Poor Patient Outcome Relying solely on the classic features of a disease may be misleading. Thats because the clinical presentation of a disease often varies: the symptoms and signs of many conditions are non-specific initially and may require hours, days, or even months to develop. Generating a differential diagnosis; that is, developing a list of the possible conditions that might produce a patients symptoms and signs is an important part of clinical reasoning. It enables appropriate testing to rule out possibilities and confirm a final diagnosis. This case portrays a poor patient outcome after a misdiagnosis. Case scenario A previously healthy 35-year-old lawyer presents to a primary care office with a chief complaint of chest pain and a non-productive cough. The pain started suddenly 2 hours prior to coming to the office while the patient was sitting at his desk. The patient describes the pain as sharp in nature, constantly present but made worse with inspiration and movement, and with radiation to the base of the neck. His blood pressure in the right arm and other vital signs are normal. On physical examination the only findings of note are chest wall tenderness and a faint cardiac murmur. The ECG in the office is normal. The patient is observed for an hour in the office and assessed. He is diagnosed with viral pleurisy and sent home on non-steroidal analgesics. The following day the patient collapses at home and cannot be resuscitated by the paramedic service. An autopsy reveals a Type 1 aortic dissection with pericardial tamponade. Written Assignment: Developing a list of possible conditions that might produce a patients symptoms and signs is an important part of clinical reasoning. As an NP in primary care what would you have done differently? Discuss the importance of creating a list of differentials for this patient. How could it have changed this outcome? If a serious diagnosis comes to mind based on a patients symptoms: Ask yourself; Have you considered the likelihood of it and whether it needs to be ruled out by testing or referral? Because many serious disorders are challenging to diagnose, have you considered ruling out the worst case scenario? Ask yourself: Do you have sufficient understanding of the clinical presentation to offer an opinion on the diagnosis? What other diagnosis could it be? How might the treatment to date have altered the patient outcome? What other diagnostic and laboratory or imaging was needed in order to make a complete differential list? What support tools would you consider using in helping to create a differential diagnosis list? Are you familiar with the current clinical practice guidelines for the investigation of a suspected condition such as chest pain? 5 pages
Why Choose Us
High Quality, 100% Original and Well-Researched Papers
HireProWriter always ensure that our writers follow all your instructions precisely. You can pick your academic level: high school, college/university or professional, and we will assign a writer who much your field or discipline.
Professional and Experienced Academic Writers
Our Company has a team of professional writers with experience in business articles and academic papers. The majority are native speakers and capable to tackle any task for which you need assistance.
Free Unlimited Revisions
Do you think we missed something on your paper? No worries, send your order for a free revision. We give you up to 10 days to submit the order for review after you have received the final document. You can do this yourself after logging in to your account or get help from our support.
Prompt Delivery and 100% Money-Back-Guarantee
All papers are always delivered on time. In case we need an extension to master your paper, we will contact you on time regarding the deadline extension. In case you cannot provide us with more time, a 100% refund is guaranteed.
Original & Confidential
100% Plagiarism free work! We use premium writing tools to check plagiarism. Our professional editors carefully review all quotations in the text. Besides, we guarantee maximum confidentiality in all of our services.
Customer Support 24/7
Our support team is available 24/7. We are dedicated to giving the best customer experience. Feel free to get in touch any time for assistance.
Try it now!
How it works?
Follow these simple steps to get your paper done
Place your order
Fill in the order form and provide all details of your assignment.
Proceed with the payment
Choose the payment system that suits you most.
Receive the final file
Once your paper is ready, we will email it to you.
Why work on your paper all night? While you can sleep tight, as we cover you back. HireProWriter offer all kinds of writing services.
No matter what kind of academic assistance you need and how urgent you need it, you are welcome to choose your academic level and the type of your paper at a reasonable cost. HireProWriter take care of all your academic paper needs with a 24/7 customer care support system.
Admission and Business Papers
An admission essay is an essay or other written statement by a candidate, often a potential student enrolling in a college, university, or graduate school. You don't have to worry about writing a presentable College admission essay, You can be rest assurred that through our services we will write the best admission essay for you.
Editing and Proofreading
Our Team (academic writers and editors) make the necessary adjustments to your essay/paper so that it is polished. Besides, we format your document by correctly quoting the sources and creating reference lists in the formats APA, Harvard, MLA, Chicago / Turabian.
We value our clients feedback, our system is designed to ensure that we deliver quality work through collaboration of our team and clients. In case you need an improvement in your paper, you are free to request for revision. For such case, your paper will be checked by the writer or assigned to an editor. Your Satisfaction is our Concern!