92 y/o African American male is brought to the Emergency Department by his daughter. The patient has slurred speech. His blood pressure is 210/100.

To prepare:

· By Day 1 of this week, your Instructor will assign a patient profile for this Assignment.  Note: Please see the  Course Announcements section of the classroom for your patient profile Assignment. 

· Review this week’s Learning Resources. 

· Review the details of the patient case study. 

· Consider what physical exams and diagnostic tests would be most appropriate to gather more information about the patient’s condition. 

· Reflect on how the results would be used to make a diagnosis. 

· Identify  three to five (3–5) possible conditions that may be considered in a differential diagnosis for the patient. 

Assignment: Diagnostic Reasoning 

Include the following: 

· Identify the patient’s chief complaint. 

· Identify what physical exams and diagnostic tests would be most appropriate to gather more information about the patient’s condition. Be specific and explain your reasoning. 

· Explain how the results would be used to make a diagnosis. 

· Identify  three to five (3–5) possible conditions that may be considered in a differential diagnosis for the patient. Explain your thinking.

· Ball, J. W., Dains, J. E., Flynn, J. A., Solomon, B. S., & Stewart, R. W. (2023).  Seidel’s guide to physical examination: An interprofessional approach (10th ed.). Elsevier Mosby. 

· Chapter 3, “Examination Techniques and Equipment”  This chapter explains the physical examination techniques of inspection, palpation, percussion, and auscultation. This chapter also explores special issues and equipment relevant to the physical exam process. 

· Sullivan, D. D. (2019). Guide to clinical documentation (3rd ed.). F. A. Davis Company. 

· Chapter 2, “The Comprehensive History and Physical Exam”  

· i-Human Patients. (2023).  i-Human Patients case player student manual  Download i-Human Patients case player student manual. i-Human Patients by Kaplan. (PDF)

Note: These readings are intended to serve as supplementary to the Lecturio content and required textbook readings provided in this course. Please refer/review these supplementary resources should you need help in reinforcing concepts and in preparation for completing this week’s Assessments. 

· Ball, J. W., Dains, J. E., Flynn, J. A., Solomon, B. S., & Stewart, R. W. (2019).  Student checklist: Health history guide  Download Student checklist: Health history guide. In  Seidel’s guide to physical examination (9th ed.). Elsevier Mosby. Credit Line: Seidel’s Guide to Physical Examination, 9th Edition by Ball, J. W., Dains, J. E., Flynn, J. A., Solomon, B. S., & Stewart, R. W. Copyright 2019 by Elsevier Health Sciences. Reprinted by permission of Elsevier Health Sciences via the Copyright Clearance Center. 

· Dains, J. E., Baumann, L. C., & Scheibel, P. (2019).  Advanced health assessment and clinical diagnosis in primary care (6th ed.). Elsevier Mosby. Credit Line: Advanced Health Assessment and Clinical Diagnosis in Primary Care, 6th Edition by Dains, J. E., Baumann, L. C., & Scheibel, P. Copyright 2019 by Mosby. Reprinted by permission of Mosby via the Copyright Clearance Center. 

· Chapter 1, “ Clinical Reasoning, Evidence-Based Practice, and Symptom Analysis  Download Clinical Reasoning, Evidence-Based Practice, and Symptom Analysis”  This chapter introduces the diagnostic process, which includes performing an analysis of the symptoms and then formulating and testing a hypothesis. The authors discuss how becoming an expert clinician takes time and practice in developing clinical judgment. 

· Nyante, S. J., Benefield, T. S., Kuzmiak, C. M., Earnhardt, K., Pritchard, M., & Henderson, L. M. (2021).  Population‐level impact of coronavirus disease 2019 on breast cancer screening and diagnostic proceduresLinks to an external site. .  Cancer, 127(12), 2111–2121. https://doi.org/10.1002/cncr.33460