Differential Selection
Figure out which possible health problems are really important to look into to keep the patient safe. The simulation checked automatically to see if you picked the right list of diagnoses that should not be missed.
Table of Contents
Take a look at the list below to see the diagnoses you should not miss. The ones you got right are marked with a tick ✓, and the ones you missed are marked with a cross ✗.
Do Not Miss | Student Reasoning | Model Reasoning
—|—|—
COVID-19 | fatigue, cough, fever, sore throat, loss of appetite, and contact with sick people at work | These symptoms like fatigue, sore throat, fever, and cough could mean the person has COVID-19. Being around people who have COVID-19 can also raise the risk.
Pneumonia | fever, cough, and fatigue | These symptoms could point to pneumonia, which can be very dangerous for the patient. It’s important not to miss this because pneumonia can vary in seriousness and how quickly it develops. Depending on when it’s found, it might need more care and serious treatment.
You did a great job! You got both of these diagnoses right.
Other Possible Diagnoses
You were also asked to pick other health problems that you thought could fit the case. Check out the list below to see what you chose compared to what Diana picked. Your picks here aren’t automatically graded by the simulation, but your teacher might decide to check them.
Differential | Your Reasoning | Model Reasoning
—|—|—
bronchitis | persistent cough | With the patient’s symptoms of cough, fever, and cold, bronchitis could be the cause.
Influenza | fatigue, sore throat, and exposure to sick people at work | Symptoms like fatigue, sore throat, fever, and cough could indicate the flu. Being around other sick people might raise the risk.
Upper Respiratory Infection | fatigue, sore throat, tonsils 3+, painful swallow, tender anterior cervical lymph nodes | Even without a fever, fatigue and sore throat can still point to this type of infection.
Upper Respiratory Infection | sore throat, fever, exposure to sick people at work | Symptoms like sore throat, fever, and dry cough could be signs of this infection. Being around others who are sick might increase the risk.
You got all of these right too! Good job!
Test Linking: 3 out of 3 (100.0%)
In this part, you had to match each diagnostic test to a possible health problem it could help investigate.
Here are the correct matches. The ones you got right are marked with a tick ✓, and the ones you missed are marked with a cross ✗.
Test | Your Reasoning | Model Reasoning
—|—|—
Nasopharyngeal Qualitative PCR | fever, cough, sore throat, fatigue, loss of appetite | This test can quickly check for the presence of a virus and is very accurate.
Rapid Influenza Test | cough, fever, and fatigue | This test is good for quickly checking if someone has the flu.
Rapid Strep Test | cough, fever, and fatigue, sore throat | This test is very good at spotting strep throat. It’s fast and accurate.
You got all of these right as well! Excellent work!
Introduction to Advanced Diagnostics Tanner Bailey
Differential Selection
In this Introduction to Advanced Diagnostics Tanner Bailey 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 |
|---|---|---|
COVID-19
|
fatigue, cough, fever, sore throat, loss of appetite and contact with sick people at work | Fatigue, sore throat, fever, and cough, can be signs of COVID-19. Exposure to COVID-infected contacts can be a risk factor. |
Pneumonia
|
fever, cough and fatigue | Fever, cough, and fatigue can be signs of pneumonia, a condition which can present an urgent danger to the patient. This differential is a Do-Not-Miss selection because it can range in severity and acuteness. Depending on when it is diagnosed, it can require more caretaking and a higher level of treatment. |
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 |
|---|---|---|
|
persistent cough | The patient’s cough, fever, and cold symptoms can be signs of bronchitis. |
|
fatigue, sore throat, and exposure to sick people at work | Fatigue, sore throat, fever, and cough can be signs of Influenza. Exposure to other ill contacts can be a risk factor. Introduction to Advanced Diagnostics Tanner Bailey |
|
fatigue, sore throat, tonsils 3+, painful swallow, tender anterior cervical lymph nodes | Though this condition can present without fever, fatigue and sore throat can be signs of. |
Upper Respiratory Infection
|
sore throat, fever, exposure to sick people at work Introduction to Advanced Diagnostics Tanner Bailey | Sore throat, fever, and dry cough, can be signs of Upper Respiratory Infection. Exposure to other ill contacts can be a risk factor. |
Test Linking : 3 of 3 (100.0%)
In this activity, you were asked to link each selected diagnostic test to a differential it helps to investigate.
Review the most appropriate diagnostic test selections below. Correct selections have been marked with a , while selections you missed have been marked with a .
| Test | Student Rationale | Model Rationale |
|---|---|---|
| x Nasopharyngeal Qualitative PCR You Selected: xx
|
fever, cough, sore throat, fatigue, loss of appetite. A x Nasopharyngeal Qualitative PCR is appropriate to rule out the diagnosis of x timely due to its high specificity and sensitivity | x: A x Nasopharyngeal Qualitative PCR is useful in ruling in or out a diagnosis of x in a timely manner and with appropriate levels of specificity and sensitivity. |
| x You Selected: x
|
cough, fever, and fatigue. The Rapid Influenzatest is the appropraite diagostic test to rule out x | x : A rapid influenza diagnostic test is useful in ruling in or out a diagnosis of x. |
| xTest You Selected: x
|
cough, fever, and fatigue, sore throat. The Rapid Strep Test has high sensitivity in diagnosing x. | x : A rapid strep test is useful in ruling in or out a diagnosis of strep. A rapid x test will generally have both high specificity and high sensitivity. Introduction to Advanced Diagnostics Tanner Bailey |
