conditions of the cardiovascular system shadow health Differential Selection

Conditions of the cardiovascular system shadow health Differential Selection

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 You scored: 1 out of 1 Great job! You correctly identified this diagnosis as do not miss.	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 You scored: 1 out of 1 Great job! You correctly identified this diagnosis as do not miss.	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 You scored: 1 out of 1 Great job! You correctly identified this diagnosis as do not miss.	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 You scored: 1 out of 1 Great job! You correctly identified this diagnosis as do not miss.	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 Great job! This is an applicable diagnosis, given the patient case details and provider notes.	Based on the provider notes and patient details, this might be an appropriate diagnosis	Chest pain can be a sign of anemia.
Aortic Dissection You selected this differential as an applicable diagnosis, however, the patient case details do not fully support this diagnosis.	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 Great job! This is an applicable diagnosis, given the patient case details and provider notes.	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 Great job! This is an applicable diagnosis, given the patient case details and provider notes.	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) Great job! This is an applicable diagnosis, given the patient case details and provider notes.	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) Great job! This is an applicable diagnosis, given the patient case details and provider notes.	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.
Pneumonia You selected this differential as an applicable diagnosis, however, the patient case details do not fully support this diagnosis.	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.