Writing the pre-hypothesis summary statement
Read over the CC, HPI, MH and DH of the case below. On a separate piece of paper, write out a pre-hypothesis summary statement. Check your statement out with the answer below by clicking on the pull down box. Be sure you understand the composition of the answer and your answer before you leave the quiz.
David Tate, a 38-year-old man reports to your office:
CC: "Can you help me with this ulcer that started yesterday here on the tip of my tongue? I can't chew my food now, and I can't have it hurt while I'm driving my rig to Miami tomorrow."
HPI: 2 mm, oval, cream colored ulcer on the tip of the tongue. Present about 24 hours. History of previous ulcers, same characteristics for 6 years. Usually painful for a week then heal in another week. Patient has problems eating when ulcers present because of pain.
MH: Chronic stomach ulcers over the past 8 years, medicated with Tagumet. Long haul truck driver for 10 years. Past 6 years job has had more deadlines with heavier traffic on the interstates. Pt has recently been diagnosed with mild hypertension, controlled with diuretic. BP today, normal.
DH: Regular dental care, several alloy restorations. Generally good dental care and currently in good dental health.
Note: it does not matter if you think you know what the diagnosis is, write out your pre-hypothesis summary statement as if you didn't know.
David Tate is a 38 y o, hypertensive male with a 2 mm oval, painful, cream colored ulcer present 24 hours on the tip of his tongue. He has an 8 yr history of stomach ulcers for which he takes Tagumet. Dental history is non-contributory.