NU 627 Shadow Health Do Not Miss Diagnoses & Test Selections 2026 | Complete
Study Guide | Graded A+| Herzing university
Differential Selection : 4 of 4 (100.0%)
In this activity, you were asked to identify which differential diagnoses were essential to investigate to ensure patient safety. You were
automatically evaluated by the simulation on whether or not you identified the appropriate list of Do-Not-Miss diagnoses.
Review the list of most appropriate Do-Not-Miss diagnoses below. Correct selections have been marked with a , while selections you missed
have been marked with a .
Do Not Miss Student Rationale Model Rationale
Acute Myocardial Infarction The patient present with chest pain Chest pain with exertion can be a sign of acute myocardial infarction, a
with exertion which is creates an condition which represents an urgent danger to the patient. The possibility of
• You scored: 1 out of 1
immediate harm to the patient. acute MI must be investigated to ensure the patient’s safety.
• Great job! You correctly
identified this diagnosis
as do not miss.
Angina Pectoris, Unstable Chest pain and tightness which may Any time a patient presents with signs of angina, like chest pain and chest
lead to arrythmias, MI or possibly tightness, it is important to investigate the possibility of unstable angina
• You scored: 1 out of 1
even death. pectoris, which can be a precursor of arrhythmias, myocardial infarction, and
• Great job! You correctly death.
identified this diagnosis
as do not miss.
Cardiac Arrhythmia The patient presented sith chest pain Chest pain and an elevated heart rate are symptoms consistent with cardiac
and increase heart rate which is very arrhythmia, a condition which can put the patient in immediate danger.
• You scored: 1 out of 1
dangerous for the patient,
• Great job! You correctly
identified this diagnosis
, as do not miss.
Pulmonary Embolism Chest pain that worsens with exertion. Chest pain which worsens upon exertion is consistent with pulmonary
embolism. While chest pain from PE is not usually resolved by rest, PE should
• You scored: 1 out of 1
still be investigated as a possible diagnosis due to the high risk it presents to the
• Great job! You correctly patient.
identified this diagnosis
as do not miss.
Other Differentials
You were asked to select other potential differential diagnoses that you thought were applicable to the case. Review the list of differential
diagnoses below and compare your answers to Diana's list. Your selections in this section are not automatically scored by the simulation, but
your instructor may choose to grade this list.
Differential Student Rationale Model Rationale
Anemia Chest pain is a sign of anemia. Chest pain can be a sign of anemia.
• Great job! This is an
applicable diagnosis, given
the patient case details and
provider notes.
Coronary Artery Disease with Stable Chest tightness and chest pain with Chest tightness and chest pain that present upon exertion and are relieved by
Angina exertion and go away with rest rest are indicative of stable angina, for which the most common cause is
points stable coronary artery disease.
• Great job! This is an
applicable diagnosis, given
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, the patient case details and
provider notes.
Costochondritis Chest pain that continues Symptoms of costochondritis include chest pain that presents
with movement. upon certain movements. Since Mr. Foster experiences pain
• Great job! This is an
upon exertion, costochondritis should be investigated as a
applicable diagnosis,
possible cause of his discomfort.
given the patient case
details and provider
notes.
Gastroesophageal Reflux GERD is a common cause of GI disorders are one of the most common causes of chest
Disease (GERD) chest pain and have pain, and GERD cannot be ruled out without further testing.
symptoms the are similiar As the symptoms of GERD can mimic those of a number of
• Great job! This is an
to cardiac problems cardiac disorders, it is important to consider GERD as a
applicable diagnosis,
possible origin of the patient’s discomfort.
given the patient case
details and provider
notes.
Generalized Anxiety Disorder Panic attacks linked to Panic attacks, associated with GAD, can induce episodes of chest
(GAD) generalized anxiety disorder pain and increased heart palpitations that may lead a patient
can present as chest pain and to believe they are experiencing a cardiac event. It is therefore
• Great job! This is an
increase heart rate and important to consider GAD as a possible origin of the patient’s
applicable diagnosis,
palpitations discomfort.
given the patient case
details and provider
notes.
Pneumonia Chest pain and increase heart Chest pain and an elevated heart rate can be symptoms of
rate may present with pneumonia, which cannot be ruled out without further testing.
• Great job! This is an
symptoms of pneumonia
applicable diagnosis,
given the patient case
details and
messages.downloaded_by
Study Guide | Graded A+| Herzing university
Differential Selection : 4 of 4 (100.0%)
In this activity, you were asked to identify which differential diagnoses were essential to investigate to ensure patient safety. You were
automatically evaluated by the simulation on whether or not you identified the appropriate list of Do-Not-Miss diagnoses.
Review the list of most appropriate Do-Not-Miss diagnoses below. Correct selections have been marked with a , while selections you missed
have been marked with a .
Do Not Miss Student Rationale Model Rationale
Acute Myocardial Infarction The patient present with chest pain Chest pain with exertion can be a sign of acute myocardial infarction, a
with exertion which is creates an condition which represents an urgent danger to the patient. The possibility of
• You scored: 1 out of 1
immediate harm to the patient. acute MI must be investigated to ensure the patient’s safety.
• Great job! You correctly
identified this diagnosis
as do not miss.
Angina Pectoris, Unstable Chest pain and tightness which may Any time a patient presents with signs of angina, like chest pain and chest
lead to arrythmias, MI or possibly tightness, it is important to investigate the possibility of unstable angina
• You scored: 1 out of 1
even death. pectoris, which can be a precursor of arrhythmias, myocardial infarction, and
• Great job! You correctly death.
identified this diagnosis
as do not miss.
Cardiac Arrhythmia The patient presented sith chest pain Chest pain and an elevated heart rate are symptoms consistent with cardiac
and increase heart rate which is very arrhythmia, a condition which can put the patient in immediate danger.
• You scored: 1 out of 1
dangerous for the patient,
• Great job! You correctly
identified this diagnosis
, as do not miss.
Pulmonary Embolism Chest pain that worsens with exertion. Chest pain which worsens upon exertion is consistent with pulmonary
embolism. While chest pain from PE is not usually resolved by rest, PE should
• You scored: 1 out of 1
still be investigated as a possible diagnosis due to the high risk it presents to the
• Great job! You correctly patient.
identified this diagnosis
as do not miss.
Other Differentials
You were asked to select other potential differential diagnoses that you thought were applicable to the case. Review the list of differential
diagnoses below and compare your answers to Diana's list. Your selections in this section are not automatically scored by the simulation, but
your instructor may choose to grade this list.
Differential Student Rationale Model Rationale
Anemia Chest pain is a sign of anemia. Chest pain can be a sign of anemia.
• Great job! This is an
applicable diagnosis, given
the patient case details and
provider notes.
Coronary Artery Disease with Stable Chest tightness and chest pain with Chest tightness and chest pain that present upon exertion and are relieved by
Angina exertion and go away with rest rest are indicative of stable angina, for which the most common cause is
points stable coronary artery disease.
• Great job! This is an
applicable diagnosis, given
messages.downloaded_by
, the patient case details and
provider notes.
Costochondritis Chest pain that continues Symptoms of costochondritis include chest pain that presents
with movement. upon certain movements. Since Mr. Foster experiences pain
• Great job! This is an
upon exertion, costochondritis should be investigated as a
applicable diagnosis,
possible cause of his discomfort.
given the patient case
details and provider
notes.
Gastroesophageal Reflux GERD is a common cause of GI disorders are one of the most common causes of chest
Disease (GERD) chest pain and have pain, and GERD cannot be ruled out without further testing.
symptoms the are similiar As the symptoms of GERD can mimic those of a number of
• Great job! This is an
to cardiac problems cardiac disorders, it is important to consider GERD as a
applicable diagnosis,
possible origin of the patient’s discomfort.
given the patient case
details and provider
notes.
Generalized Anxiety Disorder Panic attacks linked to Panic attacks, associated with GAD, can induce episodes of chest
(GAD) generalized anxiety disorder pain and increased heart palpitations that may lead a patient
can present as chest pain and to believe they are experiencing a cardiac event. It is therefore
• Great job! This is an
increase heart rate and important to consider GAD as a possible origin of the patient’s
applicable diagnosis,
palpitations discomfort.
given the patient case
details and provider
notes.
Pneumonia Chest pain and increase heart Chest pain and an elevated heart rate can be symptoms of
rate may present with pneumonia, which cannot be ruled out without further testing.
• Great job! This is an
symptoms of pneumonia
applicable diagnosis,
given the patient case
details and
messages.downloaded_by
