Tanner Bailey Introduction to Advanced Diagnostics Shadow health
Differential Selection : 2 of 2 (100.0%)
In this 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 Tanner Bailey Introduction to Advanced Diagnostics Shadow health .
| Do Not Miss | Student Rationale | Model Rationale |
|---|---|---|
|
fatigue, cough, fever, sore throat, loss of appetite and contact with sick people at work Tanner Bailey Introduction to Advanced Diagnostics Shadow health | Fatigue, sore throat, fever, and cough, can be signs of x. Exposure to xinfected contacts can be a risk factor. |
x
|
fever, cough and fatigue | Fever, cough, and fatigue can be signs of x, 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. |
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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 |
|---|---|---|
x
|
persistent cough | The patient’s cough, fever, and cold symptoms can be signs of x. |
x
|
fatigue, sore throat, and exposure to sick people at work | Fatigue, sore throat, fever, and cough can be signs of x. Exposure to other ill contacts can be a risk factor. |
x
|
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 x. |
Upper Respiratory Infection
|
sore throat, fever, exposure to sick people at work | Sore throat, fever, and dry cough, can be signs of Upper Respiratory Infection. Exposure to other ill contacts can be a risk factor. |
Test Selection : 3 of 3 (100.0%)
In this activity, you were asked to choose the most appropriate, cost effective, least invasive diagnostic tests to order to help rule in or rule out a diagnosis.
Review the list of appropriate tests below. Correct selections have been marked with a , while selections you missed have been marked with a .
| Selected Test | Student Rationale | Model Rationale |
|---|---|---|
COVID-19 Nasopharyngeal Qualitative PCR
|
cough, fever, fatigue, sore throat, loss of appetite | Currently, the rapid COVID-19 Nasopharyngeal Qualitative PCR is a more accurate testing option appropriate for Tanner’s presentation. It is usually available exclusively at hospitals, medical offices, and departments of health. While it is available at the Shadowville clinic, it may not be available at all clinics, so you should be prepared to consider other kinds of tests such as the COVID-19 nasal swab that requires 24-72 hours in order to receive results. This a rapidly changing clinical situation, but this selection is up to date according to the CDC’s Test for Current Infection COVID-19 guidelines as of July 2020. |
xxx
|
cough, fatigue, fever Tanner Bailey Introduction to Advanced Diagnostics Shadow health | The selection of this diagnostic test for detecting xxx is supported by the patient’s acute respiratory condition, their medical history, and the list of differential diagnoses. The Infectious Diseases Society of America recommends testing for Influenza if the clinical features resemble “nonspecific respiratory illness (eg, cough without fever)” or “acute onset of respiratory symptoms with or without fever.” |
xx
|
cough, fever, fatigue | According to the “Infectious Diseases Society of America Clinical Practice Guideline for the Diagnosis and Management of Group A Streptococcal Pharyngitis” (2012), in the absence of viral signs and symptoms, clinical examinations are not reliable enough to differentiate between viral pharyngitis and streptococcal pharyngitis, which may require different treatment plans or clinical management. The selection of this diagnostic test for detecting Group A Streptococcus bacteria with a throat swab is supported by the patient’s condition, their medical history, and the list of differential diagnoses. |
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 Tanner Bailey Introduction to Advanced Diagnostics Shadow health .
| Test | Student Rationale | Model Rationale |
|---|---|---|
| x You Selected: x
|
fever, cough, sore throat, fatigue, loss of appetite. x Nasopharyngeal Qualitative PCR is appropriate to rule out the diagnosis of x timely due to its high specificity and sensitivity | COVID-19 : AxNasopharyngeal Qualitative PCR is useful in ruling in or out a diagnosis ofx in a timely manner and with appropriate levels of specificity and sensitivity. |
| Rapid Influenza Test You Selected: x
|
cough, fever, and fatigue. The Rapid Influenzatest is the appropriate diagnostic test to rule out x Tanner Bailey Introduction to Advanced Diagnostics Shadow health | x : A rapid influenza diagnostic test is useful in ruling in or out a diagnosis of x. Tanner Bailey Introduction to Advanced Diagnostics Shadow health |
| Rapid Strep Test You Selected: x
|
cough, fever, and fatigue, sore throat. The Rapid Strep Test has high sensitivity in diagnosing strep. | x : A rapid strep test is useful in ruling in or out a diagnosis of strep. A rapid strep test will generally have both high specificity and high sensitivity. |
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Final Diagnosis : 1 of 1 (100.0%)
In this activity, you considered the results of the diagnostic tests you ordered and all of the data collected to make your final evidence-based diagnosis. Review the correct diagnosis below.
| Diagnosis | Student Rationale | Model Rationale |
|---|---|---|
|
The patient has a positive x, has a cough, fever, fatigue, and sore throat | The patient is experiencing body aches, fatigue, persistent dry cough, headache, sore throat, and fever. RIDT reading supports a diagnosis of Tanner Bailey Introduction to Advanced Diagnostics Shadow health. |