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Aditya’s Razor

Aditya’s Razor. Aditya “Dity” Chawla Ganiat “Ola” Mumuney Guilford “Ford” Parsons. Scene I. Cast (in order of appearance) Doctor Frequent cognitive errors Distracted Patient WebMD-savvy Frequent urination. Scene I (Discussion). After visit Back pain intensified

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Aditya’s Razor

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  1. Aditya’s Razor Aditya “Dity” Chawla Ganiat “Ola” Mumuney Guilford “Ford” Parsons

  2. Scene I • Cast (in order of appearance) • Doctor • Frequent cognitive errors • Distracted • Patient • WebMD-savvy • Frequent urination

  3. Scene I (Discussion) • After visit • Back pain intensified • What were the doctor’s mistakes? • Clouded judgment (family friend) • Biased by previous diagnosis (pt’s father) • Overly casual • What about the patient? • Misuse of jargon

  4. Scene II • Cast (in order of appearance) • Doctor • Asks open-ended questions • Focuses on the patient • Patient • Really likes milk

  5. SOAP Note (EMR.PPT) • Subjective • CC: back pain • HPI: insomnia, just started lifting • Fam: Father DOE • Allergies: none • Meds: multivitamin • Objective • PE: back pain, RL quadrant

  6. SOAP Note (EMR.PPT) • Assessment • (Class Differential Diagnosis) • Plan • Blood work • Patient to return in 1 week

  7. Scene II (Discussion) • Doctor • Did not dwell on family ties • Questions: open/closed • Efficient+Effective collection of information • Noticed the polyuria!

  8. Differential Diagnosis

  9. Discussion • Patient not bothered by insomnia • Milk (Ca2+) + polyurea + unrelenting unilateral back pain = kidney stones • DOE: from anemic genetic trait • Blood test • Ca2+ levels (kidney stones?) • Hb levels (b-thalassemia?)

  10. Diagnosis • Depression • Caused the lifting • Caused the increased milk intake • Caused the kidney stones • Caused the back pain

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