Differential Selection : 2 of 2 (100.0%)

In this Introduction to Advanced Diagnostics activity, Tanner Bailey was tasked with identifying the essential differential diagnoses to investigate for ensuring patient safety. The simulation automatically evaluated Tanner based on whether the appropriate list of Do-Not-Miss diagnoses was identified.

Review the list of most appropriate Do-Not-Miss diagnoses below. Correct selections have been marked with a check, while missed selections have been marked with an “X.”

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– Do Not Miss:
– COVID-19
– You scored: 1 out of 1
– Great job! You correctly identified this diagnosis as do not miss.
– Student Rationale: Fatigue, cough, fever, sore throat, loss of appetite, and contact with sick people at work.

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– Model Rationale: Fatigue, sore throat, fever, and cough can be signs of COVID-19. Exposure to COVID-infected contacts can be a risk factor.
– Pneumonia
– You scored: 1 out of 1
– Great job! You correctly identified this diagnosis as do not miss.
– Student Rationale: Fever, cough, and fatigue.
– Model Rationale: Fever, cough, and fatigue can be signs of pneumonia, which can present an urgent danger to the patient. This differential is a Do-Not-Miss selection due to its varying severity and acuteness, requiring different levels of caretaking and treatment based on when it is diagnosed.

Other Differentials

Tanner was also asked to select other potential differential diagnoses applicable to the case. The following differentials were considered:

– Persistent Cough
– Great job! This is an applicable diagnosis given the patient case details and provider notes.
– Student Rationale: Persistent cough.
– Model Rationale: The patient’s cough, fever, and cold symptoms can be signs of bronchitis.
– Influenza
– Great job! This is an applicable diagnosis given the patient case details and provider notes.
– Student Rationale: Fatigue, sore throat, and exposure to sick people at work.
– Model Rationale: Fatigue, sore throat, fever, and cough can be signs of influenza. Exposure to other ill contacts can be a risk factor.
– Upper Respiratory Infection
– Great job! This is an applicable diagnosis given the patient case details and provider notes.
– Student Rationale: Fatigue, sore throat, tonsils 3+, painful swallow, tender anterior cervical lymph nodes.
– Model Rationale: Though this condition can present without fever, fatigue, and sore throat can be signs of an upper respiratory infection.
– Upper Respiratory Infection
– Great job! This is an applicable diagnosis given the patient case details and provider notes.
– Student Rationale: Sore throat, fever, exposure to sick people at work.
– Model Rationale: Sore throat, fever, and dry cough can be signs of an upper respiratory infection. Exposure to other ill contacts can be a risk factor.

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Test Linking: 3 of 3 (100.0%)

In this activity, Tanner was asked to link each selected diagnostic test to a differential it helps to investigate.

Review the most appropriate diagnostic test selections below. Correct selections have been marked with a check, while missed selections have been marked with an “X.”

Test Linking:

– Nasopharyngeal Qualitative PCR
– You scored: 1 out of 1
– Great job! You linked this test to an applicable diagnosis.
– Student Rationale: Fever, cough, sore throat, fatigue, loss of appetite. A Nasopharyngeal Qualitative PCR is appropriate to rule out the diagnosis of X timely due to its high specificity and sensitivity.
– Model Rationale: A Nasopharyngeal Qualitative PCR is useful in ruling in or out a diagnosis of X in a timely manner and with appropriate levels of specificity and sensitivity.
– Rapid Influenza Test
– You scored: 1 out of 1
– Great job! You linked this test to an applicable diagnosis.
– Student Rationale: Cough, fever, and fatigue. The Rapid Influenza test is the appropriate diagnostic test to rule out X.
– Model Rationale: A rapid influenza diagnostic test is useful in ruling in or out a diagnosis of X.
– Rapid Strep Test
– You scored: 1 out of 1
– Great job! You linked this test to an applicable diagnosis.
– Student Rationale: Cough, fever, and fatigue, sore throat. The Rapid Strep Test has high sensitivity in diagnosing X.
– Model Rationale: A rapid strep test is useful in ruling in or out a diagnosis of strep. A rapid X test will generally have both high specificity and high sensitivity.

Tanner Bailey Introduction to Advanced Diagnostics

In this Introduction to Advanced Diagnostics Tanner Bailey 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 .

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.

In this activity, you were asked to link each selected diagnostic test to a differential it helps to investigate.

Review the most appropriate diagnostic test selections below. Correct selections have been marked with a , while selections you missed have been marked with a .