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Old 03-30-2014
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Default Can patient presents with multiple problems?

So I took CS. This patient came in with CC of 1 respiratory symptom, and the history and physical is so clear that it is xxx, so i put xxx as my #1 diagnosis and with clear history and physical supporting findings. But if the pt told you he has chronic cough that is separate from why he came in today and is a heavy smoker, can you also put COPD and lung cancer as DD#2 and #3.
I saw in FA case it has unrelated diagnosis, like domestic abuse with diabetes or something...

Please help me, i am really worry
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  #2  
Old 04-04-2014
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Default dx

Hard to answer.
As much as i know, your principal DX may reflex your CC, and the second and Third must be your differentials.
If you take a look to Kaplan Core Cases, they have a case where the CC is fever and weight loss. The dxs: 1. HIV/AIDS 2. Pneumocystis pneumonia and 3. Esophageal candidiasis.
I think all depend of your case.
I hope this can help.
Good luck!
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  #3  
Old 04-05-2014
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Default

yea so I think if you don't go too wild it's ok
because PCP and Candidiasis are because of the HIV, doesn't really have to do with the CC
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