Week 6 iHuman Assignment Reflection Worksheet
Briayanna J Nordwick
Chamberlain University College of Nursing
NR 509: Advanced Physical Assessment
Professor
Loewen April
13th, 2025
0320 RB/KK
Downloaded by Benjamin Luca ()
, Week 6 iHuman Assignment Reflection Worksheet
Address the following question. Write on this template and include the following
components:
i. write 150-300 words in a Microsoft Word document
ii. demonstrate clinical judgment appropriate to the virtual patient scenario
iii. cite at least one relevant scholarly source as defined by program expectations
iv. communicate with minimal errors in English grammar, spelling, syntax, and punctuation
One rule is to always include “the worst-case scenario” in your differential diagnosis and
make sure you have ruled out this possibility based on your findings and patient assessment.
Your goal is to minimize the risk of missing unusual or infrequent conditions such as
meningococcal meningitis, bacterial endocarditis, pulmonary embolus, or subdural
hematoma that are particularly ominous.
What are the "red flags" in this case?
Migraines are very common and mainly in younger women. Another red flag would
be recent head trauma, blurry vision, and/or dizziness. Cluster headaches are extremely rare
and occur more in middle-aged men. Headaches occurring due to an intracranial mass would
be higher on the differential list than cerebral infection or brain-bleed in this patient,
especially since no recent trauma occurred. Symptoms preceding her headaches align with
characteristics of migraine with aura.
Some general red flags that should raise concern in any differential diagnosis include:
Sudden onset of severe symptoms (e.g., "worst headache of my life" → subarachnoid
hemorrhage)
Altered mental status or loss of consciousness
0320 RB/KK
Downloaded by Benjamin Luca ()
Briayanna J Nordwick
Chamberlain University College of Nursing
NR 509: Advanced Physical Assessment
Professor
Loewen April
13th, 2025
0320 RB/KK
Downloaded by Benjamin Luca ()
, Week 6 iHuman Assignment Reflection Worksheet
Address the following question. Write on this template and include the following
components:
i. write 150-300 words in a Microsoft Word document
ii. demonstrate clinical judgment appropriate to the virtual patient scenario
iii. cite at least one relevant scholarly source as defined by program expectations
iv. communicate with minimal errors in English grammar, spelling, syntax, and punctuation
One rule is to always include “the worst-case scenario” in your differential diagnosis and
make sure you have ruled out this possibility based on your findings and patient assessment.
Your goal is to minimize the risk of missing unusual or infrequent conditions such as
meningococcal meningitis, bacterial endocarditis, pulmonary embolus, or subdural
hematoma that are particularly ominous.
What are the "red flags" in this case?
Migraines are very common and mainly in younger women. Another red flag would
be recent head trauma, blurry vision, and/or dizziness. Cluster headaches are extremely rare
and occur more in middle-aged men. Headaches occurring due to an intracranial mass would
be higher on the differential list than cerebral infection or brain-bleed in this patient,
especially since no recent trauma occurred. Symptoms preceding her headaches align with
characteristics of migraine with aura.
Some general red flags that should raise concern in any differential diagnosis include:
Sudden onset of severe symptoms (e.g., "worst headache of my life" → subarachnoid
hemorrhage)
Altered mental status or loss of consciousness
0320 RB/KK
Downloaded by Benjamin Luca ()
