Reference no: EM134012756

Question

As a certified FNP, you hold an Illinois and Wisconsin RN/APRN license. You are asked to float to an Illinois clinic during your next weekend to work. You have a 53-year-old African American female who hands you her new Illinois Medicaid insurance card and presents to the clinic today with complaints of a persistent non-productive cough, causing insomnia. She denies chest pain and has mild shortness of breath exacerbated with activity. She has a past medical history of asthma, unmanaged hypertension, and sickle cell trait. She is currently taking no medications and has a penicillin allergy.

1. What are three differential diagnosis?

2. What are the normal, abnormal, and atypical findings that can support the differential diagnoses?

3. What are the appropriate screening tools to develop a final diagnosis?

4. What is the final diagnosis?

5. What additional diagnostic and/or screening tests would you order to establish to confirm a primary (final) diagnosis.

6. What are the management options for this case ? (based on accessibility, coordination, safe and cost-effective equitable healthcare and prescription treatment options based on the Illinois Medicaid Preferred Drug List formulator restrictions for this patient's insurance coverage)

7. What are the challenges in meeting this patient care needs with insurance coverage limitations and/or restrictions?