Reflection: In a Microsoft Word document, respond to the self-reflection
statement/question(s) below. Include a title page in APA format using
the title “iHuman Reflection Week 6”. In 2-3 paragraphs, respond
substantively to each statement/question(s). Analyze your personal
strengths and areas for growth.
One rule is to always include “the worst-case scenario” in your
differential diagnosis and make sure you have ruled out this possibility
based on your findings and patient assessment. Your goal is to minimize
the risk of missing unusual or infrequent conditions such as
meningococcal meningitis, bacterial endocarditis, pulmonary embolus, or
subdural hematoma that are particularly ominous. Reflect on your
performance during this virtual patient encounter. What are the “red
flags” in this case? Based on your pertinent key findings, what is “the
worst-case scenario”? What lessons did you learn from this case that you
can apply to your future professional practice?
findings
Mental status: Alert and cooperative. Though processes are coherent and insight is
good. Oriented to person place and time. MMSE 30/30. Normal gait and posture.
Normal ROM upper extremities. Straight leg raise abnormal at 45 degrees on the right
with pain radiating down the anterior leg, below the knee. Contralateral leg raise also
positive with elevation of the left leg causing symptoms on the right. Unable to bend at
waist without significant pain. Right knee strength 4/5 limited by pain right hip
extension strength 4/5 limited by pain. all other muscle groups 5/5 Deep tendon
reflexes: Triceps C6/C7: 2/2 Bicepts C5/C6: 2/2 Brachioradiialis C5/C6: 2/2
Knee/Patella L3/L4: 2/2 Ankle/Achilles S1/S2: 1R 2L Moderate pain with gross pain
stimulus test. Sensory test: light touch was slightly diminished in the right lower
extremity along with the anterolateral thigh past the knee medial aspect of leg and
foot. pt past medical history of
Asthma: longstanding, requiring repeated and prolonged courses of oral steroids
Hypertension: well-controlled on medication
Osteoporosis: under current treatment
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