Diagnostic Clinical Tests

Diagnostic Hypothesis Clinical Clues Important Tests
Leading Hypothesis

Active Alternative – Most Common

1. 2. 
      Other Alternative – Must Not Miss

Use the following table to answer one question for this case study: You can use it as subheadings. This table is only for this part. But not for the Part 2 assignment.

Case 5:

Tony has right ear pain. The pain is sharp and radiates to the inside of his ear. It started after he tried to scratch his ear with a paper clip. There has also been a brownish-red drainage on Tony’s pillow at night since this happened 2 days ago. He has applied hot packs to the right side, but that has increased the pain. He then tried cold packs, which made the pain feel better. Tony does not know if he is having trouble hearing out of that ear because it hurts too much to really tell. On a scale of 1 to 10, he rates the pain as a 9. He has also been taking Tylenol every 3 to 4 hours. Tony denies previous ear infections. His mother used a bobby pin to clean her ears, so Tony thought that a paper clip could be used to scratch his ear.

1. What specific questions would you ask in the HPI including OPQRST, ROS, PMH, PSH, SH and medications and provide rationale. What associated symptoms would you be interested in and why? MLO4.1, CLO1, CLO2, CLO4
2. What focused physical examination would you perform? Describe each area you would examine and why. MLO4.1, CLO1, CLO2, CLO4

Answer just one question and please use some of these required reading as references plus whatever you want to use .

Instructional Materials – Required Readings for this assignment

Edmunds: Section Four pp 151-168 (MLO4.8, CLO4)
Dains: Chapters. 15, 21, 25, 30, 32, 38 (MLO4.1, MLO4.2, CLO2, CLO4)
Cooper & Frain: Chapter 3 (MLO4.1, MLO4.2, CLO 4)
Ball et al.: Chapters 11, 12 and 13 (MLO4.1, MLO4.2, MLO4.3)
Pagana, Pagana & Pagana 588-590 MLO3.5, CLO3

Ball, J. W., Dains, J. E., Flynn, J. A., Solomon, B. S., & Stewart, R. W. (2023). Seidel’s guide to physical examination an interprofessional approach (10th ed.) Elsevier.
Cooper, N., & Frain, J. (Eds.). (2016). ABCs of clinical reasoning. Wiley.
Dains, J. E., Baumann, L.C., & Scheibel, P. (2020). Advanced health assessment and clinical diagnosis in primary
care (6th ed.). Elsevier.
Edmunds, M. W. (2017). Procedures for the primary care provider (3rd ed.). Elsevier.
Gunder, L. M. & Martin, S.A. (2011). Essentials of medical genetics for health professionals. Jones & Bartlett.
Pagana, K.D., Pagana, T.J. & Pagana T.N. (2022). Mosby’s manual of diagnostic and laboratory tests (7th ed.).
Elsevier.
Supplemental Course Materials:
Cohn, E.G. (2012). Flip & see ECG (4th ed.). W.B. Saunders.
Maldonado, D.C. & Ziniga, C. (2019). SOAP for family medicine (2nd ed.). Lippincott Williams & Wilkins

PART 2

1. Your patient has a history of allergic rhinitis. What information in the history would help you differentiate allergy from other causes of nasal congestion? What risk factors should be assessed in the history, and why?
2. You are doing a fundoscopic examination on your patient with Type 2 Diabetes. What ocular findings would you expect to see on an exam?

Please use some of the required readings above for the assignment in the references esp. Ball & Dains ones.