Noah Caputo dermatology school age sick visit shadowhealth care plan
Treatment Plan: 20 of 21 (95.24%)
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 Noah Caputo dermatology school age sick visit shadowhealth care plan.
| Learner Selection | Model Documentation |
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Diagnosis: Allergic contact dermatitis, plants Evidences: Exposure to wooded areas Itchiness Not wearing long pants or covered shoes Vesicles or blisters Score: 8 out of 8 |
Diagnosis: Insect bites, nonvenomous Primary: Yes Evidences: Exposure to animals Exposure to wooded areas Itchiness Macular bumps with erythema Not wearing long pants or covered shoes Papular bumps with erythema Model Rationale: “Insect bites, nonvenomous” is the most appropriate primary diagnosis for Noah Caputo given the evidences of exposure to animals, exposure to wooded areas, itchiness, macular bumps with erythema, not wearing long pants or covered shoes, and papular bumps with erythema. Given the onset, duration, location, as well as situational factors of Noah’s dermatological presentation you can rule out any venomous bites or other dermatological concerns at this time.The specific insect in question cannot be determined without direct observation or patient confirmation Noah Caputo dermatology school age sick visit shadowhealth care plan. Since Noah cannot provide any evidence for a particular insect encounter, the type of insect is ambiguous; however, the likely insects are fleas or mosquitoes. Additionally, there are no signs or symptoms of a secondary infection or any insect-borne illness at this time. You should proceed by treating the dermatological signs and symptoms. Powers, J., & McDowell, R. H. (2021). Insect bites. StatPearls Publishing LLC. https://www.ncbi.nlm.nih.gov/books/NBK537235/ |
Additional Diagnosis
| Learner Selection | Model Documentation |
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Diagnosis: Child neglect or abandonment, suspected Evidences: Behavioral changes Extended periods of time without adult supervision |
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| Learner Response | Model Response |
| My name is nurse Tupusheva, I would like to report a suspected case of child neglect in one of our patients who was brought in by his uncle. The child reports that his parents are hardly at home due to work and is left at home to care for himself Noah Caputo dermatology school age sick visit shadowhealth care plan. | I am (name/role/practice/location/contact information) and I am calling to report a case of suspected neglect with a minor. |
| Learner Response | Model Response |
| Noah seems to be in an immediate danger as he is always left alone without supervision. He should be removed from his current situation. | No, I do not believe he is at risk for immediate harm or danger. |
| Learner Response | Model Response Noah Caputo dermatology school age sick visit shadowhealth care plan |
| He showers once a week, he sometimes sleeps hungry, and wears dirty clothes | Noah Caputo reports that he goes to his neighbor Roger’s house after school and that he often returns home after dark. Dustin Caputo reports that it “seems like he doesn’t have appropriate supervision” and that he “is mostly left to his own devices.” Noah reports that he spends time outside with Roger’s dog and that when he’s at Roger’s house he “barely sees Roger’s parents because they tell us to play outside.” Noah reports that both his parents work late into the night, and that he is home alone and puts himself to bed most nights. He reports that his parents are usually still asleep when he gets himself up for school. Noah repeatedly said that he gets to stay home alone at night because he’s responsible Noah Caputo dermatology school age sick visit shadowhealth care plan. Noah also reported that he gets scared at night when he’s home alone because he watches scary movies. He reports leaving the lights on at night because he’s scared. |
| Learner Response | Model Response |
| Noah reports that sometimes he skips his meals, wears dirty clothes and feels lonely at night. His uncle also reoorted that Noah was caught stealing at the school cafeteria | Noah Caputo reports that he usually eats the breakfast and lunch provided by the school. He reports having to prepare his own meals on evenings and weekends. He reports that he sometimes goes hungry and misses meals because “Sometimes there’s not a lot of food at home, so if I cook dinner and burn it, there’s… Noah Caputo dermatology school age sick visit shadowhealth care plan |