Wk 3 option 1.__ Western Michigan University__Rated A

A 62-year old female complains of pain over several finger joints over bilateral hands that is “getting worse” to the point that she is no longer able to work in her garden. S: 62-year-old female presents with pain over several finger joints over bilateral hands that is “getting worse” to the point that she is no longer able to work in her garden. HPI Onset: when did the pain started? Location: finger joints over bilateral hands Duration: how long does the pain last? Is the pain constant? Characteristic: can you describe your pain? Sharp? Burning? Tingling? Dull? Aggravating factors: is there anything that makes it worse? Relieving factors: are you taking any pain medications? What are you doing to relieve your pain? Treatment: currently taking any pain medications, even OTC? Applying ice or warm compress? Severity: no longer able to work in her garden PH: ask patient for any surgical history, past medical history, family past medical history Social History: ask regarding tobacco, alcohol, drug use Allergies: ask about medication and food allergies Medications: ask about routine and OTC medications Immunizations: ask if current with immunizations ROS: HEENT: ask if patient is presenting with any URI symptoms, travel out of country, any sick contact. Cardiac: ask for cardiac symptoms and or history Respiratory: ask if patient has any respiratory symptoms or concerns GI: ask for any gastrointestinal symptoms such as constipation, diarrhea, pain, n/v GU: ask for urinary symptoms, any concerns with reproductive system? Musculoskeletal: pain over several finger joints over bilateral hands that is “getting worse” to the point that she is no longer able to work in her garden