Tanner Bailey case; Introduction to Advanced Diagnostics
In this Introduction to Advanced Diagnostics Tanner Bailey activity, you were asked to identify which differential diagnoses were essential to investigate to ensure patient safety.
Differential Selection:
Do Not Miss:
– COVID-19: The student correctly identified this diagnosis based on symptoms such as fatigue, cough, fever, sore throat, and contact with sick people at work. These are signs of COVID-19, and exposure to infected contacts can be a risk factor.
– Pneumonia: The student correctly identified this diagnosis based on symptoms like fever, cough, and fatigue. Pneumonia can be urgent and dangerous, requiring immediate attention and treatment.
Other Differentials:
– Bronchitis: The student correctly selected this diagnosis as an applicable one based on the patient’s persistent cough, fever, and cold symptoms.
– Influenza: The student correctly identified this diagnosis as applicable, considering the patient’s fatigue, sore throat, and exposure to sick people at work, which are signs of Influenza.
– Tonsillitis: The student identified this diagnosis based on symptoms like fatigue, sore throat, tonsils 3+, and painful swallow, which are characteristic of tonsillitis.
– Upper Respiratory Infection: The student correctly selected this diagnosis based on symptoms such as sore throat, fever, and exposure to sick people at work, which are signs of an upper respiratory infection.
Test Linking:
– Nasopharyngeal Qualitative PCR: The student correctly linked this test to COVID-19 as it helps rule in or out the diagnosis in a timely manner with high specificity and sensitivity, given the symptoms like fever, cough, sore throat, fatigue, and loss of appetite.
– Rapid Influenza Test: The student correctly linked this test to Influenza, as it is an appropriate diagnostic test to rule out the condition based on symptoms of cough, fever, and fatigue.
– Rapid Strep Test: The student correctly linked this test to strep throat, as it is useful in ruling in or out a diagnosis of strep, with high sensitivity in diagnosing the condition, considering symptoms like cough, fever, fatigue, and sore throat.
Differential Selection : 2 of 2 (100.0%)
In this Introduction to Advanced Diagnostics Tanner Bailey activity, you were asked to identify which differential diagnoses were essential to investigate to ensure patient safety. You were automatically evaluated by the simulation on whether or not you identified the appropriate list of Do-Not-Miss diagnoses.
Review the list of most appropriate Do-Not-Miss diagnoses below. Correct selections have been marked with a , while selections you missed have been marked with a .
| Do Not Miss | Student Rationale | Model Rationale |
|---|---|---|
COVID-19
|
fatigue, cough, fever, sore throat, loss of appetite and contact with sick people at work | Fatigue, sore throat, fever, and cough, can be signs of COVID-19. Exposure to COVID-infected contacts can be a risk factor. |
Pneumonia
|
fever, cough and fatigue | Fever, cough, and fatigue can be signs of pneumonia, a condition which can present an urgent danger to the patient. This differential is a Do-Not-Miss selection because it can range in severity and acuteness. Depending on when it is diagnosed, it can require more caretaking and a higher level of treatment. |
Other Differentials
You were asked to select other potential differential diagnoses that you thought were applicable to the case. Review the list of differential diagnoses below and compare your answers to Diana’s list. Your selections in this section are not automatically scored by the simulation, but your instructor may choose to grade this list.
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| Differential | Student Rationale | Model Rationale |
|---|---|---|
|
persistent cough | The patient’s cough, fever, and cold symptoms can be signs of bronchitis. |
|
fatigue, sore throat, and exposure to sick people at work | Fatigue, sore throat, fever, and cough can be signs of Influenza. Exposure to other ill contacts can be a risk factor. Introduction to Advanced Diagnostics Tanner Bailey |
|
fatigue, sore throat, tonsils 3+, painful swallow, tender anterior cervical lymph nodes | Though this condition can present without fever, fatigue and sore throat can be signs of. |
Upper Respiratory Infection
|
sore throat, fever, exposure to sick people at work Introduction to Advanced Diagnostics Tanner Bailey | Sore throat, fever, and dry cough, can be signs of Upper Respiratory Infection. Exposure to other ill contacts can be a risk factor. |
Test Linking : 3 of 3 (100.0%)
In this activity, you were asked to link each selected diagnostic test to a differential it helps to investigate.
Review the most appropriate diagnostic test selections below. Correct selections have been marked with a , while selections you missed have been marked with a .
| Test | Student Rationale | Model Rationale |
|---|---|---|
| x Nasopharyngeal Qualitative PCR You Selected: xx
|
fever, cough, sore throat, fatigue, loss of appetite. A x Nasopharyngeal Qualitative PCR is appropriate to rule out the diagnosis of x timely due to its high specificity and sensitivity | x: A x Nasopharyngeal Qualitative PCR is useful in ruling in or out a diagnosis of x in a timely manner and with appropriate levels of specificity and sensitivity. |
| x You Selected: x
|
cough, fever, and fatigue. The Rapid Influenzatest is the appropraite diagostic test to rule out x | x : A rapid influenza diagnostic test is useful in ruling in or out a diagnosis of x. |
| xTest You Selected: x
|
cough, fever, and fatigue, sore throat. The Rapid Strep Test has high sensitivity in diagnosing x. | x : A rapid strep test is useful in ruling in or out a diagnosis of strep. A rapid x test will generally have both high specificity and high sensitivity. Introduction to Advanced Diagnostics Tanner Bailey |
