CONO Clinical Sciences case studies
CONO Clinical Sciences · Put your knowledge to work in context.
The CONO Clinical Sciences credential is designed for clinicians who want formal recognition of their command of applied clinical science across the full arc of patient care, from first assessment through treatment, follow-up, and documentation. Candidates typically include practicing clinicians, advanced-practice nurses, and allied health professionals preparing for expanded scope or leadership roles. The CONO Clinical Sciences case studies are 5 cases and about 3,020 words.
1Chest Pain in a Patient with Normal Troponin and a Recent Fall
A 68-year-old woman presents at 02:00 to a rural urgent care with 90 minutes of central chest pressure radiating to the jaw, diaphoresis, and nausea. She took two sublingual nitroglycerin tablets with only partial relief.
638 words, about 3 min2Antibiotic Choice for a Diabetic with a Foot Ulcer and Penicillin Allergy
A 57-year-old man with type 2 diabetes (A1c 9.8%) presents with a 3 cm by 2 cm plantar ulcer of the right great toe present for three weeks. The wound has a shallow depth, no exposed bone, and a rim of erythema extending 1.5 cm beyond the wound edge.
589 words, about 3 min3Opioid Taper Request in a Patient on Chronic Therapy
A 61-year-old woman with chronic low back pain has been on oxycodone 10 mg every 6 hours (40 mg morphine milligram equivalents per day) for four years, prescribed by a departing physician. She also takes alprazolam 0.5 mg three times daily for anxiety and gabapentin 300 mg three times daily.
598 words, about 3 min4Sepsis Recognition on a Busy Medical-Surgical Unit
A 74-year-old man admitted two days ago for a urinary tract infection is now on the medical-surgical floor. At 14:00 the nurse reports new confusion, HR 118, BP 92/54 (baseline 140/80), RR 26, temp 38.9 C, and SpO2 91% on room air.
593 words, about 3 min5Informed Consent for a Procedure in a Patient with Mild Cognitive Impairment
A 79-year-old woman with mild cognitive impairment (MoCA 22/30) is scheduled for an elective colonoscopy to evaluate iron-deficiency anemia. She lives in assisted living and her daughter holds a durable power of attorney for healthcare.
602 words, about 3 min