Physical Exams And Diagnostic Tests Assignment

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Physical Exams And Diagnostic Tests Assignment

Explain what physical exams and diagnostic tests would be appropriate for the patient and how the results would be used.

A complete physical exam would be performed for the patient. Patient has depression, sleeping problems and leg ache. Physical exam would help determine if physical problems or weakness are the underlying cause of these problems. An eye exam would also be performed during physical exam to access why the patient is having the issue of tears in her eyes. Her eye problem would be accessed and appropriate eye drops would be prescribed. Thyroid test would be important to access the level of thyroid hormone in the body. This is because thyroid hormonal level is found to have a relationship with depression (Dayan & Panicker, 2013). Iron level test would also be needed to identify if inadequate levels of iron in the body are causing of restless leg syndrome (Cochrane, 2016). DSM-5 criteria would be used to determine the patient’s mental health problem and diagnosis.

List three differential diagnoses for the patient. Identify the one that you think is most likely and explain why.

Based upon the signs and symptoms and patient’s condition revealed in the given case, following are the three differential diagnosis for the patient

Restless Legs Syndrome (RLS):

This condition also called Willis-Ekbom Disease causes unpleasant or uncomfortable sensations in the legs and an irresistible urge to move them. Symptoms commonly occur in the late afternoon or in evening hours, and are often most severe at night when a person is resting such as lying or sitting (Guo, et al., 2017). Symptoms may also occur when someone remains in an inactive position for a long period of time for instance when sitting in an airplane for long hour or watching a movie. The intensity of symptoms in increased during night time and therefore it is often difficult to sleep at night or return to sleep after waking up.

Restless leg syndrome is the most likely diagnosis for the patient. This is because patient has complaints of ‘ache and jump’ and due to this condition she is unable to fall asleep at night.


Insomnia is the most common sleep complaint. This condition occur when someone has trouble falling asleep or staying asleep even though he has the opportunity to get a full night of sleep. The symptoms, causes and severity of insomnia vary from person to person. Symptoms of the condition may include difficulty falling asleep; waking up too early in the morning; difficulty staying asleep throughout the night (Singh, 2016). In the current case, patient reports problem with sleeping, she has difficulty falling asleep at night. Therefore, the differential diagnosis for insomnia is included.

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