Patient Case – Respiratory/Cardiac/Peripheral Vascular Systems

Initial Post

Report to the virtual clinic and select ONE of the occupied exam rooms. Build on the reported case. After the first initial post, review information already shared by your peers to continue building on the identified patient case. Identify one additional unique health history or subjective symptom as well as one objective exam finding.

Virtual Clinic Exam Rooms

  • Room 1: 57yo Ronald Regis reports shortness of breath
  • Room 2: 8yo Rhiannon Regis is brought to the clinic by her mother Rachel Regis for a cough
  • Room 3: 66yo Raelynn Regis reports calf pain with walking

Provide scholarly support to discuss the physical assessment technique used to identify the objective finding. Compare and contrast characteristics of normal and abnormal findings. (See Response Post Instructions and Example before beginning the Discussion.)

Response Posts

Return to the virtual clinic and select TWO of the occupied exam rooms. Review the documented subjective and objective history. Provide scholarly support to identify a differential diagnosis based on the reported findings. Include additional subjective or objective data that would support this diagnosis.

The described expectations meet the passing level of 80%. Students are directed to review the Discussion Grading Rubric for criteria which exceed expectations.

Example Posts

Initial Post:

  • Room 1: 72yo Ralph Regis reports intermittent abdominal pain

Student 1:

  • HPI: 72yo Ralph Regis reports intermittent abdominal pain localized to the LLQ
  • PE: T-99.8; BP 148/86, P-84, R-16

Student 2:

  • HPI: 72yo Ralph Regis reports intermittent aching abdominal pain rated 5/10 localized to the LLQ
  • PE: T-99.8; BP 148/86, P-84, R-16
  • ABD: Bowel sounds active

Student 3:

  • HPI: 72yo Ralph Regis reports aching intermittent abdominal pain rated 5/10 localized to the LLQ. Pain started three days ago after eating popcorn.
  • PE: T-99.8; BP 148/86, P-84, R-16
  • ABD: Bowel sounds active; abdomen soft with tenderness to palpation in LLQ

 

 

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