Conditions of the Gastrointestinal and Genitourinary Systems Tina Jones shadow health Differential Selection

Differential Selection : 2 of 2 (100.0%)

In this 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 Conditions of the Gastrointestinal and Genitourinary Systems Tina Jones shadow health Differential Selection.

Do Not Miss	Student Rationale	Model Rationale
XXX You scored: 1 out of 1 Great job! You correctly identified this diagnosis as do not miss.	the patient is sexually active , the patient is of child bearing age, having unprotected sex	This differential must be considered because the patient is a sexually active woman of childbearing age. Determining whether the pregnancy is intrauterine or extrauterine is of critical importance. If gone untreated, an ectopic pregnancy can cause serious blood loss, organ damage, or other life-threatening conditions.
XXXX You scored: 1 out of 1 Great job! You correctly identified this diagnosis as do not miss.	pain in the lower abdomen, urination urgency Conditions of the Gastrointestinal and Genitourinary Systems Tina Jones shadow health Differential Selection	Fever and urgency of urination can all be signs of a more developed urinary tract infection or sudden and severe onset of XXX. This infection requires immediate treatment to ensure the health of the kidneys and safety of the patient.

Do Not Miss

Student Rationale

Model Rationale

XXX

You scored: 1 out of 1
Great job! You correctly identified this diagnosis as do not miss.

the patient is sexually active , the patient is of child bearing age, having unprotected sex

This differential must be considered because the patient is a sexually active woman of childbearing age. Determining whether the pregnancy is intrauterine or extrauterine is of critical importance. If gone untreated, an ectopic pregnancy can cause serious blood loss, organ damage, or other life-threatening conditions.

XXXX

You scored: 1 out of 1
Great job! You correctly identified this diagnosis as do not miss.

pain in the lower abdomen, urination urgency Conditions of the Gastrointestinal and Genitourinary Systems Tina Jones shadow health Differential Selection

Fever and urgency of urination can all be signs of a more developed urinary tract infection or sudden and severe onset of XXX. This infection requires immediate treatment to ensure the health of the kidneys and safety of the patient.

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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.

Differential	Student Rationale	Model Rationale
XX Great job! This is an applicable diagnosis, given the patient case details and provider notes.	burning with urination, urinary urgency Conditions of the Gastrointestinal and Genitourinary Systems Tina Jones shadow health Differential Selection	According to The American Urological Association, a shorter distance between the anus and the urethra makes cystitis extremely common in women. Comorbidities, such as diabetes, and recent sexual intercourse can increase the risk of cystitis. The patient’s discomfort, urgency of urination, burning with urination, and lower abdominal pain are common signs of a urinary tract infection.
XX Great job! This is an applicable diagnosis, given the patient case details and provider notes.	urinary urgency, abdominal pain	While most common symptoms of XXX include renal colic and hematuria, patients can also present with unspecified abdominal pain or frequency and urgency of urination.
XXX Great job! This is an applicable diagnosis, given the patient case details and provider notes.	patient reports history of PCOS, lower abdominal pain, and aptient is of reproductive age	This selection is a plausible differential as evidenced by the patient’s history of polycystic ovary syndrome (PCOS), lower abdominal pain, and reproductive age. Treatment may vary depending on the severity of the patient’s condition.
XXX Great job! This is an applicable diagnosis, given the patient case details and provider notes.	the patient is having pain with urination, indulges in unprotected sex, lower abdominal pain	This differential must be considered given the patient’s potential exposure to XXX due to recent unprotected sex with her boyfriend. Painful urination, and lower abdominal pain can be signs of a sexually transmitted infection.

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
XXX You scored: 1 out of 1 Great job! You correctly identified this diagnosis as do not miss.	the patient is sexually active , the patient is of child bearing age, having unprotected sex	This differential must be considered because the patient is a sexually active woman of childbearing age. Determining whether the pregnancy is intrauterine or extrauterine is of critical importance. If gone untreated, an ectopic pregnancy can cause serious blood loss, organ damage, or other life-threatening conditions.
XXXX You scored: 1 out of 1 Great job! You correctly identified this diagnosis as do not miss.	pain in the lower abdomen, urination urgency	Fever and urgency of urination can all be signs of a more developed urinary tract infection or sudden and severe onset of XXX. This infection requires immediate treatment to ensure the health of the kidneys and safety of the patient.