Exam 1 - Interviews, Vital signs, Pain assessment, HEENT, General survey

Exam 1 - Interviews, Vital signs, Pain
assessment, HEENT, General survey



Established chief complaint -Answer--Reports chest pain

Asked about onset and duration of chest pain -Answer--Reports chest pain started
about five minutes ago
Reports chest pain has been constant since it began
Reports sitting in bed when pain began

Asked to rate chest pain on a scale -Answer--Reports current pain is 6/10

Asked about on characteristics of the pain -Answer--Describes pain as tight and
uncomfortable
Denies crushing pain
Denies gnawing or tearing pain
Denies burning pain

Asked about location of the pain -Answer--Reports pain location is in middle of the
chest
Reports slight pain in left shoulder
Denies arm pain
Denies back pain
Denies jaw pain
Denies neck pain

Asked about pain triggers -Answer--Reports pain is aggravated by movement

Asked about stress and anxiety -Answer--Reports generally low stress lifestyle
Denies history of anxiety
Denies history of panic attacks

Asked relevant health history -Answer--Reports high blood pressure
Reports high cholesterol
Denies history of pulmonary embolism
Denies history of angina