You will develop and submit a comprehensive, evidence-based case study analyzing a complex patient presentation. This assignment demonstrates your ability to collect and synthesize clinical data, formulate accurate
Faculty: Leonardo Trobajo Lobayna, DNP, ARNP-BC
Course: Diagnosis, Symptom, and Illness Management
Title: Comprehensive Case Study – Diagnostic and Treatment Management Plan
Purpose and Learning Outcomes:
This signature assignment aligns with the following course and program outcomes:
•       Demonstrate advanced clinical reasoning in diagnosing acute and chronic illness
•       Develop evidence-based management plans
•       Integrate social determinants of health and cultural competence into care •       Apply current guidelines to clinical decision-making
Assignment Overview:
You will develop and submit a comprehensive, evidence-based case study analyzing a complex patient presentation. This assignment demonstrates your ability to collect and synthesize clinical data, formulate accurate differential diagnoses, and implement a patient-centered treatment plan grounded in current practice guidelines.
Case Study Requirements:
1.  Patient Scenario (Real or Simulated):
•       Age, sex, race/ethnicity
•       Chief complaint (CC)
•       History of Present Illness (HPI)
•       Past Medical History (PMH)
•       Family History (FH)
•       Social History (SH)
•       Review of Systems (ROS) • Physical Examination Findings (PE)
2.  Differential Diagnosis:
•       List at least 3 differential diagnoses
•       Justify each differential using: o Presenting signs/symptoms o Pathophysiology o      Risk factors o Diagnostic criteria
3.  Final Diagnosis:
•       Identify the most likely diagnosis
•       Explain the rationale
•       Cite at least two current evidence-based guidelines or scholarly sources
4.  Diagnostic Workup Plan:
•       Labs, imaging, or additional testing
•       Provide rationale for each
•       5. Treatment & Management Plan:
•       Non-pharmacologic interventions
•       Patient education
•       Follow-up and referrals, if needed
•       6. Cultural, Ethical, or Socioeconomic Considerations:
•       Address any relevant patient-specific factors that influence care
•       7. Evaluation of Outcomes:
•       How will you measure the effectiveness of your treatment plan?
•       Short- and long-term follow-up goals
 Formatting Guidelines:
•       APA 7th edition formatting
•       4-6 pages (excluding title and reference pages)
•       Minimum of 3 peer-reviewed or clinical guideline references (within 5 years) •         Use headings for organization (MRU School)
 Grading Rubric Highlights:
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Criteria |
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Points |
|
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History and Clinical Data |
• |
20 |
|
• |
Differential Diagnosis |
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35 |
|
• |
Final Diagnosis Justification |
• |
20 |
|
• |
Management Plan (Rx + Non-Rx) |
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10 |
|
• |
Cultural/Patient-Centered Care |
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5 |
|
• |
Use of Evidence & Guidelines |
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5 |
|
• |
Organization, APA, Grammar |
• |
5 |
|
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Total |
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100 |
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