You are the group of Nurse Practitioners working at AGM Primary Care Medical Center. Develop the presentation of the Case Study as follows: 1. Dis

22 Apr You are the group of Nurse Practitioners working at AGM Primary Care Medical Center. Develop the presentation of the Case Study as follows: 1. Dis

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Specific Instructions

You are the group of Nurse Practitioners working at AGM Primary Care Medical Center. Develop the presentation of the Case Study as follows:

1. Discussion of assigned medical condition:

a) Description

1) Pathophysiology

2) Etiology

b) Clinical Manifestations

1) Red Flags

2. Case Study

a) Create a hypothetical case of a patient who comes to your consultation and whose final diagnosis is assigned.

b) History Data and Physical Examination

3. Case analysis – Diagnostic Framework

a) Apply the VINDICATE mnemonic as applicable. Explain what the relationship of the conditions is selected in the mnemonic with the diagnosis of the case.

4. Analysis of the case – Differential Diagnoses

a) Make the list of 5 differential diagnoses

1) In order of priority

2) Include clinical diagnosis of the case (previously assigned) on the list

5. Case analysis – Diagnostic Tests

a) Create a table, following the example described below, with the diagnostic test(s) that you would order to your patient in order to make the “Rule Out” of the differential diagnoses.

b) Include diagnostic tests in blood, and imaging studies, as applicable.

c) Explain what findings you are looking for with each test.

d) Describe the results obtained by your patient (hypothetical)

e) Be prepared to discuss the importance or relevance of the diagnostic tests you ordered.

Differential Diagnosis (Prioritize)

Diagnostic Tests

(ordered)

Findings expected with the diagnostic test

Patient results (hypothetical)

Analysis or Conclusion

1. Assigned Diagnosis

2. ¿?

3. ¿?

4. ¿?

5. ¿?

6. Complete the SOAP NOTE in all its parts with the information from your case study.

7. Prepare the case study in a Power Point presentation. Pay attention to the amount of information on the slides (do not overload them). Pay attention to the size of the font.

8. Close your presentation with a conclusion or final analysis and the references used.

SNote.pdf

PRIMARY CARE SOAP NOTE

Student: __________________________ Date: ______________

Professor: ______________________________________________________________

PATIENT INFORMATION:

NAME:

_______________________________________________________________________

AGE: ______________SEX: _______________

CC:__________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________

SUBJECTIVE:

HPI:_________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ _____________________________________________________________________________

PRIMARY CARE SOAP NOTE

______________________________________________________________________________

ALLERGIES:

______________________________________________________________________________

CURRENTMEDICATIONS_____________________________________________________

______________________________________________________________________________

PMHX:_______________________________________________________________________

______________________________________________________________________________

FAMH:_______________________________________________________________________

______________________________________________________________________________

SOCHX:______________________________________________________________________

______________________________________________________________________________

PRIMARY CARE SOAP NOTE

REVIEW OF SYSTEMS:

CONSTITUTIONAL:__________________________________________________________

______________________________________________________________________________

HEENT:

HEAD:_______________________________________________________________________

______________________________________________________________________________

EYES:________________________________________________________________________

______________________________________________________________________________

EARS:_______________________________________________________________________

______________________________________________________________________________

NOSE:_______________________________________________________________________

______________________________________________________________________________

THROAT:____________________________________________________________________

______________________________________________________________________________

RESPIRATORY:

______________________________________________________________________________

PRIMARY CARE SOAP NOTE

______________________________________________________________________________

CARDIOVASCULAR__________________________________________________________

______________________________________________________________________________

GASTROINTESTINAL:

______________________________________________________________________________

GENITOURINARY:

______________________________________________________________________________

MUSCULOSKELETAL: _______________________________________________________

______________________________________________________________________________

NEUROLOGIC:_______________________________________________________________

______________________________________________________________________________

PRIMARY CARE SOAP NOTE

OBJECTIVE:

CONSTITUTIONAL:

______________________________________________________________________________

SKIN:

______________________________________________________________________________

________________________________________________________________________

HEENT:

______________________________________________________________________________

______________________________________________________________________

NECK:

______________________________________________________________________________

RESPIRATORY:

______________________________________________________________________________

PRIMARY CARE SOAP NOTE

______________________________________________________________________________

CARDIOVASCULAR:

______________________________________________________________________________

GASTROINTESTINAL:

______________________________________________________________________________

PRIMARY CARE SOAP NOTE

GENITOURINARY:

______________________________________________________________________________

PERIPHERAL VASCULAR:

______________________________________________________________________________

MUSCULOSKELETAL:

______________________________________________________________________________

NEUROLOGIC:

______________________________________________________________________________

________________________________________________________________

PRIMARY CARE SOAP NOTE

ASSESSMENT:

DIAGNOSIS:

______________________________________________________________________________

DIFFERENTIAL DIAGNOSIS:

______________________________________________________________________________

PRIMARY CARE SOAP NOTE

______________________________________________________________________________

____________________________________________________________________________

PLAN:

______________________________________________________________________________

________________________________________________________________________

Non-Pharmacologic treatment:

______________________________________________________________________________

PRIMARY CARE SOAP NOTE

Pharmacologic treatment:

MEDICATIONS:

______________________________________________________________________________

FOLLOW-UPS/REFERRALS:

______________________________________________________________________________

RATIONALE:

______________________________________________________________________________

PRIMARY CARE SOAP NOTE

______________________________________________________________________________

Student:
Date:
AGE:
SEX:
CC 1:
CC 2:
CC 3:
CC 4:
HPI 1:
HPI 2:
HPI 3:
HPI 4:
HPI 5:
HPI 6:
HPI 7:
HPI 8:
HPI 9:
HPI 10:
HPI 11:
HPI 12:
HPI 13:
HPI 14:
HPI 15:
HPI 16:
HPI 17:
HPI 18:
HPI 19:
HPI 20:
HPI 21:
HPI 22:
HPI 23:
HPI 24:
1:
2:
3:
4:
ALLERGIES 1:
ALLERGIES 2:
ALLERGIES 3:
ALLERGIES 4:
CURRENTMEDICATIONS 1:
CURRENTMEDICATIONS 2:
CURRENTMEDICATIONS 3:
CURRENTMEDICATIONS 4:
PMHX 1:
PMHX 2:
PMHX 3:
PMHX 4:
FAMH 1:
FAMH 2:
FAMH 3:
FAMH 4:
FAMH 5:
SOCHX 1:
SOCHX 2:
SOCHX 3:
SOCHX 4:
CONSTITUTIONAL 1:
CONSTITUTIONAL 2:
CONSTITUTIONAL 3:
CONSTITUTIONAL 4:
HEAD 1:
HEAD 2:
HEAD 3:
HEAD 4:
EYES 1:
EYES 2:
EYES 3:
EARS 1:
EARS 2:
EARS 3:
NOSE 1:
NOSE 2:
NOSE 3:
THROAT 1:
THROAT 2:
THROAT 3:
THROAT 4:
RESPIRATORY 1:
RESPIRATORY 2:
RESPIRATORY 3:
RESPIRATORY 4:
CARDIOVASCULAR 1:
CARDIOVASCULAR 2:
CARDIOVASCULAR 3:
CARDIOVASCULAR 4:
CARDIOVASCULAR 5:
CARDIOVASCULAR 6:
GASTROINTESTINAL 1:
GASTROINTESTINAL 2:
GASTROINTESTINAL 3:
GASTROINTESTINAL 4:
GASTROINTESTINAL 5:
GASTROINTESTINAL 6:
GENITOURINARY 1:
GENITOURINARY 2:
GENITOURINARY 3:
GENITOURINARY 4:
GENITOURINARY 5:
MUSCULOSKELETAL 1:
MUSCULOSKELETAL 2:
MUSCULOSKELETAL 3:
MUSCULOSKELETAL 4:
NEUROLOGIC 1:
NEUROLOGIC 2:
NEUROLOGIC 3:
NEUROLOGIC 4:
NEUROLOGIC 5:
NEUROLOGIC 6:
CONSTITUTIONAL 1_2:
CONSTITUTIONAL 2_2:
CONSTITUTIONAL 3_2:
CONSTITUTIONAL 4_2:
SKIN 1:
SKIN 2:
SKIN 3: </li

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22 Apr You are the group of Nurse Practitioners working at AGM Primary Care Medical Center. Develop the presentation of the Case Study as follows: 1. Dis

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