Conditions of the cardiovascular system shadow health Differential Selection
In this task, you were asked to figure out which possible health issues related to the heart were crucial to examine to keep the patient safe. The simulation checked if you correctly identified the important diagnoses to consider.
Look at the list below to see the most crucial diagnoses. Correct answers are marked with a checkmark, while the ones you missed are marked with a cross.
Do Not Miss Your Reasoning The Model’s Reasoning
Heart Attack
You got it right: 1 out of 1
Well done! You correctly identified this as a crucial diagnosis not to overlook.
The patient mentions having chest pains during activity, which go away when resting. Chest pain during activity could indicate a heart attack, which is a serious danger to the patient. It’s important to investigate the possibility of a heart attack to ensure the patient’s safety.
Unstable Angina
You got it right: 1 out of 1
Well done! You correctly identified this as a crucial diagnosis not to overlook.
The patient complains of tight and uncomfortable chest pains. Whenever a patient shows signs of angina, like chest pain and tightness, it’s crucial to check for unstable angina, which could lead to heart rhythm issues, heart attacks, or even death.
Heart Arrhythmia
You got it right: 1 out of 1
Well done! You correctly identified this as a crucial diagnosis not to overlook.
The patient experiences chest pains during activity, which go away with rest. When a patient has chest pain and a faster heart rate, it could mean they have a heart arrhythmia, a condition that needs immediate attention.
Blood Clot in the Lung
You got it right: 1 out of 1
Well done! You correctly identified this as a crucial diagnosis not to overlook.
The patient complains of chest pains, especially during activity, which improve with rest. Chest pain worsening during activity could indicate a blood clot in the lung. Even though resting may not always alleviate the pain, it’s important to consider a lung clot due to its high risk to the patient’s health.
Other Possible Diagnoses
You were also asked to choose other potential heart-related issues that might be relevant to the case. Compare your choices with Diana’s list. Your picks in this part are not automatically scored, but your instructor might review them.
Diagnosis Your Reasoning The Model’s Reasoning
Low Blood Count
Well done! This is a relevant diagnosis, given the patient’s details and the provider’s notes.
Based on the provider’s notes and the patient’s details, this could be a fitting diagnosis. Chest pain can be a sign of low blood count.
Tear in the Aorta
You picked this as a relevant diagnosis, but the patient’s details don’t fully support it.
Given the provider’s notes and the patient’s information, this could be a possible diagnosis. This isn’t the best choice based on the scenario’s specifics related to heart conditions.
Heart Disease with Stable Angina
Well done! This is a relevant diagnosis, considering the patient’s details and the provider’s notes.
The patient mentions pain spreading from the center of the chest, relieved by rest. Chest tightness and pain that occur during activity and ease with rest suggest stable angina, often caused by heart disease.
Inflammation in the Rib Cage
Well done! This is a relevant diagnosis, considering the patient’s details and the provider’s notes.
The provider’s information and the patient’s details support this as a possible diagnosis. Symptoms of rib cage inflammation include chest pain during certain movements. Since Mr. Foster feels pain during activity, inflammation in the rib cage should be checked as a possible cause.
Stomach Acid Backflow Disease
Well done! This is a relevant diagnosis, considering the patient’s details and the provider’s notes.
The patient mentions experiencing chest pains after eating a lot. Gastrointestinal issues are a common cause of chest pain, and stomach acid backflow disease can’t be ruled out without further tests. As its symptoms can mimic those of many heart conditions, it’s important to consider this as a possible cause of the patient’s discomfort.
Widespread Anxiety Disorder
Well done! This is a relevant diagnosis, considering the patient’s details and the provider’s notes.
The patient mentions feeling chest pains in the middle of the chest. Panic attacks, associated with anxiety disorders, can cause episodes of chest pain and increased heart rate, making patients believe they’re having a heart problem. So, it’s crucial to think about anxiety disorders as a possible cause of the patient’s discomfort.
Lung Infection
You picked this as a relevant diagnosis, but the patient’s details don’t fully support it.
Based on the provider’s notes and the patient’s information, this could be a suitable diagnosis related to heart conditions. Chest pain and a faster heart rate can be symptoms of a lung infection, which can’t be ruled out without more tests.
Felipe Barbosa Sick Visit Shadow Health Subjective Data Collection
Conditions of the cardiovascular system shadow health Differential Selection
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. |
Pneumonia
|
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. |
