Evaluating and Managing Integumentary Conditions Essay

STUDENT CASE PLAY INSTRUCTIONS
**Please follow the assignment due dates listed in BlackBoard. The due dates listed in the i-Human program are NOT the due
dates for the assignments. The dates listed in i-Human are for administrative purposes only. All i-Human cases completed after the
due date listed in BlackBoard will be considered late.
Below is the breakdown of the grading rubric for this Basic DDx case. You will be allowed to push the H Hints Button and receive
feedback on your history questions, 5 hints per case. Evaluating and Managing Integumentary Conditions Essay
Your history question limit for your patient is 60 questions, please use them wisely.
a) HPI statement (15% of grade)
b) History (10% of grade)
c) Physical Exam (10% of grade)
d) Diagnostic testing (10% of grade)
c) Appropriate selection and ranking of differential diagnoses (20%)
d) Plan covering all critical components of patient’s final diagnosis (30%)
e) Clinical exercises (5%)
The software platform is designed to help you become proficient in the diagnostic reasoning process (a the steps prior to the final
diagnosis), so you can apply this process in the real clinic setting. Key to minimizing medical errors is the clinical consideration of a
broad differential diagnosis list and the selection of tests to either “rule in” or “rule out” these diagnoses Evaluating and Managing Integumentary Conditions Essay

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Detailed Instructions Below:
NOTE FROM YOUR INSTRUCTOR: You are required to complete the HP1 portion of the EMR. This section can be found by
clicking on the “EHR” button located in the lower left corner of your case and is available to access until you complete the case and
submit. Once your case assignment has been submitted you cannot go back and change any sections of your case assignment. Evaluating and Managing Integumentary Conditions Essay
Likewise, you cannot go back and make any changes to a section once each section has been completed.
1. Take the patient’s history. You are limited to a maximum of 60 history questions.
o Assess all aspects of the patients HPI and pertinent related history.
• Decide if this is a patient that can be treated as an outpatient, i.e. a focused case with fewer history questions needed versus a
patient who might be hospitalized for treatment, i.e., comprehensive case where all components of a history should be
investigated. Do you have a prior chart to review? Evaluating and Managing Integumentary Conditions Essay
• Document the chief complaint
o Document any abnormal history or complaints on your Key Finding list
• The Hx Hints Button can be used up to as designated above to give you feedback on how close you are to asking all of the
authors “required questions”.
2. Proceed to perform a PHYSICAL EXAM. You are limited to a maximum of 40 physical exams.
• Assess vital signs and perform the examination appropriate for the type of case identified by the above history. Remember the
comprehensive cases require a comprehensive physical.
3. Document abnormal history and physical findings on your Key Finding list.
4. Write a concise HPI and include it in the correct place as part of the EMR.
o Start with the demographic introduction of your patient and their chief complaint. Include data on all aspects of the History of
Present Illness as well as pertinent medical history, current medications, and other history data that would help support your
diagnosis Evaluating and Managing Integumentary Conditions Essay
5. Complete your differential diagnosis list.
o You may start your differential diagnosis during the history taking section, but after completing the problem statement, reflect and
finalize your differential diagnosis list. Remember, this part of the case will be scored on how comprehensive this list is. You will not
lose points for having too many, points are lost only if you have too few. The average list contains 5 diagnoses.
6. Order Tests

Order tests for your top 2 diagnoses only and link it to a diagnosis. Some tests are ordered to “rule in” a diagnosis while others
are ordered to “rule out” a diagnosis.
7. Review test results
8 Select a final diagnosis
9. Develop a treatment plan as described by your course director
10. Submit your case and review your case play score
DO NOT try to scam the system by just clicking on everything. The software tracks not only what is done, but also keeps track of
the order of completion. Clicking on the first opening question and then just going down the list of questions in the history is viewed Evaluating and Managing Integumentary Conditions Essay
as “scamming” the system and can result in a score of ZERO—same principle applies to each section. The time for completion of
the case, as well as time spent in each section of the case is also recorded. This data has been shown to correlate with case
performance. Very short times have lower scores as do very long times. The former is most likely due to lack of effort while the
latter may be because the user is receiving multiple interruptions. The low score then most likely reflects “lack of continuity” of
thought. Try to set aside enough time to complete the case in its entirety in a single sitting.
**** HELPFUL HINTS ****
The Avatars and cases in the IHP case library are based on “real patients”. If the Avatar provides confusing information, this is
intentional as we often what we find real patients provide incongruent information. For example, the Avatar may use the term “rash”
for skin lesions that are not by medical definition a rash—just like real patients. Avatars may refuse to answer questions, just like
real patients. Phrasing of questions IS important. Asking a “similar” question that is less specific may not be scored correct if it
does not provide the clarity of information needed to narrow the differential. All of these small nuances in the case design were Evaluating and Managing Integumentary Conditions Essay
intentional and replicate the challenges you will face with real patients in a clinical setting. My recommendation is to pretend this is
a real clinical patient encounter and select a time so you can enjoy the process and not feel pressured for time. Remember, you
are not scored on whether you get the correct diagnosis, but rather have you mastered the process. Mastery of the process will
help you avoid making diagnostic errors throughout your clinical career. Evaluating and Managing Integumentary Conditions Essay

Review this week’s Learning Resources. Consider how to assess, diagnose, and treat patients with integumentary conditions.
Access i-Human from this week’s Learning Resources and review this week’s i-Human case study. Based on the provided patient information, think about the health history you would need to collect from the patient.
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 possible conditions that may be considered in a differential diagnosis for the patient.
Consider the patient’s diagnosis. Think about clinical guidelines that might support this diagnosis.
Develop a treatment plan for the patient that includes health promotion and patient education strategies for patients with integumentary conditions Evaluating and Managing Integumentary Conditions Essay