Reference no: EM133715527

Assignment: Differential Diagnoses & Case Study

Select one of the following case studies and corresponding Differentials Table to complete. In the subject line of your post, please identify which case study you are responding to.

I. Select one of the following case studies.

II. Complete the corresponding "Differentials Table" to align your clinical reasoning - include 5 differentials (excluding the example provided).

III. In SOAP format, discuss what questions you would ask the patient (Review of Systems), what physical exam elements you would include, what further testing you would want to have performed (if any), differential and working diagnosis, treatment plan, including the addition of complementary and OTC therapy, referrals and other team members needed to complete patient care.

Dale, a 40-year-old construction worker, lost his 4-year-old daughter in a car accident six months ago, in which his sister was driving and he was a passenger. He is at this visit for a follow-up of a shoulder injury sustained last month. You notice that he has lost about eight pounds since his last visit, and he is somewhat disheveled in his appearance. Dale has not been back to work, and has not been able to get into a car since the accident. Before going into the room, your nurse pulled you aside to let you know that the patient was very rude to the front office staff, and was also rude to her while he was being processed for his visit. This is not Dale's usual behavior.

Differential	Signs/Symptoms	Gold Standard Diagnostics	Gold Standard Treatment
Major Depression Disorder	Sadness or anhedonia Patient Health Questionnaire-2 loss of interest or pleasure.	Patient Health Questionaire-9 Geriatric Depression Scale (GDS)
Hypothyroidism
Cushing Disease
Bipolar disorder
Prolonged Grief Disorder