What is your working differential diagnoses

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Case Study: Childhood Asthma Worksheet

Case Story: Emilie is a 3year old African American female coming into clinic for annual visit. She started day care a month ago, as mom had returned to work. Mom tells you she is concerned that Emilie wakes up coughing at night almost every night since starting day care and wants you to check the rash on her elbows.

1. What is your working differential diagnoses? You must list a minimum of five possibilities.

2. What are the red flag diagnoses you must keep in mind for this case?

3. What are five history questions you could ask to narrow your differential?

4. What focused physical exam will complete today?

5. What initial diagnostics will you order? Consider the patient's insurance coverage, costs of the test, along with the risk or benefits for anything you order. Limit your initial work-up to not more than five items. Note: Routine blood tests including CBC, CMP, UA, AIC, Lipid panel, and preventive screenings such as an HIV test count as one item.

6. What is your primary working diagnosis.

7. What is your treatment plan today?

8. What would justify sending the patient from the clinic visit to a higher level of care? Consider a specialty referral vs the hospital emergency department?

Reference no: EM133989186

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