Question

Chief Complaint: difficulty swallowing

Patient: 32-yr-old female with a 5-day history of runny nose, sore throat, congestion and cough. The symptom that bothers her the most is the cough because it wakes her up at night.  She denies smoking. Her 5 year-old came home about a week ago with a “cold”.  She denies a history of asthma and allergies. She adds that since she is here she would like a refill on her SSRI. Her mood is “fine”.

PMH
Denies chronic diseases.
General: Denies weight loss, fever, fatigue, chills
Pul: + cough

Ht 5’ 2” Wt: 105 BP  100/60  HR 96 RR 14 Temp: 99.9

Gen: WNWD White female alert and anxious, coughing during interview.
Oral: Pharynx erythematous, tonsils + 2 bilateral uvula Uvula midline.

Pul: course breath sounds bilaterally, no wheezing, no increase fremitus

Labs: Rapid Strep test negative

Assessment: Viral URI/Bronchitis

Plan:
Diagnostics: None
Rx: Robitussin with Codeine 1 – 2 teaspoons every 4 hours as needed for cough  
120 cc No Refills
Education: warm beverages or soups, tea with lemon, for sore throat, good hand washing, Motrin or Tylenol for fever, push fluids, can use OTC Sudafed as needed for runny nose
F/U: Return in 1 week if symptoms persists or get worse

Question: Briefly outline the essential elements of a case presentation and which of the NONPF core competencies are demonstrating in constructing an effective/profession case presentation.

Answer 1