101+ Primary Care Case Studies

A Workbook for Clinical and Bedside Skills

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101+ Primary Care Case Studies

A Workbook for Clinical and Bedside Skills

Second Edition

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Editor

Sampath Wijesinghe, DHSc, MS, MPAS, PA-C, AAHIVS

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Description

Delivers real-life primary care case studies from more than 50 physician assistants, nurse practitioners, and physicians!

With a focus on illustrating care that is both competent and compassionate, this workbook-style resource features 101 engrossing narrative case studies that demonstrate how best to diagnose, treat, and manage a patient based on the history of the illness, a review of systems, relevant patient history, and physical exam findings. Readers will find probing questions within each case to help them determine differential and most likely diagnoses, diagnostic tests to order, and appropriate patient management strategies using relevant references. Each case study is organized to simulate the patient care journey from chief complaint to outcome. The second edition not only updates cases to reflect newest guidelines and protocols but also features 25 brand new cases and expands the body systems addressed including Psych-Mental Health. Twenty-five cases are available online to faculty for student assignment.

Covering conditions across all organ systems and the lifespan, the workbook offers an authentic perspective on what to expect in the patient care environment. It even includes information on pathophysiology and how to use ICD-10 codes in documentation. Unique to the book is its emphasis on both the science and art of medicine by including personal insights into quality and compassionate care. Serving a virtual clinical preceptor, the workbook can be used independently or in a classroom setting. It is accompanied by an online student supplement on Springer's Connect website providing answers and rationale to all questions, real outcomes of the cases, and personal insights from case contributors. Purchase includes online access via most mobile devices or computers.

New to the second Edition:

Twenty-five completely new cases targeting the areas of Psych-Mental Health, Cardiovascular, Neurology, Rheumatology and Infectious Disease
Twenty-five additional online cases are available exclusively to faculty for student assignment
Updates and revises all cases to reflect newest guidelines and protocols

Key Features:

Uses a consistent case study design and critical thinking exercises to help students work step-by-step through patient scenarios
Teaches clinical and bedside manner skills imperative for delivering quality care
Covers patients across the lifespan
Embedded in a humanistic approach to patient-centered care
Addresses patient education, medical and legal concerns, and interprofessional collaboration
Includes digital access to CourseConnect, an interactive learning platform for students
Includes online supplement with answers to case study questions and patient management insights from contributors
Provides instructors with TOC accessible by chief complaint, diagnosis, patient population, and organ system

Contents

Section I. ADULT

Case 1: Dyspnea and Right-Side Chest Pain, Adult Male

Case 2: Fatigue and Weakness, Adult Female

Case 3: Left Hip Pain, Adult Female

Case 4: Vaginal Bleeding, Adult Female

Case 5: Fever and Body Aches, Adult Male

Case 6: Blurry Vision, Adult Female

Case 7: Frequent Urination, Adult Male

Case 8: Medication Adjustment, Adult Male

Case 9: Thick Yellow Toenails, Adult Female

Case 10: Mood Changes, Adult Male

Case 11: Vaginal Bleeding and Spotting, Adult Female

Case 12: Burning With Urination, Adult Male

Case 13: Constipation, Adult Female

Case 14: Fatigue and General Malaise, Adult Male

Case 15: Dizziness and Difficulty Hearing, Adult Male

Case 16: Bad Headache, Adult Female

Case 17: Abdominal Pain, Adult Female

Case 18: Painful Urination, Adult Male

Case 19: Blurred Vision in Left Eye, Adult Female

Case 20: Sore Throat, Fever, and Chills, Adult Male

Case 21: Heart Palpitations, Adult Female

Case 22: Nipple Pain, Adult Female

Case 23: Recurrent Pain and Redness in Left Foot, Adult Female

Case 24: Muscle and Joint Pain, Adult Female

Case 25: Double Vision, Adult Female

Case 26: Painless Anal Bumps, Adult Transgender Male

Case 27: Fatigue and Decreased Libido, Adult Male

Case 28: Fever and Body Aches, Adult Male

Case 29: Eye Pain and Blurry Vision, Adult Female

Case 30: Chest Pain, Adult Female

Case 31: Vaginal Itching and Increased Discharge, Adult Female

Case 32: Low Platelets, Adult Male

Case 33: Skin Lesions After Sun Exposure, Adult Female

Case 34: Nervousness and anxiety, Adult Male

Case 35: Fatigue and Joint Aches, Adult Male

Case 36: Unexplained Weight Loss, Adult Female

Case 37: Painful Lump in Armpit, Adult Female

Case 38: Diabetes Check, Adult Male

Case 39: Bilateral Heel Pain, Adult Female

Case 40: Eye Injury, Adult Male

Case 41: Lump in Throat, Adult Male

Case 42: Extreme Weakness, Adult Male

Case 43: Pain and Redness in Breast, Adult Female

Case 44: Blood in Stool, Adult Female

Case 45: Erection Difficulties, Adult Male

Case 46: Unexplained Weight Gain, Adult Female

Case 47: Worsening, Sharp Abdominal Pain, Adult Female

Case 48: Lump in Breast, Adult Male

Case 49: Frequent Illness and Fatigue, Adult Female

Section II. PEDIATRIC

Case 50: Painful Urination, Adolescent Male

Case 51: Coughing and Wheezing, Pediatric Male

Case 52: Constipation, Adolescent Female

Case 53: Abdominal Pain, Adolescent Male

Case 54: Sore Throat and Abdominal Pain, Adolescent Male

Case 55: Doesn’t Follow Directions, Pediatric Male

Case 56: Crusty, Irritated Left Eye, Pediatric Male

Case 57: Chest Pain with Exertion, Adolescent Male

Case 58: Difficulty Relating to Others, Pediatric Male

Case 59: Fever and Lump on Neck, Adolescent Male

Case 60: Recurrent Vomiting, Pediatric Female

Case 61: Nausea, Vomiting, and Headache, Adolescent Male

Case 62: Frequent Diarrhea, Adolescent Female

Case 63: Repetitive Bruising on Legs, Pediatric Female

Case 64: Anxiety Attacks and Nightmares, Pediatric Female

Case 65: Widespread Painful Rash, Pediatric Female

Case 66: Bad Cough and Fever, Adolescent Female

Case 67: Headache and Fever, Pediatric Male

Case 68: Double and Blurred Vision, Adolescent Male

Case 69: Irregular Menstrual Cycle, Adolescent Female

Case 70: Blood in Urine, Pediatric Female

Case 71: Chest Pain, Adolescent Male

Case 72: Unsteady Gait and Nausea, Pediatric Female

Case 73: Excess Facial Hair, Adolescent Female

Case 74: Fever, Cough, and Runny Nose, Pediatric Female

Case 75: Abdominal Pain, Adolescent Male

Case 76: Irritable and Crying Toddler, Pediatric Male

Case 77: Swelling Around Eyes and Ankles, Adolescent Male

Case 78: Coughing and Gagging, Pediatric Male

Case 79: Asthma Follow-up, Adolescent Male

Case 80: Stomach Pain and Bloating, Adolescent Female

Case 81: Refusal to Eat or Drink, Pediatric Male

Case 82: Back Pain and Poor Posture, Pediatric Female

Case 83: Itchy Bumps, Pediatric Female

Section III. GERIATRIC

Case 84: Numbness in Hands and Legs, Geriatric Male

Case 85: Painful Rash, Geriatric Male

Case 86: Speech Difficulties, Geriatric Male

Case 87: Fever and Back Pain, Geriatric Female

Case 88: Malaise and Right-Side Pain, Geriatric Male

Case 89: Well Visit, Geriatric Male

Case 90: Shortness of Breath, Geriatric Male

Case 91: Lightheadedness, Geriatric Female

Case 92: Buttocks Pain, Geriatric Male

Case 93: Urine Leakage, Geriatric Female

Case 94: Confusion, Geriatric Female

Case 95: Leg Pain, Geriatric Male

Case 96: Shortness of Breath with Exertion, Geriatric Male

Case 97: Scalp Pain, Geriatric Female

Case 98: Shaking Hands, Geriatric Male

Case 99: Fatigue, Geriatric Female

Case 100: Sudden hearing Loss, Geriatric Female

Case 101: Shortness of Breath and Fatigue, Geriatric Male

Authors

Sampath ("Sam") Wijesinghe, DHSc, PA-C, AAHIVS, is an associate professor and director of career development at Stanford University School of Medicine's MSPA program. He completed his PA education at Union College, where he received a master's degree in PA studies. He also has a master's degree in management information systems from the University of Nebraska and a doctor of health science degree with an emphasis in global health from A.T. Still University. Dr. Wijesinghe completed an HIV clinical fellowship at University of California San Francisco, Fresno. He has been an HIV/AIDS specialist since 2014 and has worked in primary care medicine since 2010. He has been involved in medical education since 2013. His clinical interests include primary care medicine, HIV medicine, and global health.

Dr. Wijesinghe practices primary care medicine at Copeland Medical Healthcare Partners, Clovis, California. He practices HIV medicine at Adventist Health Medical Center, Fowler, a small town in California.

Dr. Wijesinghe is committed to educating the next generation of clinicians. With extensive experience in primary care and HIV medicine in underserved areas, he views medical education as an opportunity to improve patient outcomes and advance the field. As a nationally recognized expert, he serves as a CDC clinical ambassador for the Let's Stop HIV Together campaign. In 2023, the Excellence in Partnering award was given to the Together Clinical Ambassador activities, receiving commendable recognition from the CDC Division of HIV Prevention. The Together team extends sincere gratitude to Dr. Wijesinghe for his critical role in training physician associates and emerging students, alongside public health clinicians. Additionally, his significant contributions to the medical field through various publications are greatly appreciated. That same year, he was honored as the William H. Marquardt Community Health Access Fellow by the PA Foundation for inspiring both current and aspiring clinicians to engage in underserved areas and address healthcare disparities.A highly sought-after speaker and lecturer, Dr. Wijesinghe has presented at several national conferences and events and educates the next generation of PAs as a clinical preceptor on a regular basis.

Dr. Wijesinghe lives with his wife, Nuwan, and has two children, Rynee and Ryler. He loves traveling with the family, listening to music, watching sports, playing golf, biking, and hiking.

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