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Your Score is: / 50
Correct List of Differential Diagnoses: / 30
Correct Order of Differential Diagnoses: / 20
Our Differential:
Your Differential:
Our Diagnosis:
Primary Determinant:
Exam Results
Exam:
Laboratory testing: echocardiogram revealed normal heart ventricular size and motion, normal heart valves and normal contrast study. Carotid Duplex ultrasound revealed 0-40% narrowing of both carotid arteries with calcified plaque, but normal flow on each side.
Preparation Planning : Case Review #31921379
Malmö, Sweden
October 2023
Assignment Instructions
Purpose
The purpose of this assignment is to work through one case at a time of a patient presenting with Transient Visual Loss. The order in which you request information, and your text responses will be and provided to the instructor. The goal of this exercise is to enhance classroom discussion and your answers may be presented in the class as talking points.
How to Complete the Assignment
The assignment requires you to investigate the patient history and additional patient results to determine a differential diagnosis. The elements of the history can be requested in any order you think is appropriate. You will be required to select each element of the history you think is most relevant to the patient’s chief complaint in a step-by-step manner, then you will be given the patient history for your inquiry, and then you will then reorder the Ranked Diagnosis elimating possbilities by clicking the 
. You will then repeat the process to determine other parts of the history that you think are the most relevant, until you are ready to submit your refined differential diagnosis of probable entities, ranked in order of their likelihood. You may enter your differential diagnosis at any time by clicking the "Differential Diagnosis" button. Once the diagnosis is submitted the assignment is complete and no further action is required until attending the lecture, where each case will be discussed as a group interaction.
Materials
You are provided a suggested outline for taking a history from a patient presenting with the symptom of Transient Visual Loss.
After the Lecture
You will be provided with a link to review the suggested way to work through the case along with keys points for evaluating each piece of the information from the patient history.
Case Review #31921379
Patient Presentation
72-year-old with 4 episodes of vision loss.
Click on the Cards Below to Learn More
Bilateral vs Unilateral
Bilateral vs Unilateral
Unilateral
Duration
Duration
5 - 10 minutes
Activity during the episode
Activity during the episode
Episodes occur during both sitting and standing.
Pattern of visual loss
Pattern of visual loss
4 episodes, 2 episodes involved the lower half of vision, the other 2 involved the central visual field blacking out
Other Symptoms
Other Symptoms
None
Current Medication
Current Medication
Antiplatelet agents due to a history significant for coronary artery disease, for which he received stents earlier in the last year.
How to "Score" Point
- The Student begins with a maximum 50 points
- 30 points are awarded for having all CORRECT Diagnoses present in your Differential
- Points will be deducted for selecting an incorrect diagnosis
- 20 points are awarded for having all Diagnoses in the CORRECT order of most to least likely
- Points are awarded for having each Diagnosis the CORRECT order
Patient Presentation
72-year-old with 4 episodes of vision loss.
Click on the Cards Below to Learn More
Bilateral vs Unilateral
Bilateral vs Unilateral
Unilateral
Duration
Duration
5 - 10 minutes
Activity during the episode
Activity during the episode
Episodes occur during both sitting and standing.
Pattern of visual loss
Pattern of visual loss
4 episodes, 2 episodes involved the lower half of vision, the other 2 involved the central visual field blacking out
Other Symptoms
Other Symptoms
None
Current Medication
Current Medication
Antiplatelet agents due to a history significant for coronary artery disease, for which he received stents earlier in the last year.
How to "Score" Point
- The Student begins with a maximum 50 points
- 30 points are awarded for having all CORRECT Diagnoses present in your Differential
- Points will be deducted for selecting an incorrect diagnosis
- 20 points are awarded for having all Diagnoses in the CORRECT order of most to least likely
- Points are awarded for having each Diagnosis the CORRECT order