Wilfred, COPD exacerbation [SCL002US] Oxford Medical Simulation 2024 with complete solution
Outpatient follow-up of a 72 year old gentleman who presents with a persistent, productive cough for the past four days with fever.
Wilfred, COPD exacerbation [SCL002US] Oxford Medical Simulation 2024 with complete
solution Wilfred, COPD exacerbation [SCL002US] Oxford Medical Simulation 2024 with complete
solution
Wilfred, COPD exacerbation [SCL002US] Oxford Medical Simulation 2024 with
complete solution
Learning Objectives
Diagnosis
COPD exacerbation
Case Summary
Outpatient follow-up of a 72 year old gentleman who presents with a
persistent, productive cough for the past four days with fever.
Clinical Findings
Persistent, productive cough for past four days
Fever
Activity intolerance due to dyspnea
Diagnosed and treated for pneumonia twice in last year
Diagnosed with COPD 14 years agoExpected learner actions
Assessments
Identify an appropriate assessment plan for Wilfred
Obtain focused history appropriate for respiratory presentation
Perform appropriate focused episodic physical exam
Initial Investigations
Evaluate presenting vital signs
Perform appropriate in-office therapies Refer to relevant specialistsManagement
Identify a differential diagnosis list
Follow-up on screening tests
and diagnostic tests
Identify appropriate follow-up treatment
Inform Wilfred of findings and follow-up treatment
What went well - critical aspects
Presenting situation
Your reviewed Wilfred's presenting situation, giving you valuable insight about why he's come to see you00:20 CriticalShow rationale
ScholarshipInformaticsSystems-Based PracticeKnowledge for PracticeQuality & Safety Pre-screening: Vital signs
Wilfred's current vital signs help to determine his current health status00:23 CriticalShow rationale
ScholarshipInformaticsSystems-Based PracticeKnowledge for PracticeQuality & Safety
Reason for visit
You asked about Wilfred's reason for visit, allowing you to focus your time together01:18
Show rationale CriticalProfessionalismSystems-Based PracticeKnowledge for PracticeQuality & Safety
Person-Centered Care
Transfer to ER
You correctly helped to facilitate a transfer to hospital for Wilfred01:18
Show rationale CriticalProfessionalismSystems-Based PracticeKnowledge for PracticeQuality & Safety
Person-Centered Care
Blood gas
You ordered a blood gas - a key measurement for glycemic control and should be regularly reviewed02:31
Show rationale Critical
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