Aditya’s Razor Aditya “Dity” Chawla Ganiat “Ola” Mumuney Guilford “Ford” Parsons.
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Transcript of Aditya’s Razor Aditya “Dity” Chawla Ganiat “Ola” Mumuney Guilford “Ford” Parsons.
Aditya’s Razor
Aditya “Dity” Chawla
Ganiat “Ola” Mumuney
Guilford “Ford” Parsons
Scene I
• Cast (in order of appearance)– Doctor
• Frequent cognitive errors• Distracted
– Patient• WebMD-savvy• Frequent urination
Scene I (Discussion)
• After visit– Back pain intensified
• What were the doctor’s mistakes?– Clouded judgment (family friend)– Biased by previous diagnosis (pt’s father)– Overly casual
• What about the patient?– Misuse of jargon
Scene II
• Cast (in order of appearance)– Doctor
• Asks open-ended questions• Focuses on the patient
– Patient• Really likes milk
SOAP Note (EMR.PPT)
• Subjective– CC: back pain– HPI: insomnia, just started lifting– Fam: Father DOE– Allergies: none– Meds: multivitamin
• Objective– PE: back pain, RL quadrant
SOAP Note (EMR.PPT)
• Assessment– (Class Differential Diagnosis)
• Plan– Blood work– Patient to return in 1 week
Scene II (Discussion)
• Doctor– Did not dwell on family ties– Questions: open/closed– Efficient+Effective collection of information
• Noticed the polyuria!
Differential Diagnosis
Discussion
• Patient not bothered by insomnia• Milk (Ca2+) + polyurea + unrelenting unilateral
back pain = kidney stones• DOE: from anemic genetic trait• Blood test
– Ca2+ levels (kidney stones?)– Hb levels (b-thalassemia?)
Diagnosis
• Depression– Caused the lifting
• Caused the increased milk intake– Caused the kidney stones
» Caused the back pain