Located in the topic Resources. Discuss your observations. What questions did the videos raise for further exploration? Explain what else you would add to the examination and patient interaction activities. Support your response with a minimum of two APRN-approved scholarly resources.

Located in the topic Resources. Discuss your observations. What questions did the videos raise for further exploration? Explain what else you would add to the examination and patient interaction activities. Support your response with a minimum of two APRN-approved scholarly resources.

Located in the topic Resources. Discuss your observations. What questions did the videos raise for further exploration? Explain what else you would add to the examination and patient interaction activities. Support your response with a minimum of two APRN-approved scholarly resources.

Discussion Question

The Medical H and P videos on creating differential diagnoses have enlightened me on the standard format of writing the patient’s history and physical exam. I have learned that the H and P reporting section should have the history, physical exam, and diagnostics. The patient history should comprise the informant, chief complaint, history of present illness, past medical history, medications, drug allergies, social history, family history, and review of systems. In addition, the physical exam should have the patient’s general appearance, vital signs, and organized head-to-toe exam findings. Diagnostics should include lab and imaging results, and only binary results should be indicated as negative or positive. I have also learned that an interpretation list should be included and should have the differential diagnosis with an explanation as well as the diagnostic, therapeutic, and educational plans for the identified diagnosis.

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The video states that each problem identified should have diagnostic, therapeutic, and health education plans. However, this raises the question of the importance of having all the plans for each differential diagnosis despite having identified the primary diagnosis. There is a need to explore if writing the plans for each problem is necessary since some of the plans will be irrelevant when the primary diagnosis is already identified.

In addition to the information from the video, I would add that the physical exam should contain the patient’s anthropometric measurements, which include height, weight, MUAC (for children under 5), and BMI. The measurements assess patients’ nutritional and health status, which every examiner should establish at the beginning of the physical exam (Bhattacharya et al., 2019). The video states that the physical exam should be tailored to the chief complaint. However, I would say that it is crucial to have the cardiovascular and respiratory system exam findings. This helps establish if a patient has any underlying conditions affecting the two systems, which may not always be evident to the patient. Carter et al. (2019) assert that respiratory diseases are independently associated with cardiovascular diseases, contributing significantly to overall mortality.

References

Bhattacharya, A., Pal, B., Mukherjee, S., & Roy, S. K. (2019). Assessment of nutritional status using anthropometric variables by multivariate analysis. BMC public health, 19(1), 1-9. https://doi.org/10.1186/s12889-019-7372-2

Carter, P., Lagan, J., Fortune, C., Bhatt, D. L., Vestbo, J., Niven, R., Chaudhuri, N., Schelbert, E. B., Potluri, R., & Miller, C. A. (2019). Association of Cardiovascular Disease With Respiratory Disease. Journal of the American College of Cardiology, 73(17), 2166–2177. https://doi.org/10.1016/j.jacc.2018.11.063

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Refer to “The Medical H and P” and “How to Create a Differential Diagnosis” videos, located in the topic Resources. Discuss your observations. What questions did the videos raise for further exploration? Explain what else you would add to the examination and patient interaction activities. Support your response with a minimum of two APRN-approved scholarly resources.

https://www.youtube.com/watch?v=0BfkBC34U38

https://www.youtube.com/watch?v=OnAOcZOqlMQ

https://www.youtube.com/watch?v=n48zY7GLqc0