Shadow Health- Danny Rivera- Focused Exam: Cough Graded A+

Shadow Health- Danny Rivera- Focused Exam: Cough Graded A+ Established chief complaint Asked about onset of cough Reports cough Reports cough started 3 days ago Asked about characteristics of cough Reports clear sputum with cough Reports cough is wet Asked about frequency and duration of cough Reports coughs last a few seconds Asked about aggravating factors for cough Denies smoking Reports coughing every few minutes Reports cough is worse at night Reports being exposed to secondhand smoke through father Reports he doesn't know what triggers the cough Asked about exposure to germs Asked about hand hygiene Reports playing with an ill classmate Reports infrequent hand washing Reports occasionally putting fingers in eyes, nose, or mouth Asked about cough etiquette Denies covering mouth when coughing Asked about relieving factors for cough Followed up on cough medicine Reports cough is temporarily relieved by cough medicine 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 Reports taking daily vitamin Asked about activity level Denies taking medication 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 Denies sneezing Followed up on nasal discharge Reports nasal discharge is thin Asked about ear symptoms Reports current runny nose Reports nasal discharge is clear Denies ear pain Reports history of frequent ear infections Denies ear discharge Denies hearing problems Asked about throat symptoms Reports sore throat Reports a little pain with swallowing Asked about relevant medical history Reports past frequent coughs Reports past pneumonia Denies asthma diagnosis Reports immunizations as current Asked about allergies Reports frequent runny noses Denies seasonal allergies Denies food allergies Denies medication allergies Asked relevant family history Denies family history of allergies Reports father has history of asthma Asked about constitutional health Denies fever Reports feeling somewhat fatigued Denies night sweats Denies chills Reports cough makes it difficult to sleep Denies swelling Asked about additional review of systems for HEENT 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 Reports frequent colds Denies chest tightness