25-year-old female comes into the office today complaining of “cold symptoms” for the past few days. 

Question Answered step-by-step 25-year-old female comes into the office today complaining of “cold symptoms” for the past few days. Step 1: Identify the problemYou walk into the exam room and introduce yourself.  What open ended question could you start with for this visit?What general/generic questions do you ask to get more specific information?             Step 2: Frame the differential DxWhich framework would work best in determining some differential dx for this patient and why? Step 3: Organize the Differential Dx Old/Chronic vs. New onsetWhat chronic problems in their past medical history would you want to ask about specific to their chief complaint today (not an all-inclusive PMH review)? Step 4: Limit the Differential Dx            Think of your list of differential dx.  Name 5 potential dx for this patient.  Step 5: Use the HH and PE Findings            What are some “clues” that you would be asking in your health history?            What are some “clues” that you would be looking for in your physical exam? Step 6: Rank the Differential Dx          What is your Leading Hypothesis?Name a few of your Active Hypothesis.  What would be a Do Not Miss for this patient today?      Do you have any Excluded Hypotheses? Step 7: Test your Hypothesis            What diagnostic test would you like to do in the office today? Step 8: Re-Rank your Differential Dx          The results return and the COVID test is negative and the flu test is negative. What is your leading hypothesis now? Health Science Science Nursing NURS 6512 Share QuestionEmailCopy link Comments (0)