NR 602 Study Discussion Gathering A History On An Adolescent

Case Study Discussion – Part 1

What is one important item you learned about gathering a history on an adolescent? For a sports physical?
Did you pick up any ‘red flags’ in the historical data?

What information should always be gathered on an adolescent that you have not previously seen?

………. makes a sports physical unique from other exams?

What are your differential diagnoses?

What further history should be gathered today and why?

Case Study Discussion – Part 2

Physical Examination of Lily:

V/S: Height- 160 cm, Weight- 45 kg, B/P 114/60, HR 90, RR 16, T 98.7, SpO2 99%

Awake, alert, oriented, cooperative. Difficulty with eye contact. Answers questions in short 1-2 word answers. HEENT: Head is normocephalic

Case Study Discussion – Part 3

Written summation of case in SOAP format.

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Case Study Discussion – Part 1

Please prepare yourself to complete the well-woman exam and one of the well-child exams of your choosing.
Per patient- give additional HPI information and questions you would like as well as PMH, Family History, and ROS. Begin to lay out the objective portion of your note for each patient.

What is your differential diagnosis list for this visits thus far with rational for each of your two patients?

For the child you choose, please list all of the appropriate anticipatory guidance that should be done at a well visit for that age. Expand on one of the topics from your list and provide the education you would offer with citations.

Case Study Discussion – Part 2

For the patients you have chosen what are your primary and secondary diagnoses now with ICD-10 codes with rationale?

What other diagnostics, preventive screenings, or preventive health actions are you considering for your patients at this time and why?

Case Study Discussion – Part 3

Written summation of case in SOAP format.