Shadow Health - Robert Hall - Mobility - Subjective
Shadow Health - Robert Hall - Mobility - Subjective Established chief complaint - CORRECT ANSWER -reports leg pain -reports leg swelling Established orientation - CORRECT ANSWER -oriented to person -oriented to place -oriented to time -oriented to situation Asked about onset and duration of symptoms - CORRECT ANSWER -reports fall was 9 am this morning -reports lower leg pain started 2 days ago. Also reports mild constant pain in his knees and hips due to arthritis. -reports leg swelling started 2 days ago -reports pain has been constant since onset -reports pain steadily gets worse Asked about location of pain - CORRECT ANSWER -reports pain in left lower calf Asked about characteristics of pain - CORRECT ANSWER -describes pain as "nagging" -describes pain as sharp -denies stinging or burning pain -reports sensation of warmth Asked about aggravating factors of pain - CORRECT ANSWER -reports pain worse with walking Asked about treatment and relieving factors of pain - CORRECT ANSWER -reports taking Advil -reports Advil did not relieve leg pain -denies home treatments such as heating or icing for pain today Asked about severity of pain - CORRECT ANSWER -current pain level is 2/10 -pain level arriving at ER was 10/10 Asked about existing health conditions - CORRECT ANSWER -reports hypertension -reports osteoarthritis -reports prostate enlargement Followed up about hypertension diagnosis - CORRECT ANSWER -hypertension diagnosed at age 57 -reports belief that hypertension is "okay" (well-controlled)
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- September 16, 2023
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