1. Definition & Background (5 pts)
1. Provide a brief definition of the disease process/condition
2. Is it common or rare? Is it a current trend? Is it associated with other conditions? Is there controversy surround it?
3. Prognosis
4. Picture – actual photo of what the disease/diagnosis looks like (provide source)
2. Pathophysiology (15 pts)
1. Fully describe the functional changes in cells, tissues, and organs altered by the disease/condition
2. Explain how these changes lead to the defining signs & symptoms of the disease/condition
3. Include genetics: genetic association if any, mutation/chromosome involved, marker, mode of inheritance (characteristics of pedigrees, recurrence risks, penetrance and expressivity), pharmacogenetics (impact of condition on medicine),
3. Etiology (5 pts)
1. Describe the cause of the disease/condition
2. Discuss the pathogenesis
4. Epidemiology (5 pts)
1. Discuss the incidence and prevalence of the condition in the general public.
2. Discuss who is most affected, likely risk factors, possible risk factors, factors not associated with increased risk, and associated conditions
SECTION II: Clinical Presentation and Advanced Health Assessment Concepts (35 pts)
5. History & Physical (15 pts) What is the typical presentation of a patient with this condition?
1. History
1. Chief concern (CC) and History of Present Illness (HPI)
2. Pertinent medical history
3. Pertinent Family History (FH)
4. Pertinent Review of Systems (ROS)
2. Physical Exam (pertinent to disease)
1. General survey
2. Skin, HEENT, extremities, cardiovascular, abdomen, neurologic…etc.
3. Special physical exam considerations
4. Special populations considerations
6. Differential Diagnosis (5 pts) List at least 3 disease/conditions which present with similar signs and symptoms, and which need to be ruled out
7. Workup (15 pts)
1. Screening: list any screening that can be done to diagnose condition
2. Diagnostic testing: For all pertinent testing below, explain how specimen is retrieved (e.g., venipuncture is used for blood draws in most cases, but not all), the rationale, normal/abnormal values, patient preparation, risks, informed consent required
1. Blood tests
2. Urine studies
3. Electrocardiography
4. Echocardiography
5. Radiographic imaging
6. Nuclear imaging or other imaging
7. Other testing
3. Diagnostic procedures
1. Procedures used to obtain samples to further diagnose (e.g., thoracentesis).
2. Explain how procedure takes place, patient preparation, risks
SECTION III Disease Management (35 pts)
8. Disease Management
1. Management overview (5 pts)
1. Evidence-based guidelines/treatment algorithm
2. Pharmacological therapy (15 pts) (including complementary & alternative medicines, OTCs), Include ALL classes of drugs used in therapy.
1. DRUG CARDS (Use a table to present each class of drug)
1. Classification
2. List of example drugs within the class (generic & brand names)
3. Mechanism of action
4. Indications
5. Side effects/Adverse effects
6. Contraindications
7. Drug interactions
8. Nursing considerations
9. Patient education
10. Dosing, frequency, duration of treatment
2. Non-pharmacological therapy (5 pts)
1. Surgery and procedures
2. Non-traditional therapies
3. Patient Education (5 pts)
1. Prevention and Screening
1. Vaccinations
2. Life-Style modifications (be specific: aerobic or strength-building exercises, types of diet, specific goals for counseling)
1. Diet
2. Activity
3. Counseling
3. Special counseling (e.g., tobacco cessation, foot care, emergency preparedness, preconception counseling. Provide links to websites for consumers) and Follow-Up (frequency, diagnostic tests to be performed) (5 pts)
SCORING of individual sections (1, 2, and 3)
Points are awarded based on completeness, accuracy, insight, and professionalism.
• Full points will be received if information is written at a graduate level. Content is in-depth, well-researched, and written for clinical professionals.
• Half-points will be received if write-up is written at an undergraduate level. Rationales are missing. Content is incomplete, missing important aspects of the condition or treatments (e.g., only 2 classes of drugs are listed, but typically, 4 or 5 classes of drugs are indicated). Patho is superficially written and does not get to the cellular level.
• No points will be received if the section is not discussed at all or the write-up is simplistic and written at a lay person’s level (Think “Web MD”). Terminology is not clinical and not professional.
References: Minimum five (5) reliable sources (within last 5 years, peer-reviewed journal or textbook). Use APA citations and APA references.
• All information must be cited. Assignments that are missing sources will not be graded.
• If all information for one section comes from one source, state in the beginning, “All information retrieved from ‘source’ except where noted.” For example, when doing drug cards, all info may come from one textbook – just state that at the beginning. This will avoid distracting parentheses in the text.
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