Shadow Health: Pharmacology

Scored Items - Answer - Patient Data Chief Complaint: Established chief complaint - Answer - • Reports pain • Reports blood in urine • Reports increased frequency of urination Orientation: Asked about orientation - Answer - • Oriented to own person • Oriented to place • Oriented to situation • Oriented to time History of Present Illness: Asked about onset and duration of symptoms - Answer - • Reports pain began 3 days ago • Reports pain has gradually increased since onset • Reports increased urinary frequency began 3 days ago • Reports pinkish urine starting early thi smorning • Reports pain has been constant History of Present Illness: Followed up on urinary frequency - Answer - • Reports urinating about once an hour • Reports waking up to use the bathroom • Reports waking up four to five times a night to use the bathroom History of Present Illness: Asked about location of pain - Answer - • Reports pain is lower in left side (flank pain) • Denies radiating pain History of Present Illness: Asked about characteristics of pain - Answer - • Describes pain as sharp and shooting History of Present Illness: Asked about aggravating factors of pain - Answer - • Reports nothing makes the pain worse History of Present Illness: Asked about treatment and relieving factors of pain - Answer - • Denies home treatment of pain • Reports hydromorphone has significantly reduced pain History of Present Illness: Asked about severity of pain - Answer - • Reports current pain level is 2/10 • Reports pain level before medication was a 9/10 Past Medical History: Asked about existing health conditions - Answer - • Reports high blood pressure diagnosis • Reports chronic kidney disease diagnosis • Reports atrial fibrillation diag