What Differential Diagnoses Should Be Considered For This Individual?
When addressing this question, the provider may feel overwhelmed with volume and possibility. Consequently, a thorough knowledge of disease pathology, presentation, and an understanding of the establishment and ranking of the most likely differential diagnoses is of immense importance. Like with any presenting complaint, the history and physical should serve as the guidepost for the differential diagnosis. Every disease presents with certain makers, some obvious, some frustratingly vague, but it is incredibly important to approach every case with the same technique and precision.
As a provider it is important to begin with what is known. Consequently, the provider should follow the SOAP format and make logical deductions.
1) Chief complaint is sudden onset bilateral upper and lower weakness
2) This is the first occurrence of these symptoms.
3) Patient denies pain.
4) Positive family history of Lupus.
5) Patient has recent history of febrile illness which resembles influenza.
6) Patient lives in a college dormitory, with many recent sick contacts.
7) Patient denies any drug use, sexual activity or travel.
1) Weakness is significant, bilateral, and to both upper and lower extremities.
2) She does not exhibit any rheumatologic symptomatology.
3) She is currently afebrile.
4) Her neck is non-tender and supple, with full range of motion.
5) Severely diminished deep tendon…