Case Analysis Tool Worksheet Student's Name: I. Epidemiology/Patient Profile Name: Althea Age: 5 years old Chronic dx: No history of any chronic disease Smoking: No history of smoking either actively or passively. II. Prioritized Cues from Hx and PE.(Do not include lab, x-‐ray, or other diagnostic test results here.) • Tier 1: The cues (may be positive or negative) that contribute most to the diagnosis of the active problem. • Tier 2: These are cues of intermediate importance (list only positive cues). • Tier 3: Of least importance (list only positive cues). Tier 1Tier 2Tier 3 Dry coughOtitis mediaColic Sore throat Fever with temperature of 38.6 Mouth petechiae appears on soft palate and oropharynx- erythematous having patchy white exudate on tonsils. Enlarged anterior cervical lympnodes bilaterally measuring 1cm by 1 cm. The uvula is also inflammed but in the midline. Rash on the patient’s chest and abdomen and consists of numerous rough feeling papule. Mild tarchycardia but no murmur. Her heart rythm is normal. Negative symptoms she does not have ear pain, nausea, rhinorrhea, diarrhea, vomiting or any breathing problems. III. Problem Statement Althea is a 5-year-old female who has been healthy until two days ago when she started complaining of fever. She also has a history of a sore throat, mild abdominal pains, dry cough, headache and decreased appetited. She arrived at thehospital accompanied by her mother mainly because of fever and a sore throat. Athea’s friend at school is being treated for streptococcal throat infection. On performing a physical examination on Althea, the nose was clear with no rhinorrhea, the soft palate mouth petechie, oropharynx was erythematous having patchy white exudate on the tonsils. The tonsils were moderately swollen and
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