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Exam (elaborations)

Shadow Health Pneumonia, Anita Douglas

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Shadow Health Pneumonia, Anita Douglas Subjective Data Collection: 28 of 30 (93.3%) Hover To Reveal... Hover over the Patient Data items below to reveal important information, including Pro Tips and Example Questions. Found: Indicates an item that you found. Available: Indicates an item that is available to be found. Category Scored Items Experts selected these topics as essential components of a strong, thorough interview with this patient. Patient Data Not Scored A combination of open and closed questions will yield better patient data. The following details are facts of the patient's case. Chief Complaint Finding: Established chief complaint Finding: Reports sporadic chest pain (Found) Pro Tip: Chest pain can be a sign of many health problems, some serious and some less serious. It is important to follow up with discovery of chest pain by asking about its characteristics and severity. Example Question: Do you have chest pain? History of Present Illness Finding: Asked about onset of pain Finding: Reports chest pain started appearing in the past month (Found) Pro Tip: Establishing the onset of a patient's pain is essential in diagnosing its severity as well as the comfort of the patient. Example Question: When did your chest pain start? Finding: Asked about location of pain Finding: Reports pain is in center of the chest (Found) Pro Tip: Identifying the location of a patient's pain is essential in determining which body systems are affected, the underlying cause of the pain, and how best to treat it. Example Question: Where is the pain? Finding: Reports pain does not radiate (Found) Pro Tip: Pain radiation is an important symptom that can be helpful in understanding the cause of pain and narrowing the diagnosis. Example Question: Does the pain radiate? Finding: Denies arm pain (Found) Pro Tip: When combined with chest pain, arm pain can be a telling sign that the complaint may be cardiac in nature.

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Uploaded on
January 19, 2022
Number of pages
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Written in
2021/2022
Type
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Contains
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