Now, assume that any procedures and/or testing which were performed are NORMAL.
In Part 2 you might be given some additional history, exam or test
findings. Using this information and the information in Part 1, answer
the following questions:1. What is your primary diagnosis for this patient? Tell the reader how
you came to this conclusion using the information that you were given
(i.e., CXR result, lab result). Interpret the results into your
diagnosis decision (i.e., tell how this information helped you to narrow
your differential to the one diagnosis that you chose).
findings. Using this information and the information in Part 1, answer
the following questions:1. What is your primary diagnosis for this patient? Tell the reader how
you came to this conclusion using the information that you were given
(i.e., CXR result, lab result). Interpret the results into your
diagnosis decision (i.e., tell how this information helped you to narrow
your differential to the one diagnosis that you chose).
- What is your primary (one) diagnosis for this patient at this time?
- Identify the corresponding ICD-10 code.
- Provide a treatment plan for this patient’s primary diagnosis which includes:
- Medication*
- Any additional testing necessary for this particular diagnosis*
- Patient education
- Referral and follow-up to the treatment plan
- Provide an active problem list for this patient based on the information given in the case.
