Finding:
Established chief complaint
Finding:
Reports recent "fender bender"
(Found)
Pro Tip: Patients choose to seek treatment for a variety of reasons. Asking
why Tina chose to seek treatment today might indicate primary concerns,
the severity of her symptoms, or failure to manage symptoms herself.
Example Question:
Why are you seeking treatment today?
Finding:
Reports headaches
(Found)
Pro Tip: Symptoms often vary from patient to patient. Asking Tina if she's had
headaches specifies the way her individual symptoms and pain manifest.
Example Question:
Have you had any headaches?
Finding:
Reports neck symptoms
(Found)
Pro Tip: Symptoms often vary from patient to patient. Asking Tina if she's had
neck stiffness specifies the way her individual symptoms and pain manifest.
Example Question:
Have you had any neck stiffness?
,History of Present Illness
Finding:
Asked about onset of symptoms
Finding:
Reports accident occurred 1 week ago
(Found)
Pro Tip: Soliciting a relevant history of Tina's car accident will allow you to
understand the context in which she was injured and the injuries she
sustained.
Example Question:
When did the accident happen?
Finding:
Reports symptoms began 2 days after accident
(Found)
Pro Tip: Symptoms often vary from patient to patient. Asking Tina when the
headaches begin specifies the way her individual symptoms and pain
manifest.
Example Question:
When did the headaches begin?
Finding:
Followed up on details of car accident
Finding:
Denies loss of consciousness
, (Found)
Pro Tip: Soliciting a relevant history of Tina's car accident will allow you to
understand the context in which she was injured and the injuries she
sustained.
Example Question:
Did you lose consciousness during the car accident?
Finding:
Reports low vehicle speed
(Found)
Pro Tip: Soliciting a relevant history of Tina's car accident will allow you to
understand the context in which she was injured and the injuries she
sustained.
Example Question:
How fast was the car going?
Finding:
Reports wearing seatbelt
(Found)
Pro Tip: Soliciting a relevant history of Tina's car accident will allow you to
understand the context in which she was injured and the injuries she
sustained.
Example Question:
Were you wearing your seatbelt?
Finding:
Reports sitting in front passenger seat
(Found)
Finding:
Established chief complaint
Finding:
Reports recent "fender bender"
(Found)
Pro Tip: Patients choose to seek treatment for a variety of reasons. Asking
why Tina chose to seek treatment today might indicate primary concerns,
the severity of her symptoms, or failure to manage symptoms herself.
Example Question:
Why are you seeking treatment today?
Finding:
Reports headaches
(Found)
Pro Tip: Symptoms often vary from patient to patient. Asking Tina if she's had
headaches specifies the way her individual symptoms and pain manifest.
Example Question:
Have you had any headaches?
Finding:
Reports neck symptoms
(Found)
Pro Tip: Symptoms often vary from patient to patient. Asking Tina if she's had
neck stiffness specifies the way her individual symptoms and pain manifest.
Example Question:
Have you had any neck stiffness?
,History of Present Illness
Finding:
Asked about onset of symptoms
Finding:
Reports accident occurred 1 week ago
(Found)
Pro Tip: Soliciting a relevant history of Tina's car accident will allow you to
understand the context in which she was injured and the injuries she
sustained.
Example Question:
When did the accident happen?
Finding:
Reports symptoms began 2 days after accident
(Found)
Pro Tip: Symptoms often vary from patient to patient. Asking Tina when the
headaches begin specifies the way her individual symptoms and pain
manifest.
Example Question:
When did the headaches begin?
Finding:
Followed up on details of car accident
Finding:
Denies loss of consciousness
, (Found)
Pro Tip: Soliciting a relevant history of Tina's car accident will allow you to
understand the context in which she was injured and the injuries she
sustained.
Example Question:
Did you lose consciousness during the car accident?
Finding:
Reports low vehicle speed
(Found)
Pro Tip: Soliciting a relevant history of Tina's car accident will allow you to
understand the context in which she was injured and the injuries she
sustained.
Example Question:
How fast was the car going?
Finding:
Reports wearing seatbelt
(Found)
Pro Tip: Soliciting a relevant history of Tina's car accident will allow you to
understand the context in which she was injured and the injuries she
sustained.
Example Question:
Were you wearing your seatbelt?
Finding:
Reports sitting in front passenger seat
(Found)
