensitivity | x: A x Nasopharyngeal Qualitative PCR is useful in ruling in or out a diagnosis of x in a timely manner and with appropriate levels of specificity and sensitivity. |
| x You Selected: x
|
cough, fever, and fatigue. The Rapid Influenzatest is the appropraite diagostic test to rule out x | x : A rapid influenza diagnostic test is useful in ruling in or out a diagnosis of x. |
| xTest You Selected: x
|
cough, fever, and fatigue, sore throat. The Rapid Strep Test has high sensitivity in diagnosing x. | x : A rapid strep test is useful in ruling in or out a diagnosis of strep. A rapid x test will generally have both high specificity and high sensitivity. Introduction to Advanced Diagnostics Tanner Bailey |
Introduction to Advanced Diagnostics for Tanner Bailey
Differential Selection: 2 of 2 (100.0%)
In this activity, you were asked to identify which potential diagnoses were crucial to investigate to ensure the patient’s safety. The simulation assessed whether you correctly identified the appropriate list of Do-Not-Miss diagnoses.
Please review the list of the most appropriate Do-Not-Miss diagnoses below. Correct selections are marked with a checkmark (√), while the ones you missed are marked with a cross (✗).
Do Not Miss:
1. COVID-19
– Your Score: 1 out of 1
– Excellent job! You correctly identified this diagnosis as a Do-Not-Miss case.
– Rationale: Symptoms like fatigue, cough, fever, sore throat, loss of appetite, and contact with infected individuals at work are indicative of COVID-19. Exposure to COVID-infected contacts is a risk factor.
2. Pneumonia
– Your Score: 1 out of 1
– Well done! You correctly identified this diagnosis as a Do-Not-Miss case.
– Rationale: Fever, cough, and fatigue are symptoms of pneumonia, which can be a serious condition requiring urgent treatment, depending on its severity and timing of diagnosis.
Other Differentials:
In this section, you were asked to select additional potential differential diagnoses that you believed were relevant to the case. Your choices here are not automatically graded by the simulation, but your instructor may assess them.
Differential Diagnoses:
1. Bronchitis
– Your Rationale: Persistent cough
– Your choice is suitable considering the patient’s symptoms and the provider’s notes. A persistent cough, fever, and cold symptoms can indicate bronchitis.
2. Influenza
– Your Rationale: Fatigue, sore throat, and exposure to sick people at work
– This choice aligns with the patient’s case details and provider notes. Fatigue, sore throat, fever, and cough can be signs of influenza, and exposure to other ill contacts can be a risk factor.
3. Upper Respiratory Infection
– Your Rationale: Fatigue, sore throat, tonsils 3+, painful swallow, tender anterior cervical lymph nodes
– This is a valid choice based on the patient’s symptoms and provider notes. Although this condition can occur without fever, fatigue and sore throat are potential signs of an upper respiratory infection.
4. Upper Respiratory Infection
– Your Rationale: Sore throat, fever, exposure to sick people at work
– This choice is also appropriate as it aligns with the symptoms. Sore throat, fever, and dry cough can be signs of an upper respiratory infection, and exposure to other ill contacts can be a risk factor.
Test Linking: 3 of 3 (100.0%)
In this activity, you were tasked with linking each selected diagnostic test to a relevant differential diagnosis.
Review the most appropriate diagnostic test selections below. Correct choices are marked with a checkmark (√), while missed selections are marked with a cross (✗).
Diagnostic Tests:
1. Nasopharyngeal Qualitative PCR
– Your Score: 1 out of 1
– Great work! You correctly linked this test to an appropriate diagnosis.
– Rationale: A Nasopharyngeal Qualitative PCR is suitable for ruling in or out a diagnosis timely due to its high specificity and sensitivity. It helps in assessing the presence of a disease accurately.
2. Rapid Influenza Test
– Your Score: 1 out of 1
– Excellent job! You correctly linked this test to a relevant diagnosis.
– Rationale: The Rapid Influenza Test is the right diagnostic test for ruling in or out the presence of influenza. It provides timely results with appropriate accuracy.
3. Rapid Strep Test
– Your Score: 1 out of 1
– Well done! You successfully linked this test to an applicable diagnosis.
– Rationale: The Rapid Strep Test is highly sensitive in diagnosing strep throat. A rapid strep test typically has both high specificity and sensitivity for strep diagnosis. It’s an appropriate choice for this case.
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