Exam (elaborations) Experience Overview Patient Gabriel Martinez Complete Shadow Health

Exam (elaborations) Experience Overview Patient Gabriel Martinez Complete Shadow Health ief Complaint Patient  Finding: Asked about patient's status  Finding: Reports breathing is better (Found) Pro Tip: Assessing a pediatric patient's status involves asking about their current comfort, needs, and chief complaint. It's important to check in with a patient's status, because it may reveal insight into their current condition. Example Question: How are you?  Finding: Reports chest soreness (Available) Pro Tip: Assessing a pediatric patient's status involves asking about their current comfort, needs, and chief complaint. It's important to check in with a patient's status, because it may reveal insight into their current condition. Example Question: How are you?  Finding: Followed up on symptoms  Finding: Reports wheezing (Available) Pro Tip: Assessing a pediatric patient's status involves asking about their current comfort, needs, and chief complaint. It's important to check in with a patient's status, because it may reveal insight into their current condition. Example Question: What is your chief complaint?  Finding: Reports coughing is less frequent (Found) Pro Tip: Assessing a pediatric patient's status involves asking about their current comfort, needs, and chief complaint. It's important to check in with a patient's status, because it may reveal insight into their current condition. Example Question: What is your chief complaint?  Finding: Reports chest does not feel as tight (Available) Pro Tip: Assessing a pediatric patient's status involves asking about their current comfort, needs, and chief complaint. It's important to check in with a patient's status, because it may reveal insight into their current condition. Example Question: What is your chief complaint? History of Present Illness Patient  Finding: Followed up on onset of symptoms  Finding: Reports symptoms started after playing kickball (Available) Pro Tip: Asking a pediatric patient about the duration and onset of their current health issues solicits information relevant to the history of their present illness. Details of their current complaint will help you follow-up on any present conditions or symptoms, such as the location of their pain or the amount of pain they may be experiencing. Example Question: What brings you to the hospital?  Finding: Reports full-on asthma attack began when he got home (Available) Pro Tip: Asking a pediatric patient about the duration and onset of their current health issues solicits information relevant to the history of their present illness. Details of their current complaint will help you follow-up on any present conditions or symptoms, such as the location of their pain or the amount of pain they may be experiencing. Example Question: What brings you to the hospital?  Finding: Followed up on aggravating factors  Finding: Reports secondhand smoke exposure (Available) Pro Tip: Asking a pediatric patient about the duration and onset of their current health issues solicits information relevant to the history of their present illness. Details of their current complaint will help you follow-up on any present conditions or symptoms, such as the location of their pain or the amount of pain they may be experiencing. Example Question: What triggers your asthma?  Finding: Denies being around secondhand smoke normally (Available) Pro Tip: Asking a pediatric patient about the duration and onset of their current health issues solicits information relevant to the history of their present illness. Details of their current complaint will help you follow-up on any present conditions or symptoms, such as the location of their pain or the amount of pain they may be experiencing. Example Question: What triggers your asthma? Home Medications Patient  Finding: Followed up on rescue inhaler adherence  Finding: Reports carrying rescue inhaler with him in the past (Found) Pro Tip: A pediatric patient's home medications can provide insight into the patient's current treatment and its efficacy. Inquiring into medication history, dosage, and frequency will help you understand the patient's background and how it may affect their current situation. Example Question: What is the name of the rescue inhaler you are currently using?  Finding: Reports throwing away the rescue inhaler a few weeks ago (Available) Pro Tip: A pediatric patient's home medications can provide insight into the patient's current treatment and its efficacy. Inquiring into medication history, dosage, and frequency will help you understand the patient's background and how it may affect their current situation. Example Question: What is the name of the rescue inhaler you are currently using?  Finding: Reports disliking rescue inhaler because of side effects (Found) Pro Tip: A pediatric patient's home medications can provide insight into the patient's current treatment and its efficacy. Inquiring into medication history, dosage, and frequency will help you understand the patient's background and how it may affect their current situation. Example Question: What do you take for your asthma?  Finding: Asked about side effects of rescue inhaler  Finding: Reports rescue inhaler made him feel shaky (Available) Pro Tip: A pediatric patient's home medications can provide insight into the patient's current treatment and its efficacy. Inquiring into medication history, dosage, and frequency will help you understand the patient's background and how it may affect their current situation. Example Question: Have you experienced medication side effects before?  Finding: Reports rescue inhaler made his heart beat fast (Available) Pro Tip: A pediatric patient's home medications can provide insight into the patient's current treatment and its efficacy. Inquiring into medication history, dosage, and frequency will help you understand the patient's background and how it may affect their current situation. Example Question: Have you experienced medication side effects before? Social History Patient  Finding: Asked about exercise  Finding: Reports being mostly sedentary (Available) Pro Tip: A pediatric patient's social history encompasses their family and support system, living situation, and daily behaviors such as diet and exercise. Even though you are working with pediatric patients, it is important to ask about sexual activity and substance use. These factors can influence their current health and wellness. Asking about a pediatric patient's social history can also unveil the influence of their present illnesses in their social lives. Example Question: Do you exercise?  Finding: Asked about living situation  Finding: Reports living with mother in an apartment (Available) Pro Tip: A pediatric patient's social history encompasses their family and support system, living situation, and daily behaviors such as diet and exercise. Even though you are working with pediatric patients, it is important to ask about sexual activity and substance use. These factors can influence their current health and wellness. Asking about a pediatric patient's social history can also unveil the influence of their present illnesses in their social lives. Example Question: Where do you live?  Finding: Asked about patient's substance use  Finding: Denies alcohol use (Available) Pro Tip: A pediatric patient's social history encompasses their family and support system, living situation, and daily behaviors such as diet and exercise. Even though you are working with pediatric patients, it is important to ask about sexual activity and substance use. These factors can influence their current health and wellness. Asking about a pediatric patient's social history can also unveil the influence of their present illnesses in their social lives. Example Question: Do you drink alcohol?  Finding: Denies using tobacco products (Available) Pro Tip: A pediatric patient's social history encompasses their family and support system, living situation, and daily behaviors such as diet and exercise. Even though you are working with pediatric patients, it is important to ask about sexual activity and substance use. These factors can influence their current health and wellness. Asking about a pediatric patient's social history can also unveil the influence of their present illnesses in their social lives. Example Question: Do you smoke cigarettes?  Finding: Asked about education  Finding: Reports being in 3rd grade (Available) Pro Tip: A pediatric patient's social history encompasses their family and support system, living situation, and daily behaviors such as diet and exercise. Even though you are working with pediatric patients, it is important to ask about sexual activity and substance use. These factors can influence their current health and wellness. Asking about a pediatric patient's social history can also unveil the influence of their present illnesses in their social lives. Example Question: What education do you have? Review of Relevant Systems Patient  Finding: Asked about cardiovascular system  Finding: Reports heart is racing (Available) Pro Tip: Understanding a pediatric patient's health involves a comprehensive overview of their physiological systems. This is necessary to understand what symptoms may indicate larger issues, and what treatments the patient may require. Example Question: Is your heartbeat normal?  Finding: Asked about integumentary system  Finding: Denies current skin problems (Available) Pro Tip: Understanding a pediatric patient's health involves a comprehensive overview of their physiological systems. This is necessary to understand what symptoms may indicate larger issues, and what treatments the patient may require. Example Question: Do you have skin problems?  Finding: Reports using prescription cream to treat skin (Available) Pro Tip: Understanding a pediatric patient's health involves a comprehensive overview of their physiological systems. This is necessary to understand what symptoms may indicate larger issues, and what treatments the patient may require. Example Question: Do you have skin problems?  Finding: Asked about mental health  Finding: Reports frustration with diagnosis (Available) Pro Tip: Understanding a pediatric patient's health involves a comprehensive overview of their physiological systems. This is necessary to understand what symptoms may indicate larger issues, and what treatments the patient may require. Example Question: Are you depressed? History of Present Illness Guardian  Finding: Followed up on patient's asthma diagnosis  Finding: Reports patient has mild asthma (Available) Pro Tip: Asking a pediatric patient's guardian about the duration and onset of the patient's current health issues solicits information relevant to the history of their present illness. Details of their current complaint will help you follow-up on any present conditions or symptoms, such as the location of their pain or the amount of pain they may be experiencing. Example Question: What are your son's symptoms  Finding: Reports patient was diagnosed at age 5 (Available) Pro Tip: Asking a pediatric patient's guardian about the duration and onset of the patient's current health issues solicits information relevant to the history of their present illness. Details of their current complaint will help you follow-up on any present conditions or symptoms, such as the location of their pain or the amount of pain they may be experiencing. Example Question: Does your child have any health issues?  Finding: Asked guardian to elaborate on severity of symptoms  Finding: Reports peak flow meter readings at home were 55%, 59%, and 60% (Available) Pro Tip: Asking a pediatric patient's guardian about the duration and onset of the patient's current health issues solicits information relevant to the history of their present illness. Details of their current complaint will help you follow-up on any present conditions or symptoms, such as the location of their pain or the amount of pain they may be experiencing. Example Question: Do you use a peak flow meter?  Finding: Asked guardian about pharmacological relieving factors for current exacerbation  Finding: Reports giving patient an extra dose of daily maintenance inhaler (Available) Pro Tip: Asking a pediatric patient's guardian about the duration and onset of the patient's current health issues solicits information relevant to the history of their present illness. Details of their current complaint will help you follow-up on any present conditions or symptoms, such as the location of their pain or the amount of pain they may be experiencing. Example Question: Have you tried treatments at home? Home Medications Guardian  Finding: Confirms home medications with guardian  Finding: Confirms patient is prescribed a rescue inhaler (Available) Pro Tip: A pediatric patient's home medications can provide insight into their current treatment and its efficacy. Asking their guardian about medication history, dosage, and frequency will help you understand the patient's background and how it may affect their current situation. Example Question: Does your son have an inhaler for exacerbations?  Finding: Confirms patient is prescribed a maintenance inhaler (Available) Pro Tip: A pediatric patient's home medications can provide insight into their current treatment and its efficacy. Asking their guardian about medication history, dosage, and frequency will help you understand the patient's background and how it may affect their current situation. Example Question: What is the prescription for your son's daily inh