I Human Case Cindy Wagoner 57 Year Old Female Chief Complaint:
Progressively Worsening Sharp Stabbing Chest Pain Week #3
Performance Overview for AA on case Cindy Wagoner
The following table summarizes your performance on each section of
the case, whether you completed that section or not.
Time spent: 1dy 13hr 58min 29sec
Status: Submitted
Your Score Time spent
Case Section Status Performance Details
History Done 63% 12hr
60 questions asked, 22 correct, 13 missed relative
5mi
to the case'slist
n 12sec
Physical exams Done 83% 53 exams performed, 19 correct, 1
13hr
partially correct, 0 missed relative to the
52min
case's list
55sec
Done 14 findings listed; 16 listed by the case
Key findings
34min 40sec
organization
Done 1hr 150 words long; the case's was 117 words
Problem
9mi
statement
n 29sec
Differentials Done 88%
13 items in the DDx, 7 correct, 1
13min 14sec
missed relative to the case'slist
Differentials Done 88% 7min
ranking (lead/alt 38sec
score)
88%
(must
not miss
score)
Tests Done 89%
10 tests ordered, 8 correct, 1 missed
50min 23sec
relative to the case's list
Diagnosis Done 100% 21sec
Done 1645 words long; the case's was 79 words
Management
46min 0sec
plan
Use this worksheet to organize your thoughts before developing a
differential diagnosis list.
1. Indicate key symptoms (Sx) you have identified from the history. Start with the
patient's reason(s) for the encounter and add additional symptoms obtained from
further questioning.
2. Characterize the attributes of each symptom using "OLDCARTS". Capture the
details in the appropriate column and row.
3. Review your findings and consider possible diagnoses that may correlate with these
symptoms.(Remember to consider the patient's age and risk factors.) Use your
ideas to help guide your physical examination in the next section of
the case.
Sx Sx Sx Sx Sx
HPI Sx = chest pain
= = = = =
Onset 2.5 hours ago
Location deepin chest, pierces
through back
Duration
Characteristics worsens with deep inspiration
Aggravating worsens when laying
down, moving, and
breathing
Relieving eased pain when leaning
forward
Timing /
Treatments
Severity 8/10
AA
Problem Statement by AA on case Cindy Wagoner
The patient presenting to the ER is a 57-year-old female complaining of
progressively worsening chest pain whose onset was 2.5 hours ago. The pain gets
to pierce through her back with inspiration. Pain is partially relieved by sitting up
and leaning forward. On exam, pain severity is 8/10, patient is febrile, shallow respirations
at normal rate, low-normal oxygen saturation, and has pericardial friction rub.
Patient is ten days status post inferolateral wall STelevation MI with PCI/stenting
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