Shadow Health Conversation Concept
Lab Rachel Adler with complete solution
1. Q: What brings you in today?
A: Reports needing an annual physical.
Rationale: Establishing the chief complaint is the first step in any patient
interview. Rachel is here for a routine wellness visit, not for an acute
problem .
2. Q: How are you feeling today?
A: Reports feeling generally well and has no specific concerns.
Rationale: Open-ended questions about general well-being help
establish rapport and identify any unstated concerns .
3. Q: Is there anything specific you want to discuss today?
A: Denies any specific concerns; states she is only here for the required
physical.
Rationale: This clarifies the patient's agenda and ensures no underlying
issues are missed .
4. Q: How long have you needed this physical?
A: Reports needing it for school or sports requirements (context-
dependent).
Rationale: Understanding the context helps determine the urgency and
scope of the assessment .
5. Q: Have you had any health problems since your last visit?
A: Denies any health problems since her last physical.
, Rationale: Establishes a timeline and identifies any interval changes in
health status .
SECTION 2: PAST MEDICAL HISTORY (Q 6-15)
6. Q: What medical conditions do you have?
A: Denies any medical conditions.
Rationale: The patient reports being generally healthy with no chronic
illnesses .
7. Q: Have you ever been hospitalized?
A: Denies any hospitalizations.
Rationale: No history of serious illness or injury requiring hospitalization .
8. Q: Have you ever had surgery?
A: Denies any surgical history.
Rationale: No past surgical procedures .
9. Q: Have you ever broken a bone?
A: Denies any fractures or broken bones.
Rationale: No history of orthopaedic injury .
10. Q: Do you have any chronic illnesses?
A: Denies chronic health conditions.
Rationale: Reports being generally healthy and rarely getting sick .
11. Q: When was your last physical exam?
A: Reports not having a physical in over a year (typical response).
Rationale: This confirms the need for the current annual examination .
Lab Rachel Adler with complete solution
1. Q: What brings you in today?
A: Reports needing an annual physical.
Rationale: Establishing the chief complaint is the first step in any patient
interview. Rachel is here for a routine wellness visit, not for an acute
problem .
2. Q: How are you feeling today?
A: Reports feeling generally well and has no specific concerns.
Rationale: Open-ended questions about general well-being help
establish rapport and identify any unstated concerns .
3. Q: Is there anything specific you want to discuss today?
A: Denies any specific concerns; states she is only here for the required
physical.
Rationale: This clarifies the patient's agenda and ensures no underlying
issues are missed .
4. Q: How long have you needed this physical?
A: Reports needing it for school or sports requirements (context-
dependent).
Rationale: Understanding the context helps determine the urgency and
scope of the assessment .
5. Q: Have you had any health problems since your last visit?
A: Denies any health problems since her last physical.
, Rationale: Establishes a timeline and identifies any interval changes in
health status .
SECTION 2: PAST MEDICAL HISTORY (Q 6-15)
6. Q: What medical conditions do you have?
A: Denies any medical conditions.
Rationale: The patient reports being generally healthy with no chronic
illnesses .
7. Q: Have you ever been hospitalized?
A: Denies any hospitalizations.
Rationale: No history of serious illness or injury requiring hospitalization .
8. Q: Have you ever had surgery?
A: Denies any surgical history.
Rationale: No past surgical procedures .
9. Q: Have you ever broken a bone?
A: Denies any fractures or broken bones.
Rationale: No history of orthopaedic injury .
10. Q: Do you have any chronic illnesses?
A: Denies chronic health conditions.
Rationale: Reports being generally healthy and rarely getting sick .
11. Q: When was your last physical exam?
A: Reports not having a physical in over a year (typical response).
Rationale: This confirms the need for the current annual examination .
