NR-509 Week 5 I-Human Anselmo Lopez Case Study 2025

Performance Overview for Tonya Ames on case Anselmo Lopez The following table summarizes your performance on each section of the case, whether you completed that section or not. Time spent: 1dy 8hr 58min 39sec Status: Submitted Case Section Status Your Score Time spent Performance Details Total Score 69% History Done 92% 26min 51sec 44 questions asked, 11 correct, 1 missed relative to the case's list Physical exams Done 35% 16min 5sec 35 exams performed, 13 correct, 2 partially correct, 30 missed relative to the case's list Key findings organization Done 2min 20sec 7 findings listed; 11 listed by the case Problem Statement Done 1dy 4hr 29min 18sec 112 words long; the case's was 84 words Diagnosis Done 100% 58sec Management Plan Done 2hr 9min 6sec 917 words long; the case's was 280 words Exercises Done 86% (of scored items only) 2min 1sec 0 of 1 correct (of scored items only) 1 partially correct Attempt: 3096694 Report generated on 4/5/2024, 9:26:51 PM America/New_York Use this to collect your thoughts to develop a differential diagnosis list. Step 1: Write symptoms (Sx) you have identified in the appropriate column and row. Step 2: Characterize the symptoms using "OLDCARTS" (ie., Onset, Location, Characteristics...etc) in the HPI section. Step 3: Record your thoughts in the space labeled "What this means". Is the disease acute or chronic? Infectious or other?... Timing/treatments Hx Categories Sx= Sx= Sx= Sx= Sx= Sx= CC Provided How can I help you? Any other symptoms? HPI Onset/events Location Duration Characteristics Aggravating Reliving Severity What this means Attempt: 3096694 Report generated on 4/5/2024, 9:26:51 PM America/New_York 57 year old male, construction/flooring worker, without previous medical records and absent from preventative health screenings for several years. Patient self reports history of acid reflux treated with OTC omeprazole, bilateral knee pain treated with OTC ibuprofen. Surgical history of ACL repair, unknown date. Patient without well balanced nutrition, consumes elevated processed foods high in fat and sodium. Patient presents to office today for evaluation of elevated blood pressure reading, approximately 170/92, at community wellness event. Patient denies history of hypertension or cardiac disease. Blood pressure in office is elevated L:172/94 R: 178/98. Patient denies palpitations, chest pain, dizziness, SOB or cardiac history. Significant family history for Diabetes, HTN, Stroke, and MI.