Danny Riviera - Subjective Data Collection

Subjective Data Collection: 16 of 20 (80.0%) 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 cough (Found) Pro Tip: Asking about the characteristics of your patient's cough and voice quality should guide your assessment. Example Question: Do you have a cough? History of Present Illness  Finding: Asked about onset of cough  Finding: Reports cough started 5 days ago (Found) Pro Tip: Whenever you are assessing a symptom or a health condition, inquiring about onset assesses the severity and the progression of the problem. Example Question: How long have you had a cough?  Finding: Asked about frequency and duration of cough  Finding: Reports coughing every couple minutes (Available) Pro Tip: Establishing a timeline for Danny's coughing will illustrate how long he has been suffering these particular symptoms and might indicate possible triggers. Example Question: How frequently have you been coughing?  Finding: Asked about character of cough  Finding: Reports cough is wet (Available) Pro Tip: Asking about the characteristics of your patient's cough and voice quality should guide your assessment. Example Question: Is your cough a wet cough?  Finding: Reports clear sputum with cough (Found) Pro Tip: Asking if your patient's cough is productive should guide your assessment. Example Question: Do you produce any phlegm or sputum with your cough?  Finding: Asked about aggravating factors for cough  Finding: Reports cough is worse at night (Found) Pro Tip: Establishing a timeline for Danny's coughing will illustrate how long he has been suffering these particular symptoms and might indicate possible triggers. Example Question: Is your cough worse at night?  Finding: Reports exposure to secondhand smoke