Kenday, is a 16 year old, Spanish speaking female, who presents to your clinic complaining of shortness of breath and a cough for about 3 weeks. She denies having any fevers or chills. She is concerned because sometimes she feels short of breath when she plays soccer. Kenday discussed her symptoms with her mother who told her she had the same symptoms when she was a child and had to use some medication which helped her breathing but she was not sure why.
1. Based on subjective and objective data , what 3-5 questions would you ask Kenday?
2. What if any diagnostic procedures need to be performed and why?
3. Identify 3 differential diagnoses based on the subjective and objective findings and rule
them in and out based on pertinent data.
4. Identify your definitive diagnosis or assessment based on the pertinent subjective and
objective findings?
5. What type(s) of pharmacological treatments , if any, would you prescribe based on your
definitive diagnosis or assessment?
6. What type(s) of non-pharmacological treatments would you prescribe, if any , based on
your definitive diagnosis or assessment?
7. Based on your definitive diagnosis or assessment, what health
promotion/prevention interventions including safety -related and immunizations would
you provide?
8. Discuss the evidenced-based guidelines you used to answer the above questions