In this activity, you were asked to choose the most appropriate, cost effective, least invasive diagnostic tests to order to help rule in or rule out a diagnosis.
Review the list of appropriate tests below. Correct selections have been marked with a , while selections you missed have been marked with a Tanner Bailey Shadow Health – Introduction to Advanced Diagnostics .
Selected Test | Student Rationale | Model Rationale |
---|---|---|
xxx
|
cough, fever, fatigue, sore throat, loss of appetite Tanner Bailey Shadow Health – Introduction to Advanced Diagnostics | Currently, the rapid COVID-19 Nasopharyngeal Qualitative PCR is a more accurate testing option appropriate for Tanner’s presentation. It is usually available exclusively at hospitals, medical offices, and departments of health. While it is available at the Shadowville clinic, it may not be available at all clinics, so you should be prepared to consider other kinds of tests such as the COVID-19 nasal swab that requires 24-72 hours in order to receive results. This a rapidly changing clinical situation, but this selection is up to date according to the CDC’s Test for Current Infection COVID-19 guidelines as of July 2020. |
xxx
|
cough, fatigue, fever | The selection of this diagnostic test for detecting Group A or B Influenza is supported by the patient’s acute respiratory condition, their medical history, and the list of differential diagnoses. The Infectious Diseases Society of America recommends testing for Influenza if the clinical features resemble “nonspecific respiratory illness (eg, cough without fever)” or “acute onset of respiratory symptoms with or without fever.” |
xx
|
cough, fever, fatigue Tanner Bailey Shadow Health – Introduction to Advanced Diagnostics | According to the “Infectious Diseases Society of America Clinical Practice Guideline for the Diagnosis and Management of Group A Streptococcal Pharyngitis” (2012), in the absence of viral signs and symptoms, clinical examinations are not reliable enough to differentiate between viral pharyngitis and streptococcal pharyngitis, which may require different treatment plans or clinical management. The selection of this diagnostic test for detecting Group A Streptococcus bacteria with a throat swab is supported by the patient’s condition, their medical history, and the list of differential diagnoses. |
In this activity, you considered the results of the diagnostic tests you ordered and all of the data collected to make your final evidence-based diagnosis. Review the correct diagnosis below.
Diagnosis | Student Rationale | Model Rationale |
---|---|---|
xxx
|
The patient has a positive xxx test, has a cough, fever, fatigue and sore throat | Patient is experiencing body aches, fatigue, persistent dry cough, headache, sore throat, and fever. RIDT reading supports a diagnosis of xx. Tanner Bailey Shadow Health – Introduction to Advanced Diagnostics |