IHUMAN CASE STUDY FOR WEEK 9:26
year-old PATIENT:FREQUENT SEVERE
HEADACHES IN OUTPATIENT CLINIC
LATEST 2024
,Case Instructions:
• Mode: This is a learning mode case where feedback is
provided after submitting each section. A final
performance overview is generated at the end of the case.
• Attempts: Only 1 attempt is allowed for the assignment.
• Grading Rubric:
o History: 40%
o Physical exam: 40%
o Plan: 20% (scored fully)
Patient Information (likely a simulated case):
• Patient: Female, 29 years old, 5'2" (157 cm), 122 lbs
(55.4 kg)
• Reason for Encounter: More frequent severe
headaches.
• Location: Outpatient clinic.
The case appears to be set up for a clinical learning exercise
focused on diagnosing and treating the patient's condition
based on her history, physical exam, and medical planning.
Case Information:
• H&P+Dx Case Play Setup: This is a clinical case where
the focus is on gathering patient history (H), conducting
a physical examination (P), and formulating a diagnosis
(Dx). The case is designed to simulate a real-world
outpatient encounter.
• Mode: The assignment is in Learning Mode, which
typically means that feedback will be provided in real
time as you go through different sections, such as patient
, history, physical exam, and diagnosis formulation. This
helps reinforce learning by guiding you through the case
with immediate insights on what you did correctly or
incorrectly.
• Attempts Available: You are allowed only one attempt
for this assignment. This means you need to approach the
case carefully, as there won’t be another chance to revise
or correct mistakes once the case is completed.
• Grading Rubric: The total grade for the case is
distributed as follows:
o History (40%): This portion will evaluate your
ability to take a thorough and relevant patient
history. You will need to ask the right questions to
uncover information necessary for a diagnosis (e.g.,
onset of headaches, duration, associated symptoms,
triggers, etc.).
o Physical Exam (40%): Here, your ability to
perform and document a comprehensive physical
exam is tested. You need to correctly assess and
interpret clinical findings that could provide clues
for the diagnosis.
o Plan (20%): The final part of your evaluation
includes formulating a diagnostic and treatment
plan. This involves interpreting the gathered
information to arrive at a diagnosis, ordering
appropriate tests, and proposing management
strategies (e.g., medication, follow-up, or referral).
Patient Details:
• Case #9: This is the 9th case in the series of patient
encounters in the program.
• Patient Demographics:
o Age: 29 years
, o Height: 5’2” (157 cm)
o Weight: 122 lbs (55.4 kg)
o Gender: Female
• Chief Complaint: The patient is seeking care due to
more frequent severe headaches. This suggests that
your task will likely involve understanding the cause of
the headaches, which could range from migraines,
tension headaches, or something more serious like a
neurological condition.
• Location: The encounter is set in an outpatient clinic,
which means the case involves a non-emergency
scenario, where the patient presents with a condition that
requires diagnosis and treatment but isn't life-threatening
at the moment.
Additional Notes:
• The case is authorized by a physician, possibly as part of
a teaching or assessment module for medical students or
healthcare professionals.
Key Focus for Success:
• Thoroughness: Ensuring you ask detailed questions
during the patient history phase, especially about the
headache characteristics (e.g., location, severity,
duration, triggers, associated symptoms).
• Accuracy: Conducting a focused and relevant physical
exam that could reveal underlying causes of headaches
(e.g., neurological signs, eye examination).
• Critical Thinking: Using the information gathered to
formulate a differential diagnosis and select the most
likely condition to explain the symptoms.
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