Shadow Health - Robert Hall - Mobility –
Subjective UPDATED ACTUAL Exam
Questions and CORRECT Answers
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)
-reports that typical number in the doctor's office is "never above 140 for the first number"
-reports that he doesn't check BP at home
-reports that he only checks BP at doctor's office every few months
-denies checking BP before taking medication
Followed up about osteoarthritis diagnosis - CORRECT ANSWER - -arthritis diagnosed at
age 57
-reports hip pain
-reports knee pain
-reports morning stiffness
-reports using heat to relieve pain
Subjective UPDATED ACTUAL Exam
Questions and CORRECT Answers
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)
-reports that typical number in the doctor's office is "never above 140 for the first number"
-reports that he doesn't check BP at home
-reports that he only checks BP at doctor's office every few months
-denies checking BP before taking medication
Followed up about osteoarthritis diagnosis - CORRECT ANSWER - -arthritis diagnosed at
age 57
-reports hip pain
-reports knee pain
-reports morning stiffness
-reports using heat to relieve pain
