NRNP 6552 Week 4 Assignment; Nick Roberts

5969000-8875Performance Overview for Tonya London-Simpson on case Nick Roberts The following table summarizes your performance on each section of the case, whether you completed that section or not. Time spent: 9hr 42min 17sec Status: Submitted Case Section Status Your Score Time spent Performance Details Total Score 27% History Done 78% 2hr 32min 3sec 75 questions asked, 14 correct, 4 missed relative to the case's list Physical exams Done 57% 47min 14sec 38 exams performed, 8 correct, 0 partially correct, 2 missed relative to the case's list Key findings organization Done 1min 13sec 9 findings listed; 10 listed by the case Problem statement Done 9min 33sec 88 words long; the case's was 106 words Differentials Done 43% 19min 17sec 7 items in the DDx, 3 correct, 4 missed relative to the case's list Differentials ranking Done 86% (lead/alt score) 43% (must not miss score) 5min 20sec Tests Done 50% 14min 53sec 2 correct tests ordered, 2 extraneous, 2 missed relative to the case's list Diagnosis Done 100% 27sec Management plan Done 3hr 16min 48sec 764 words long; the case's was 306 words Exercises Done 100% (of scored items only) 1min 43sec 1 of 1 correct (of scored items only) Attempt: 2697490Report generated on 3/26/2023, 7:02:31 PM America/Denver 5969000-262681History Notecard by Tonya London-Simpson on case Nick Roberts Use this worksheet to organize your thoughts before developing a differential diagnosis list. Indicate key symptoms (Sx) you have identified from the history. Start with the patient's reason(s) for the encounter and add additional symptoms obtained from further questioning. Characterize the attributes of each symptom using "OLDCARTS". Capture the details in the appropriate column and row. Review your findings and consider possible diagnoses that may correlate with these symptoms. (Remember to consider the patient's age and risk factors.) Use your ideas to help guide your physical examination in the next section of the case. HPI Sx = fever Sx = cough Sx = runny nose Sx = Sx = Sx = Onset 1 day ago 2 days ago Location Duration last 2 days last 2 days Characteristics Aggravating n/a Relieving APAP Timing / Treatments Q 4 hours none Severity 101 Attempt: 2697490Report generated on 3/26/2023, 7:02:31 PM America/Denver 5969000-262681Problem Statement by Tonya London-Simpson on case Nick Roberts The patient is a 2-year-old male who presents to the clinic accompanied by his mother for complaints of a runny nose and cough with onset two days ago. He was sent home from daycare yesterday with a fever that was as high as 101. She reports he is fussy with a decreased appetite. Today the patient presents with a fever of 102.2. The physical exam revealed erythema and bulging of bilateral tympanic membranes. Risk factors include daycare attendance, parental smoking, not getting the flu vaccine, and male gender. Attempt: 2697490Report generated on 3/26/2023, 7:02:31 PM America/Denver 5969000-262681Management Plan by Tonya London-Simpson on case Nick Roberts Primary diagnosis with ICD code and rationale: Otitis media, H66.93 The patient is a 2-year-old who presents with a runny nose and cough