xNRNP 6552 iHuman case Erin Davis
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5969000-6970Performance Overview for Tonya London-Simpson on case Erin Davis The following table summarizes your performance on each section of the case, whether you completed that section or not. Time spent: 6hr 42min 35sec Status: Submitted Case Section Status Your Score Time spent Performance Details Total Score 40% History Done 61% 41min 7sec 60 questions asked, 28 correct, 18 missed relative to the case's list Physical exams Done 44% 59min 6sec 24 exams performed, 10 correct, 0 partially correct, 11 missed relative to the case's list Key findings organization Done 22sec 4 findings listed; 9 listed by the case Problem statement Done 22min 38sec 105 words long; the case's was 108 words Differentials Done 75% 26min 6sec 7 items in the DDx, 3 correct, 1 missed relative to the case's list Differentials ranking Done 100% (lead/alt score) 75% (must not miss score) 19min 23sec Tests Done 50% 10min 32sec 1 test ordered, 1 correct, 1 missed relative to the case's list Diagnosis Done 0% 53sec Management plan Done 2hr 50min 11sec 707 words long; the case's was 31 words Exercises Done 33% (of scored items only) 6min 19sec 1 of 3 correct (of scored items only) Attempt: 2638873Report generated on 2/1/2023, 7:25:08 PM America/Denver 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 = Sx = Sx = Sx = Sx = Sx = Onset Location Duration Characteristics Aggravating Relieving Timing / Treatments Severity Attempt: 2638873Report generated on 2/1/2023, 7:25:08 PM America/Denver Ms. Davis is a 20-year-old female who presents to the clinic with complaints of a headache. The headache is described as a dull, consistent headache that wraps around her head and has been happening for a "while." She reports that the headaches occur around three times per week and is relieved by Acetaminophen and Ibuprofen. She denied any associated symptoms of nausea, vomiting, dizziness, LOC, neck pain, or other neurological issues. Of note, the patient stated she lives with her boyfriend, who she is financially dependent on. On physical exam, bruising in different stages of healing is noted on the left breast and left arm. Attempt: 2638873Report generated on 2/1/2023, 7:25:08 PM America/Denver 1. Primary Diagnosis and ICD-10 code - Intimate partner violence {T74.11XA} According to Lutgendorf (2019), Intimate partner violence (IPV)is women's leading cause of injury. Victims present with acute physical injuries, unintended pregnancies, or chronic conditions such as headaches, insomnia, pelvic pain, sexual dysfunction, irritable bowel symptoms, depression, anxiety, and post-traumatic stress disorder(Lutgendorf, 2019). In a review of IPV and
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