PCP as a final diagnosis
1. Describe the patient’s presentation and your initial assessment of the patient based on the history and physical you completed in i-Human. What are your top three concerns for this patient and why (based on objective and subjective data)?
Patient is Charlie Harris who presented with fevers in the last 3-weeks, progressive dyspnea at rest and on exertion, and a 5-pound unintentional weight loss. Physical exam revealed a fever of 101 F/38.3C, hypoxemia with a pulse ox of 82%, and cervical and axillary adenopathy.
2. Based on your initial assessment, describe the top five differentials you selected, and discuss which tests you ordered to either rule in or rule out those conditions. Address if the tests you ordered are both time/cost effective, or if a better approach could have been used.
Asthma, COPD, HIV, lung neoplasm, bacterial pneumonia
3. Present the patient’s final diagnosis, and discuss the pathophysiology behind the condition.
HIV/AIDS with Pneumocystis jirovecci pneumonia
4. Describe how you plan to treat this patient based on current clinical guidelines.
5. Support your analysis with at least five reliable references from the text, clinical guidelines, and research. At least two of the five references must come from peer-reviewed research that is less than five years old.
