Shadow Health Assignments
Conditions of the cardiovascular system shadow health Differential Selection
Differential Diagnosis Selection: 4 of 4 (100.0%)
In this task, you were required to determine the crucial differential diagnoses to investigate for patient safety. The simulation evaluated whether you correctly identified the list of Do-Not-Miss diagnoses.
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Here is the list of essential Do-Not-Miss diagnoses. Correct selections are marked with a ✓, while missed selections are marked with an ✗.
Do Not Miss Student Explanation Model Explanation
Acute Myocardial Infarction
Your score: 1 out of 1
Well done! You correctly recognized this diagnosis as essential.
The patient reports chest pain during activity that eases with rest. Chest pain during exertion can be a sign of acute myocardial infarction, a condition that poses immediate danger to the patient. Investigating the possibility of acute MI is crucial for patient safety.
Unstable Angina Pectoris
Your score: 1 out of 1
Excellent! You accurately identified this diagnosis as essential.
The patient complains of tight and uncomfortable chest pain. Whenever a patient shows signs of angina, like chest discomfort and tightness, it’s vital to consider the possibility of unstable angina pectoris. This can lead to arrhythmias, myocardial infarction, or even death.
Cardiac Arrhythmia
Your score: 1 out of 1
Well done! You correctly recognized this diagnosis as essential.
The patient experiences chest pain during activity that eases with rest. Elevated heart rate and chest pain are symptoms indicating the potential of cardiac arrhythmia. This condition could place the patient in immediate danger.
Pulmonary Embolism
Your score: 1 out of 1
Excellent! You accurately identified this diagnosis as essential.
The patient reports chest pain, especially with activity that eases with rest. Worsening chest pain with exertion suggests a potential pulmonary embolism. Although PE-related chest pain doesn’t usually improve with rest, it’s essential to investigate due to its high-risk nature.
Other Potential Diagnoses
You were also asked to identify other possible differential diagnoses relevant to the case. Below is the list of potential differential diagnoses you selected, along with a comparison to Diana’s list. Your choices in this section aren’t automatically scored by the simulation, but your instructor might assess them.
Differential Student Explanation Model Explanation
Anemia
Great job! This diagnosis is relevant considering the patient’s case and provider notes.
Based on the patient details and provider notes, this diagnosis seems appropriate. Chest pain can indicate anemia.
Aortic Dissection
You selected this diagnosis as relevant, but the patient case details don’t fully support it.
Based on the patient information and provider notes, this could be a potential diagnosis. However, it’s not the best choice given the scenario.
Coronary Artery Disease with Stable Angina
Great job! This diagnosis is relevant considering the patient’s case and provider notes.
The patient complains of chest pain radiating from their midsternal chest area, relieved by rest. Chest tightness and pain that occurs with exertion and eases with rest suggest stable angina, commonly linked to coronary artery disease.
Costochondritis
Great job! This diagnosis is relevant considering the patient’s case and provider notes.
Provider notes and patient information support this as a possible diagnosis. Costochondritis symptoms include chest pain upon specific movements. Since the patient experiences pain during exertion, costochondritis should be considered as a cause.
Gastroesophageal Reflux Disease (GERD)
Great job! This diagnosis is relevant considering the patient’s case and provider notes.
The patient reports chest pain after consuming a large meal. GI disorders, like GERD, are frequent causes of chest pain. Without further testing, GERD cannot be ruled out. As GERD symptoms mimic cardiac issues, it’s important to consider it as a potential source of discomfort.
Generalized Anxiety Disorder (GAD)
Great job! This diagnosis is relevant considering the patient’s case and provider notes.
The patient reports chest pain in the midsternal area. GAD-related panic attacks can cause chest pain and increased heart palpitations, making patients think they’re having a heart problem. Considering GAD is essential in understanding the patient’s discomfort.
Pneumonia
You selected this diagnosis as relevant, but the patient case details don’t fully support it.
Based on the patient information and provider notes, this diagnosis could be appropriate. Chest pain and an elevated heart rate can indicate pneumonia. Further testing is necessary to confirm or rule out this condition.
Differential Selection : 4 of 4 (100.0%)
In this activity, you were asked to identify which differential diagnoses were essential to investigate to ensure patient safety. You were automatically evaluated by the simulation on whether or not you identified the appropriate list of Do-Not-Miss diagnoses.
Review the list of most appropriate Do-Not-Miss diagnoses below. Correct selections have been marked with a , while selections you missed have been marked with a .
| Do Not Miss | Student Rationale | Model Rationale |
|---|---|---|
Acute Myocardial Infarction
|
The patient states to be experiencing chest pains with activity which relieves with rest. | Chest pain with exertion can be a sign of acute myocardial infarction, a condition which represents an urgent danger to the patient. The possibility of acute MI must be investigated to ensure the patient’s safety. |
Angina Pectoris, Unstable
|
The patient complains of tight and uncomfortable chest pains. | Any time a patient presents with signs of angina, like chest pain and chest tightness, it is important to investigate the possibility of unstable angina pectoris, which can be a precursor of arrhythmias, myocardial infarction, and death. |
Cardiac Arrhythmia
|
The patient experiences chest pains with activity which relieves with rest conditions of the cardiovascular system shadow health Differential Selection | Chest pain and an elevated heart rate are symptoms that indicate the possibility of cardiac arrhythmia, a condition which can put the patient in immediate danger. |
Pulmonary Embolism
|
The patient complains of chest pains especially with activity that relieves with rest. | Chest pain which worsens upon exertion indicates the possibility of a pulmonary embolism. While chest pain from PE is not usually resolved by rest, PE should still be investigated as a possible diagnosis due to the high risk it presents to the patient. |
Other Differentials
You were asked to select other potential differential diagnoses that you thought were applicable to the case. Review the list of differential diagnoses below and compare your answers to Diana’s list. Your selections in this section are not automatically scored by the simulation, but your instructor may choose to grade this list.
| Differential | Student Rationale | Model Rationale |
|---|---|---|
Anemia
|
Based on the provider notes and patient details, this might be an appropriate diagnosis | Chest pain can be a sign of anemia. |
Aortic Dissection
|
Based on the provider notes and patient information, this might be a possible diagnosis | This is not the best selection given the scenario conditions of the cardiovascular system shadow health Differential Selection. |
Coronary Artery Disease with Stable Angina
|
The patient complains of pains radiating from his midsternal chest area thar relieves with rest. | Chest tightness and chest pain that present upon exertion and are relieved by rest are indicative of stable angina, for which the most common cause is coronary artery disease. |
Costochondritis
|
The provider information and patient information support this as a possible diagnosis | Symptoms of costochondritis include chest pain that presents upon certain movements. Since Mr. Foster experiences pain upon exertion, costochondritis should be investigated as a possible cause of his discomfort. |
Gastroesophageal Reflux Disease (GERD)
|
The patient states to experience chest pains after consuming a large meal. | GI disorders are one of the most common causes of chest pain, and GERD cannot be ruled out without further testing. As the symptoms of GERD can mimic those of a number of cardiac disorders, it is important to consider GERD as a possible origin of the patient’s discomfort. |
Generalized Anxiety Disorder (GAD)
|
The patient states to experience chest pains in the midsternal area | Panic attacks, associated with GAD, can induce episodes of chest pain and increased heart palpitations that may lead a patient to believe they are experiencing a cardiac event. It is therefore important to consider GAD as a possible origin of the patient’s discomfort. |
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|
Based on the provider notes and patient information, this might be an appropriate diagnosis conditions of the cardiovascular system shadow health Differential Selection | Chest pain and an elevated heart rate can be symptoms of pneumonia, which cannot be ruled out without further testing. |