DIAGNOSTIC REASONING AND DIFFERENTIAL DIAGNOSIS - ANS_Taking a client history
OLDCARTS
Specificity and Sensitivity
Reimbursement
Clinical Decision-Making
OLDCARTS - ANS_Onset, Location, Duration, Characteristics, Aggravating Factors, Relieving Factors,
Treatment, Severity
True or False: the history of the present illness is a breakdown of the client's chief complaint - ANS_True
Specificity: Low - ANS_Getting a positive result when it is not present- a high number of false positives-
meaning a healthy person has a disease when they actually do not
Specificity: High - ANS_A high percentage of healthy individuals will show a normal result
Test with High Specificity - ANS_A high percentage of healthy individuals will show a normal result
Sensitivity - ANS_the proportion of true positives out of all patients with a designated condition
, High Sensitivity - ANS_will lead to positive findings for patients with a disease
Medicare Part A - ANS_Inpatient hospital stat, skilled nursing care, hospice, home care
Medicare Part B - ANS_Outpatient care, provider visits, surgery, lab tests, medical equipment,
preventative exams
Medicare Part C - ANS_Wellness services, vision exams, hearing exams, eyeglasses, hearing aids
Medicare Part D - ANS_Prescription drugs
Reimbursement for NPs - ANS_Reimbursed 85% of the physician's fee
Fungal Skin Infections - ANS_Papular Rash, SATELLITE LESIONS (classic symptom)
Treatment of fungal skin infections - ANS_Antifungal cream, pill, keep area as dry as possible
Location of fungal skin infections - ANS_Can be under the breast, in between skin folds, or in the groin
area
Who is at risk for fungal skin infections - ANS_Immunocompromised, diabetics, antibiotic therapy,
cellular immunity (chemo, AIDS, corticosteroid treatment, bone marrow transplant), invasive parenteral
catheterization, invasive monitoring devices
Tinea Vessicolor - ANS_Most commonly found on trunk and shoulders.
Flat to slightly elevated brown papules and plaques that scale when they are rubbed along with areas of
hyperpigmentation
OLDCARTS
Specificity and Sensitivity
Reimbursement
Clinical Decision-Making
OLDCARTS - ANS_Onset, Location, Duration, Characteristics, Aggravating Factors, Relieving Factors,
Treatment, Severity
True or False: the history of the present illness is a breakdown of the client's chief complaint - ANS_True
Specificity: Low - ANS_Getting a positive result when it is not present- a high number of false positives-
meaning a healthy person has a disease when they actually do not
Specificity: High - ANS_A high percentage of healthy individuals will show a normal result
Test with High Specificity - ANS_A high percentage of healthy individuals will show a normal result
Sensitivity - ANS_the proportion of true positives out of all patients with a designated condition
, High Sensitivity - ANS_will lead to positive findings for patients with a disease
Medicare Part A - ANS_Inpatient hospital stat, skilled nursing care, hospice, home care
Medicare Part B - ANS_Outpatient care, provider visits, surgery, lab tests, medical equipment,
preventative exams
Medicare Part C - ANS_Wellness services, vision exams, hearing exams, eyeglasses, hearing aids
Medicare Part D - ANS_Prescription drugs
Reimbursement for NPs - ANS_Reimbursed 85% of the physician's fee
Fungal Skin Infections - ANS_Papular Rash, SATELLITE LESIONS (classic symptom)
Treatment of fungal skin infections - ANS_Antifungal cream, pill, keep area as dry as possible
Location of fungal skin infections - ANS_Can be under the breast, in between skin folds, or in the groin
area
Who is at risk for fungal skin infections - ANS_Immunocompromised, diabetics, antibiotic therapy,
cellular immunity (chemo, AIDS, corticosteroid treatment, bone marrow transplant), invasive parenteral
catheterization, invasive monitoring devices
Tinea Vessicolor - ANS_Most commonly found on trunk and shoulders.
Flat to slightly elevated brown papules and plaques that scale when they are rubbed along with areas of
hyperpigmentation
