Case 24-2020: A 44-Year-Old Woman with Chest Pain, Dyspnea, and Shock
Differential Diagnosis Dr. Christopher Newton-Cheh: This patient with SARS-CoV-2 infection had severe, presumably reversible cardiovascular dysfunction in the absence of clinically significant ...
Case 18-2021: An 81-Year-Old Man with Cough, Fever, and Shortness of
All that being said, the most likely diagnosis in this patient is community-acquired pneumonia. 4 The differential diagnosis of community-acquired pneumonia is broad, and in many cases, a pathogen ...
Differential Diagnosis in a Patient Presenting With Both Systemic and
Study Design Resident's case problem. Background Patients presenting with multiple symptomatic areas pose a diagnostic challenge for the physical therapist. Though musculoskeletal and nonmusculoskeletal symptoms typically present separately, they can occur simultaneously and mimic each other. Consequently, the ability to differentiate between musculoskeletal and nonmusculoskeletal symptoms is ...
A case study and comprehensive differential diagnosis and care plan for
Abstract Purpose: To provide a case study for the discussion, diagnosis, management, and comprehensive plan of care for primary dysmenorrhea, secondary dysmenorrhea, and dyspareunia for the advanced practice registered nurse (APRN) working in primary care.. Data sources: Selected text, research, clinical articles, and personal communication with expert APRNs.
Higher order thinking about differential diagnosis
A diagnosis allows clinicians to "cross-talk" and reduce variability of care. •. Higher order thinking is a form of thinking and learning that requires greater cognitive processing and indirectly requires different forms of learning beyond memorization, facts and, concepts. Higher order thinking occurs after one makes a diagnosis.
A 45-year-old Female with an Atypical Presentation of Pharyngitis
A common complaint seen in the ED is a sore throat. While most sore throats are easily diagnosed and treated, less common causes are often not considered in the differential diagnoses. Therefore, the purpose of this case study was to present an atypical case of sore throat and discuss differential diagnoses.
Differential diagnosis of shoulder and cervical pain: a case report
This single patient case report describes the use of these three questions in the differential diagnosis of shoulder and arm pain. A 44-year-old male was referred with a diagnosis of shoulder impingement syndrome. Each of the three questions for differential diagnosis was addressed, and clinical tests and examination findings were used to ...
Chapter 1-3: Constructing a Differential Diagnosis
Read chapter 1-3 of Symptom to Diagnosis: An Evidence-Based Guide, 4e online now, exclusively on AccessMedicine. AccessMedicine is a subscription-based resource from McGraw Hill that features trusted medical content from the best minds in medicine.
Differential diagnosis of a patient referred to physical therapy with
The purpose of this case study is to examine the process of differential diagnosis in a patient with neck pain and to discuss common diagnostic errors that can occur in the outpatient setting. Case description: The patient had an 8-week history of neck pain, which was worse when running and lifting objects. He presented with imaging of the ...
Differential Diagnoses
Differential Diagnosis I: Primary Hypertension. Rationale: Due to patient's age, BMI, lifestyle, consecutive hypertensive blood pressures, and description of headaches (bilateral temporal throbbing - occurring throughout day with decreased intensity as the day progresses), lower extremity edema, and knowledge that primary hypertension is ...
Developing a Case-Specific Differential Diagnosis
The true art of developing and working through your differential diagnosis is often made by the balance of ruling out the life-threatening conditions and correctly diagnosing the likely conditions. Remember that not every diagnosis will be made in the emergency department. The importance of developing a case-specific differential is that your ...
Study Guide to DSM-5
The bulk of the Study Guide, part II, highlights the diagnostic classes in DSM-5, providing case vignettes, differential diagnoses, diagnostic pearls, and a self-assessment section, including key concepts, thought-provoking questions to discuss with colleagues/mentors, case-based questions, and short-answer questions.Considering the Study Guide is a companion book to DSM-5, its content ...
Differential diagnosis in advanced nursing practice
The aim of this article is to review the relevant definitions of different types of diagnoses, to describe the process of formulating a differential diagnosis including using clinical reasoning skills, and to use a case study as an example of differential diagnosis in advanced clinical practice.
Evaluation and Diagnosis of Wrist Pain: A Case-Based Approach
History and physical examination lead to the correct diagnosis in most cases. The location, nature, timing, and quality of the pain are important clues for narrowing the differential diagnosis. In ...
Glomus tumor: A rare differential diagnosis for subungual lesions
This case discusses a differential (Table 1) for a subungual lesion that is rare and interesting, namely a glomus tumor. We chose to write this case study to increase awareness of the condition, as the average time from the onset of symptoms to diagnosis is about 7 years and can last up to 15 years if diagnosed at all.
Calciphylaxis: a case study with differential diagnosis
Calciphylaxis is a relatively rare, but horribly disfiguring, skin condition that is most often associated with end-stage renal disease and long-term dialysis. Unfortunately, calciphylaxis-related morbidity and mortality are significant. The case study presented demonstrates many of the findings associated with the typical calciphylaxis patient ...
PDF Differential diagnosis of shoulder and cervical pain: a case report
This single patient case report describes the use of these three questions in the differential diagnosis of shoulder and arm pain. A 44-year-old male was referred with a diagnosis of shoulder impingement syndrome. Each of the three questions for differential diagnosis was addressed, and clinical tests and examination findings were used to ...
DIFFERENTIAL DIAGNOSES
A diagnosis of major depressive disorder can be made if the symptoms are severe enough to interfere with a person's ability to sleep, study, eat and enjoy life (NIMH, 2015). Ashley's testimony that she has had difficulty with school, sleep and volleyball practice therefore supports this diagnosis. Differential Diagnosis II: GRIEF
Differential Diagnosis
Rationale: Major depressive disorder is a mood disorder characterized by the following symptoms: depressed mood, anhedonia, weight changes, sleep changes, fatigue, feelings worthlessness or excessive guilt, poor concentration, and suicidal ideation. This is thought to be a definitive diagnosis when 5 of the previous symptoms are present for at ...
Methods. Advanced medical students (N = 90) were randomly assigned to one of four conditions to complete six computer‐based patient cases: group 1 (prompt) was instructed to write down all diagnoses they considered while acquiring diagnostic test results and to finally rank them.Groups 2 and 3 received the same instruction plus a list of 17 differential diagnoses for the chief complaint of ...
Lead poisoning as a differential diagnosis in pediatric patients with
Background Chronic abdominal pain is a potential symptom of lead poisoning, which is often challenging to diagnose. This case-control study aimed to evaluate blood lead levels in pediatric patients with chronic abdominal pain. Methods The case-control study was conducted on 190 pediatrics who presented to the Children's Medical Center Hospital clinics, Tehran between April 2021- 2023. The ...
Metastatic prostate adenocarcinoma to the brain
Background Brain metastasis from prostate adenocarcinoma (PCa) is rare, often leading to death within a year. Its infrequent occurrence and atypical histopathologic features contribute to lower consideration in the differential diagnosis of tumor brain metastasis. This study aims to assess the clinical characteristics and distinctive histopathologic features of metastatic PCa in the brain for ...
First Marburg Virus Disease Outbreak in the Republic of Rwanda
Include MVD in the differential diagnosis for an ill person who has been to an area with an active MVD outbreak in the past 21 days, AND who has compatible symptoms (e.g., fever, headache, muscle and joint pain, fatigue, loss of appetite, gastrointestinal symptoms, or unexplained bleeding), AND has reported epidemiologically compatible risk ...
Differential diagnosis of a patient referred to physical therapy with
A 64-year-old man with acute onset neck pain was referred to physical therapy by a neurosurgeon. The purpose of this case study is to examine the process of differential diagnosis in a patient with neck pain and to discuss common diagnostic errors that can occur in the outpatient setting.
The Diagnostic Process
This chapter provides an overview of diagnosis in health care, including the committee's conceptual model of the diagnostic process and a review of clinical reasoning. Diagnosis has important implications for patient care, research, and policy. Diagnosis has been described as both a process and a classification scheme, or a "pre-existing set of categories agreed upon by the medical ...
IMAGES
VIDEO
COMMENTS
Differential Diagnosis Dr. Christopher Newton-Cheh: This patient with SARS-CoV-2 infection had severe, presumably reversible cardiovascular dysfunction in the absence of clinically significant ...
All that being said, the most likely diagnosis in this patient is community-acquired pneumonia. 4 The differential diagnosis of community-acquired pneumonia is broad, and in many cases, a pathogen ...
Study Design Resident's case problem. Background Patients presenting with multiple symptomatic areas pose a diagnostic challenge for the physical therapist. Though musculoskeletal and nonmusculoskeletal symptoms typically present separately, they can occur simultaneously and mimic each other. Consequently, the ability to differentiate between musculoskeletal and nonmusculoskeletal symptoms is ...
Abstract Purpose: To provide a case study for the discussion, diagnosis, management, and comprehensive plan of care for primary dysmenorrhea, secondary dysmenorrhea, and dyspareunia for the advanced practice registered nurse (APRN) working in primary care.. Data sources: Selected text, research, clinical articles, and personal communication with expert APRNs.
A diagnosis allows clinicians to "cross-talk" and reduce variability of care. •. Higher order thinking is a form of thinking and learning that requires greater cognitive processing and indirectly requires different forms of learning beyond memorization, facts and, concepts. Higher order thinking occurs after one makes a diagnosis.
A common complaint seen in the ED is a sore throat. While most sore throats are easily diagnosed and treated, less common causes are often not considered in the differential diagnoses. Therefore, the purpose of this case study was to present an atypical case of sore throat and discuss differential diagnoses.
This single patient case report describes the use of these three questions in the differential diagnosis of shoulder and arm pain. A 44-year-old male was referred with a diagnosis of shoulder impingement syndrome. Each of the three questions for differential diagnosis was addressed, and clinical tests and examination findings were used to ...
Read chapter 1-3 of Symptom to Diagnosis: An Evidence-Based Guide, 4e online now, exclusively on AccessMedicine. AccessMedicine is a subscription-based resource from McGraw Hill that features trusted medical content from the best minds in medicine.
The purpose of this case study is to examine the process of differential diagnosis in a patient with neck pain and to discuss common diagnostic errors that can occur in the outpatient setting. Case description: The patient had an 8-week history of neck pain, which was worse when running and lifting objects. He presented with imaging of the ...
Differential Diagnosis I: Primary Hypertension. Rationale: Due to patient's age, BMI, lifestyle, consecutive hypertensive blood pressures, and description of headaches (bilateral temporal throbbing - occurring throughout day with decreased intensity as the day progresses), lower extremity edema, and knowledge that primary hypertension is ...
The true art of developing and working through your differential diagnosis is often made by the balance of ruling out the life-threatening conditions and correctly diagnosing the likely conditions. Remember that not every diagnosis will be made in the emergency department. The importance of developing a case-specific differential is that your ...
The bulk of the Study Guide, part II, highlights the diagnostic classes in DSM-5, providing case vignettes, differential diagnoses, diagnostic pearls, and a self-assessment section, including key concepts, thought-provoking questions to discuss with colleagues/mentors, case-based questions, and short-answer questions.Considering the Study Guide is a companion book to DSM-5, its content ...
The aim of this article is to review the relevant definitions of different types of diagnoses, to describe the process of formulating a differential diagnosis including using clinical reasoning skills, and to use a case study as an example of differential diagnosis in advanced clinical practice.
History and physical examination lead to the correct diagnosis in most cases. The location, nature, timing, and quality of the pain are important clues for narrowing the differential diagnosis. In ...
This case discusses a differential (Table 1) for a subungual lesion that is rare and interesting, namely a glomus tumor. We chose to write this case study to increase awareness of the condition, as the average time from the onset of symptoms to diagnosis is about 7 years and can last up to 15 years if diagnosed at all.
Calciphylaxis is a relatively rare, but horribly disfiguring, skin condition that is most often associated with end-stage renal disease and long-term dialysis. Unfortunately, calciphylaxis-related morbidity and mortality are significant. The case study presented demonstrates many of the findings associated with the typical calciphylaxis patient ...
This single patient case report describes the use of these three questions in the differential diagnosis of shoulder and arm pain. A 44-year-old male was referred with a diagnosis of shoulder impingement syndrome. Each of the three questions for differential diagnosis was addressed, and clinical tests and examination findings were used to ...
A diagnosis of major depressive disorder can be made if the symptoms are severe enough to interfere with a person's ability to sleep, study, eat and enjoy life (NIMH, 2015). Ashley's testimony that she has had difficulty with school, sleep and volleyball practice therefore supports this diagnosis. Differential Diagnosis II: GRIEF
Rationale: Major depressive disorder is a mood disorder characterized by the following symptoms: depressed mood, anhedonia, weight changes, sleep changes, fatigue, feelings worthlessness or excessive guilt, poor concentration, and suicidal ideation. This is thought to be a definitive diagnosis when 5 of the previous symptoms are present for at ...
Methods. Advanced medical students (N = 90) were randomly assigned to one of four conditions to complete six computer‐based patient cases: group 1 (prompt) was instructed to write down all diagnoses they considered while acquiring diagnostic test results and to finally rank them.Groups 2 and 3 received the same instruction plus a list of 17 differential diagnoses for the chief complaint of ...
Background Chronic abdominal pain is a potential symptom of lead poisoning, which is often challenging to diagnose. This case-control study aimed to evaluate blood lead levels in pediatric patients with chronic abdominal pain. Methods The case-control study was conducted on 190 pediatrics who presented to the Children's Medical Center Hospital clinics, Tehran between April 2021- 2023. The ...
Background Brain metastasis from prostate adenocarcinoma (PCa) is rare, often leading to death within a year. Its infrequent occurrence and atypical histopathologic features contribute to lower consideration in the differential diagnosis of tumor brain metastasis. This study aims to assess the clinical characteristics and distinctive histopathologic features of metastatic PCa in the brain for ...
Include MVD in the differential diagnosis for an ill person who has been to an area with an active MVD outbreak in the past 21 days, AND who has compatible symptoms (e.g., fever, headache, muscle and joint pain, fatigue, loss of appetite, gastrointestinal symptoms, or unexplained bleeding), AND has reported epidemiologically compatible risk ...
A 64-year-old man with acute onset neck pain was referred to physical therapy by a neurosurgeon. The purpose of this case study is to examine the process of differential diagnosis in a patient with neck pain and to discuss common diagnostic errors that can occur in the outpatient setting.
This chapter provides an overview of diagnosis in health care, including the committee's conceptual model of the diagnostic process and a review of clinical reasoning. Diagnosis has important implications for patient care, research, and policy. Diagnosis has been described as both a process and a classification scheme, or a "pre-existing set of categories agreed upon by the medical ...