Overview
After studying Module 3: Lecture Materials & Resources, review the following clinical cases. Once you have received your assigned case number, work collaboratively with your group to analyze the case and address the discussion prompts below.
For this discussion, you will take on the role of a clinician responsible for building a focused health history. Your instructor will assign you a case number. Work collaboratively with your group to analyze your assigned case and respond to the discussion prompts below.
Note: Your instructor will manually assign you to a Case Group and assign a leader for each group. The group leader will make the initial post on behalf of your entire group. Each student is responsible for making two individual reply posts.
Assignment Structur
Your group will review the case assigned by your instructor and respond to both prompt sets:
- Prompt Set 1: Skin, Eye, & Ear Disorders
Prompt 1: Case 3: Red Left Eye and Edematous Eyelids
| Chief Complaint | An 11-year-old female patient complains of red left eye and edematous eyelids. Her mother states the child complains of “sand in my left eye.” |
|---|---|
| Subjective | Patient noticed redness three days ago. Denies having any allergies. Symptoms have gotten worse since she noticed having the problem. |
| Vital Signs | (T) 98.2°F; (RR) 18; (HR) 78; (BP) 128/82; SpO2 96% room air; weight 110 lb. |
| General | well-developed, healthy, 11 years old |
| Head, Eyes, Ears, Nose & Throat (HEENT) | EYES: very red sclera with dried, crusty exudates; unable to open eyes in the morning with the left being worse than the right |
| Skin | No rashes. |
| Neck/Throat | No neck swelling or tenderness with palpation; neck is supple; no JVD; thyroid is not enlarged; trachea midline. |
Discussion Prompts
Prompt Set 1: Skin, Eye, & Ear Disorders
Based on your assigned case, collaboratively address the following questions:
- What other subjective data would you obtain?
- What other objective findings would you look for?
- What diagnostic exams do you want to order?
- Name three differential diagnoses based on this patient’s presenting symptoms.
- Provide rationales for each differential diagnosis.