Case Study Video Assignment Paper
Case Study Video Assignment Paper
Students will watch the video and fill in the blanks on the documentation.Case Study Video Assignment Paper
Complete the SOAP Note. (We have given the history on this note).
Describe 3 of the highest possible differential diagnosis. Rule-in and Rule-out each diagnosis. Example: If a patient presents with a painful knee and your top differentials are osteoarthritis, ACL, and Fracture, you would find Evidence to prove that each of those are possible diagnosis.Case Study Video Assignment Paper For osteoarthritis: Rule in: What signs and symptoms match what the patient has. Give the evidence (from peer reviewed based information) to show that the symptoms match. Then rule out: What is lacking to show this is the actual diagnosis? You must prove your thoughts with peer reviewed information
Complete the Illness script for 3 differential diagnosis.
SUBJECTIVE:
CC
HPI – 19-year-old established patient accompanied by her roommate for complaint of abdominal pain that is increasing in pain.Case Study Video Assignment Paper
Onset –
Location-
Duration –
Character –
Aggravating factors –
Alleviating factors –
Timing –
Severity –
PMH – A hx of dysmenorrhea. Treated with ortho-cyclin since age 15 years which has been effective for tx of dysmenorrhea. Patient ran out of ortho-cyclin 2 months ago and has not follow-up for a prescription refill.
Medications – Past – Ortho-cyclen. Occasional Tylenol for headache, fever, discomfort…
Mother- 45 years Hx of HTN, and hyperlipidemia. Hysterectomy at age 30 due to ovarian cancer.
Father – 45 years Hx of DM II
Sister – age 28 – healthy
Brother – age 25 – diagnosed with bipolar disease dx at age 18 years.
MGM – Deceased at age 60 – breast cancer, hx of HTN
MGF – 65 years, Alive, HTN, Hyperlipidemia
PGM – History not known
PGF – History not known
PSH-Appendectomy 1 year ago, no hospitalizations, Vaginal delivery with no complications
Social hx: Attending TTU for elementary education. Active in her church.
G0, P0 Last menstrual cycle 1 month ago. Is sexually active with 2 partners. Uses a condom most of the time. Admits to oral and vaginal intercourse.Case Study Video Assignment Paper
ROS:
OBJECTIVE DATA
Assessment
Plan: What tests will you run (give rationale)
Illness Scrip Differentiate #1
Epidemiology
Time Course
Clinical Presentation
Pathophysiology
Lab
Imaging
Illness Scrip Differentiate #2
Epidemiology
Time Course
Clinical Presentation
Pathophysiology
Lab
Imaging
Illness Scrip Differentiate #3
Epidemiology
Time Course
Clinical Presentation
Pathophysiology
Lab
Imaging
Maggie Smith Case #2 & #3
Maggie Smith Case #2 & #3
Criteria Ratings Pts
This criterion is linked to a Learning OutcomeSubjective
Includes Appropriate CC, History of Present Illness, Personal and Family History, medications, Allergies, and ROS. Includes VS and Exam description. Written appropriately for a SOAP Note
35.0 pts
26-35 points
Student includes all pertinent Subjective information and does not include Objective information. Terminology and writing is appropriate for SOAP note.Case Study Video Assignment Paper
30.0 pts
25-30 points
A portion of the subjective information is not included or a portion of the objective information is included. Terminology and writing is lacking for SOAP note.
25.0 pts
0-25 points
A large portion of the Subjective information is missing or a large amount of Objective information is included. Terminology and writing is poor for SOAP note.Case Study Video Assignment Paper
35.0 pts
This criterion is linked to a Learning OutcomeObjective information
Includes VS and Exam description.Written appropriately for a SOAP Note
35.0 pts
26-35 points
Student includes all pertinent Objective information and does not include Subjective information. Terminology and writing is appropriate for SOAP note.Case Study Video Assignment Paper
30.0 pts
25-30 points
A portion of the Objective information is not included or a portion of the Subjective information is included. Terminology and writing is lacking for SOAP notes.
25.0 pts
0-25 points
A large portion of the Objective information is not included or a large amount of Subjective information is included. Terminology and writing is poor for SOAP note.Case Study Video Assignment Paper
35.0 pts
This criterion is linked to a Learning OutcomeAssessment
The Assessment is written with correct terminology for this case
10.0 pts
8-10 points
The Assessment is written correctly for this case with demonstration of fair understanding of a SOAP note and with correct terminology.Case Study Video Assignment Paper
7.0 pts
4-7 points
The Assessment is written correctly for this case with demonstration of good understanding of a SOAP note and with correct terminology.
3.0 pts
0-3 point
The Assessment is written correctly for this case with demonstration of poor understanding of a SOAP note and with incorrect terminology.Case Study Video Assignment Paper
10.0 pts
This criterion is linked to a Learning OutcomePlan
The Plan for a comprehensive exam should include any follow-up for this patient. Include any future plans for exams, diagnostics, ect…. that might be appropriate.Case Study Video Assignment Paper
10.0 pts
8-10 points
Documentation of an appropriate plan for future diagnostics and or follow-up for this patient. Demonstrates understanding of information to be documented in a plan.Case Study Video Assignment Paper
7.0 pts
4-7 points
Documentation of a plan for future diagnostics and or follow-up for this patient. Demonstrates some understanding of information to be documented in a plan.
3.0 pts
0-3 point
Documentation of a poor plan for future diagnostics and or follow-up for this patient. Demonstrates poor understanding of information to be documented in a plan.
10.0 pts
This criterion is linked to a Learning OutcomeIllness Script
Complete the illness script for 3 priority differentials. Answers should be short, including only pertinent information.Case Study Video Assignment Paper
5.0 pts
4-5 points
Script is completed with pertinent information for 3 differential diagnosis.
3.0 pts
2-3
Script is completed with fair information for 3 differential diagnosis
1.0 pts
0-1 points
The script is poorly written with minimal effort.
5.0 pts
This criterion is linked to a Learning OutcomeScholarly Writing
Writing is written at the graduate level with no spelling errors. Citations and the reference page are written correctly.
5.0 pts
4-5 points
The assignment demonstrates excellent understanding of graduate level work with appropriate language and terminology and no spelling errors. Citations and reference page are written correctly according to APA format.
3.0 pts
2-3 points
The assignment demonstrates fair understanding of scholarly writing with good grammar and appropriate medical terminology. Few spelling errors <3.
1.0 pts
0-1 points
The assignment demonstrates poor understanding of scholarly writing with poor grammar and inappropriate medical terminology. More than 3 spelling errors.Case Study Video Assignment Paper