CBL Case 1 Jordan Smith - student copy

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University of New Mexico School of Medicine
INFECTIOUS DISEASE BLOCK
CBL Case 1
Student Copy
Jordan Smith
Case Authors: Sheila Hickey, MD / Infectious Disease Planning Group. Revised 9/12 by S Hickey and
the ID Block Planning Group; 9/13, 9/14, 10/16, 7/17 by M. Iandiorio & ID Block Planning Committee.
Case Designers: Curriculum Support, Office of Undergraduate Medical Education, School of Medicine,
University of New Mexico, Albuquerque, New Mexico.
Copyright  2011, School of Medicine, University of New Mexico, Albuquerque, New Mexico. All
rights reserved. No part of this material may be used or reproduced in any manner whatsoever without
written permission of the author(s).
UNM School of Medicine Phase I-2 ID block / Case Based Learning Case 1
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Students’ Pre-session assignment
Presenting Complaint:
Jordan Smith is a 16 year old previously healthy male who checks in to his high school’s teen
clinic with a complaint of sore throat. On HPI, you note that he reports that he had a sudden
onset of sore throat yesterday at lunch with a severity of 7 on a scale of 1-10. The pain has been
constant and exacerbated when swallowing secretions or food/drink. He has had some mild
improvement with acetaminophen. He did note a fever of 102.4F last night.
Pre-session Reading Assignment
 Long: Principles and Practice of Pediatric Infectious Diseases, 4th Edition. 2012
Chapter 27: Pharyngitis. Pages 199 - 205. E-book available through HSLIC on MD
Consult http://www.mdconsult.com/books/about.do?about=true&eid=4-u1.0-B978-14377-2702-9..C2009-0-41480-6--TOP&isbn=978-1-4377-2702-9&uniqId=363148931-2
(Posted on Brightspace)
 Optional Reference: Up To Date: Evidence-Based Clinical Decision Support (Available
on-line at UNM HSC library website): Pharyngitis
 Read the article cited above and additional resources of your choosing as needed to
complete the illness script table and to be able to discuss during tutorial.
 Submit completed illness script on Brightspace by 9am on the day of tutorial session.
Pre-session Learning Objectives
1. List 5 hypotheses (differential diagnoses) common causes of sore throat (please include at
least one non-infectious cause of sore throat) (CO.9) (USMLE A.10, B.12, B.19, G.5, I.4, I.10)
2. For the pharyngitis, use the illness script posted on Brightspace as a guide and fill in the
required knowledge fields for each. (CO.2-10, CO.15) (USMLE A.10, B.12, B.19, G.5, I.4, I.10, P.2,
P.4)
a. Historical findings that would be expected for each cause (i.e. epidemiology, seasonality,
exposure, typical age, vaccination status, clinical features, associated symptoms)
b. Exam findings that would be expected for each cause (i.e. febrile/afebrile, exudate / no
exudate, rash, lymphadenopathy, other)
c. Methods for diagnosing each (i.e. laboratory tests)
d. Pathophysiology (mechanism) of what causes the illness and symptoms
e. Recommended treatment
f. Potential complications
Session Learning Objectives
1. Develop relevant learning issues based on self-identified learning gaps uncovered during
PBL/tutorial sessions. (CO.12)
2. Critically evaluate sources of information, including ID-specific resources, and determine
whether the findings can be applied to the PBL/tutorial case. (CO.15) (USMLE P.2, P.15, Q.1)
3. Specific learning objectives for all tutorials will be posted by noon on the day of each tutorial.
These learning objectives will be tested.
UNM School of Medicine Phase I-2 ID block / Case Based Learning Case 1
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UNM School of Medicine Phase I-2 ID block / Case Based Learning Case 1
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