building on the responses of your peers

Objective

The purpose of this discussion is to review assessment techniques, identify subjective and objective information related to a focused system, and introduce clinical reasoning. Please read through the entire discussion instructions and example posts prior to your initial post as you will be building on the responses of your peers.

Report to the virtual clinic and select ONE of the occupied exam rooms. Note that each exam room has its own thread for discussion. Read the chief complaint and review any information already shared by your peers to build on the identified patient case. Identify one additional unique health history or subjective symptom as well as one objective exam finding. Provide scholarly support to discuss the physical assessment technique used to identify the objective finding and compare and contrast characteristics of normal and abnormal findings. Each student will copy and paste the most recent developing case to build upon their initial post. Please do not copy the scholarly support. See Example.

Your initial post should include evidence of review of the course material, websites, and literature through proper citations using APA format.

Virtual Clinic Exam Rooms

• Room 1: 16yo Raena Regis reports history of headache
• Room 2: 35yo Rhoda Regis reports right wrist pain
• Room 3: 73yo Renata Regis reports general achiness

(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.

Example – Shows a developing case and does not include required scholarly support

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

Student 4:

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