CEA WORKSHOP

Cases Learning objective

Hx: 25/F who has been experiencing on and off headache for 10 years. Headache
was not to be unilateral and sometimes associated with flashes of lights or loud 1. To elicit the feeling of the patient
sounds. It is also relieved by rest or by taking Paracetamol. 2. To determine the context of the patient
1
PE: unremarkable including neurological exam. 3. To determine the emotionally critical misperception of the
Dx: Migraine Headache patient.
Plan: Pain management (Higher NSAIDs/Sumatriptan)

Hx: 36 y/o male, asymptomatic came in due to a positive HBsAg during his pre-
employment examination. 1. To elicit the feelings of the patient. (Patient may have more
PE: Unremarkable than 1 feeling)
2
Dx: Hepatitis B Infection 2. To determine the emotionally critical misperceptions of the
Plan: Repeat HBsAg after 1 month including Anti-HBs to check if antibodies have patient. (Patient may have more than 1 ECM)
developed.
Hx: 50/M from Makati is a CEO of a multimillion company. During his Executive
Check-up , his 2D Echo showed mild mitral valve prolapsed. He narrated that he
1. To determine the different attending skills. (Reflecting
3 has no symptoms at all
feelings, reflecting behavior, etc.)
PE: Normal
Plan: Annual 2D Echo for monitoring
Hx: 59/M had a chronic cough for 3 months already. He also noted that he had
weight loss and intermittent fever in the afternoon. His X-ray findings showed
suggestive findings of Pulmonary Tuberculosis. Sputum AFB was done and result 1. To determine the need to include family in the counseling
4
was consistent with PTB. process.
PE: BMI of 16.7, E/N chest findings
Plan: Start anti-koch’s therapy

Continuation of Case 4
5 Other members: Wife and Daughter