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Exam (elaborations)

Shadow Health- Danny Rivera- Focused Exam: Cough Latest Update, Already Passed

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Shadow Health- Danny Rivera- Focused Exam: Cough Latest Update, Already Passed Established chief complaint Correct Answer-Reports cough Asked about onset of cough Correct Answer-Reports cough started 3 days ago Asked about characteristics of cough Correct Answer-Reports cough is wet Reports clear sputum with cough Asked about frequency and duration of cough Correct Answer-Reports coughing every few minutes Reports coughs last a few seconds Asked about aggravating factors for cough Correct Answer-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 Correct Answer-Reports playing with an ill classmate Asked about hand hygiene Correct Answer-Reports infrequent hand washing Reports occasionally putting fingers in eyes, nose, or mouth Asked about cough etiquette Correct Answer-Denies covering mouth when coughing Asked about relieving factors for cough Correct Answer-Reports cough is temporarily relieved by cough medicine Followed up on cough medicine Correct Answer-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 Correct Answer-Denies taking medication Reports taking daily vitamin Asked about activity level Correct Answer-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 Asked about nasal symptoms Correct Answer-Reports current runny nose Denies sneezing Followed up on nasal discharge Correct Answer-Reports nasal discharge is clear Reports nasal discharge is thin Asked about ear symptoms Correct Answer-Denies ear pain Reports history of frequent ear infections Denies ear discharge Denies hearing problems Asked about throat symptoms Correct Answer-Reports sore throat Reports a little pain with swallowing Asked about relevant medical history Correct Answer-Reports frequent runny noses Reports past frequent coughs Reports past pneumonia Denies asthma diagnosis Reports immunizations as current Asked about allergies Correct Answer-Denies seasonal allergies Denies food allergies Denies medication allergies Asked relevant family history Correct Answer-Reports father has history of asthma Denies family history of allergies Asked about constitutional health Correct Answer-Denies chills Denies fever Reports feeling somewhat fatigued Denies night sweats Reports cough makes it difficult to sleep Denies swelling Asked about additional review of systems for HEENT Correct Answer-Reports frequent colds Denies headaches Denies nosebleeds Denies vision difficulty Denies dizziness Denies watery eyes Denies eye redness Denies eye pain Denies sinus pain Asked about review of systems for respiratory Correct Answer-Denies chest tightness Denies chest pain Denies difficulty breathing


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