The acute and critical care nurse practitioner’s essential case-based guide to developing differential diagnoses Acute & Critical Care Nurse Practitioner: Cases in Diagnostic Reasoning presents a wide range of acute and critical care patient cases focusing on diagnosis and management. This authoritative book is designed to help nurse practitioners and students learn how to develop an accurate differential diagnosis and management plan using diagnostic reasoning. The cases highlight a comprehensive variety of system-based patient conditions and diseases in acute and critical care settings and are written by expert nurse practitioners who methodically demonstrate their diagnostic reasoning process. Readers are guided through the process of constructing a differential diagnosis using information from the chief complaint, history of present illness, past medical history, review of systems, physical examination findings, and selected diagnostic results. Through reconstructing the course of real-life clinical cases, the authors “think out loud” and reveal how they identify pertinent positives and significant negatives to support or refute items on their differential diagnosis list, and how they further refine potential diagnoses as additional patient information and laboratory and diagnostic exam results are introduced. Along with pertinent case information, authors include case analysis questions and salient discussion points that enable learners to actively participate in both inductive and deductive reasoning to work toward a correct diagnosis. The first of its kind,Acute & Critical Care Nurse Practitioner: Cases in Diagnostic Reasoning is an essential and key learning and teaching resource for students, clinicians, and clinical faculty to master the art of diagnostic reasoning. Includes 71 cases based on real-life clinical scenariosTeaches how to develop and sharpen diagnostic reasoning skillsWritten by experienced expert nurse practitioners working in acute & critical care settingsCases can be used to support course work, certification review, and job trainingEndorsed by the American Association of Critical-Care Nurses (AACN)
Contributors
Acknowledgements
Preface: How to Use the Book
Case Listing by Diagnosis
Case Listing by Symptom
Diagnostic Reasoning: An Overview
Cases 1-71
Index
Case 1: Acute Liver Failure: Acetaminophen toxicity
Case 2: Acute Respiratory Distress Syndrome (ARDS)
Case 3: Acute Severe Asthma
Case 4: Adrenal Insufficiency
Case 5: Anemia: Of chronic disease
Case 6: Anemia: Of unknown etiology
Case 7: Aortic Dissection (type A): Marfan syndrome
Case 8: Aortic Dissection (type A): Post heart transplant
Case 9: Aortic Stenosis
Case 10: Aspergillosis
Case 11: Bowel Obstruction - Small Bowel (Part 1); Acute Kidney Injury (Part
2)
Case 12: Brain Tumor: Glioblastoma
Case 13: Cancer: Post-transplant lymphoproliferative disorder
Case 14: Carbon Monoxide Poisoning
Case 15: Cardiac Amyloidosis
Case 16: Cardiac Tamponade: Post cardiac surgery
Case 17: Cardiogenic Shock
Case 18: Cardiomyopathy: Hypertrophic obstructive
Case 19: Cardiomyopathy: Ischemic
Case 20: Chest Trauma: Flail chest
Case 21: Choledocholithiasis: Post laparoscopic surgery
Case 22: Colorectal Surgery: Post-operative complication
Case 23: Costochondritis
Case 24: Diabetes Insipidus: Post-operative
Case 25: Diabetic Ketoacidosis
Case 26: Drug Induced Long-QT Syndrome
Case 27: Encephalitis: Anti-N-methyl D-aspartate (NMDA)
Case 28: Endocarditis: Tricuspid valve
Case 29: Gastroesophageal Reflux Disease (GERD)
Case 30: Gastrointestinal Bleeding: Portal hypertension
Case 31: Heart Failure: Post-operative acute on chronic
Case 32: Heart Failure: Preserved ejection fraction
Case 33: Hepatorenal Syndrome
Case 34: Hernia: Inguinal
Case 35: Hypertensive crisis: Renal artery stenosis
Case 36: Idiopathic thrombocytopenia purpura
Case 37: Ileostomy: Large volume output
Case 38: Leukemia: Acute myeloid
Case 39: Lupus: Systemic lupus erythematosus
Case 40: Meningitis
Case 41: Meningitis: Bacterial
Case 42: Migraine
Case 43: Multiple Myeloma
Case 44: Myocardial Infarction: Non ST elevation myocardial infarction
(NSTEMI)
Case 45: Myocardial Infarction: ST elevation myocardial infarction (STEMI)
and Plavix resistance
Case 46: Myxedema Coma
Case 47: Neuroleptic Malignant Syndrome
Case 48: Nicotine Poisoning
Case 49: Osteomylitis
Case 50: Pancreatic Cancer
Case 51: Pancreatitis Associated with ECMO
Case 52: Pericarditis: Constrictive cardiomyopathy
Case 53: Pericarditis: Post-operative CABG
Case 54: Peripheral Arterial Disease (PAD)
Case 55: Peripheral Venous Disease (PVD)
Case 56: Pneumonia: Aspiration due to end-stage dementia
Case 57: Pneumonia: COPD exacerbation
Case 58: Pneumonia: Eosinophilia
Case 59: Pneumothorax
Case 60: Pulmonary Edema: Flash
Case 61: Pulmonary Embolus
Case 62: Sepsis: Bile leak post-operative liver transplantation
Case 63: S
Suzanne M. Burns, RN, MSN, RRT, ACNP, CCRN, FAAN, FCCM is a Professor of Nursing, Acute and Specialty Care at the University of Virginia, Charlottesville, VA, USA
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