Shadow Health- Danny Rivera- Focused Exam: Cough
Established chief complaint Ans- Reports cough
Asked about onset of cough Ans- Reports cough started 3 days ago
Asked about characteristics of cough Ans- Reports cough is wet
Reports clear sputum with cough
Asked about frequency and duration of cough Ans- Reports coughing every few minutes
Reports coughs last a few seconds
Asked about aggravating factors for cough Ans- Reports cough is worse at night
Denies smoking
Reports being exposed to secondhand smoke through father
Reports he doesn't know what triggers the cough
Asked about exposure to germs Ans- Reports playing with an ill classmate
Asked about hand hygiene Ans- Reports infrequent hand washing
Reports occasionally putting fingers in eyes, nose, or mouth
Asked about cough etiquette Ans- Denies covering mouth when coughing
Asked about relieving factors for cough Ans- Reports cough is temporarily relieved by cough medicine
Followed up on cough medicine Ans- Reports cough medicine was purple
Reports taking one spoonful of cough medicine
Reports mother gave him the medicine
Reports only took the medicine this morning
Denies home remedies
Asked about typical medication use Ans- Denies taking medication
Reports taking daily vitamin
Asked about activity level Ans- Reports typical high activity level
Reports activity level low since getting sick
Reports still able to run or play
Reports focusing in class is difficult
Established chief complaint Ans- Reports cough
Asked about onset of cough Ans- Reports cough started 3 days ago
Asked about characteristics of cough Ans- Reports cough is wet
Reports clear sputum with cough
Asked about frequency and duration of cough Ans- Reports coughing every few minutes
Reports coughs last a few seconds
Asked about aggravating factors for cough Ans- Reports cough is worse at night
Denies smoking
Reports being exposed to secondhand smoke through father
Reports he doesn't know what triggers the cough
Asked about exposure to germs Ans- Reports playing with an ill classmate
Asked about hand hygiene Ans- Reports infrequent hand washing
Reports occasionally putting fingers in eyes, nose, or mouth
Asked about cough etiquette Ans- Denies covering mouth when coughing
Asked about relieving factors for cough Ans- Reports cough is temporarily relieved by cough medicine
Followed up on cough medicine Ans- Reports cough medicine was purple
Reports taking one spoonful of cough medicine
Reports mother gave him the medicine
Reports only took the medicine this morning
Denies home remedies
Asked about typical medication use Ans- Denies taking medication
Reports taking daily vitamin
Asked about activity level Ans- Reports typical high activity level
Reports activity level low since getting sick
Reports still able to run or play
Reports focusing in class is difficult
