Shadow Health Depression Test Questions and Answers Rated A+
Chief Complaint - ANSWER -Ms. Abigail
Harris is an 86-year-old African American woman Family History - ANSWER -No family
who presented in the ED with weakness and history of mental illness.
fatigue.
Social History - ANSWER -Occupations:
History of Present Illness - ANSWER - Retired high school English teacher.
Reports weakness and fatigue for last month, Marital Status: Widowed; husband died six years
increasing over last 7 days. Ms. Harris is ago.
occasionally unable to get out of bed in the Substance Use: Never used tobacco. Drinks one
morning. The timing of fatigue is every morning. alcoholic beverage less than once a month.
Reports that her fatigue is somewhat alleviated Religion: Christian (Non-denominational).
by lying down, and that she has slightly more Her son is her primary caregiver and helps her
energy in the afternoon. No known triggers. manage medications, including refilling and
Reports feeling guilty about appearance and lack picking up prescriptions and ensuring she is
of social interaction last two weeks. complaint. Ms. Harris reports that her depression
Reports not leaving her house much. She reports started after the loss of her husband. Since then,
a depression diagnosis, and her current she has moved in with her son and his family.
depression screening shows her positive for Previously had organized a knitting group at her
moderate depressive symptoms. church and attended weekly, and walked most
evenings for her dog and for exercise and stress
management.
Allergies - ANSWER -NKA/NKDA
Review of Relevant Systems - ANSWER -
Past Medical History - ANSWER - GENERAL: Lost 9 pounds over the last month.
Hypothyroidism age 50 Has some trouble falling asleep and staying
DM Type II age 50 asleep. Daytime fatigue, worst in morning, like a
Depression age 81 "hangover."
Previous hospitalization (36 years ago) for HEENT: Dizzy in the morning. Mild presbycusia
fatigue and weight loss related to DM II and and presbyopia (corrected with glasses)
hypothyroidism RESPIRATORY: Reports shortness of breath
walking around the house (ex. to the bathroom).
Mostly lays in bed at home lately.
Past Surgical History - ANSWER -No GASTROINTESTINAL: Positive for anorexia: less
previous surgeries. desire to eat until later in the day. Still takes
regular insulin "TID" (mealtimes). Positive for mild
nausea and constipation. Negative for abdominal
tenderness.
Medication History - ANSWER -Insulin
MUSCULOSKELETAL: Negative for joint pain,
aspart: 16 units, SC, TID mealtimes
swelling.
Insulin glargine: 45 units, SC, daily
NEUROLOGICAL: Weak, nearly fell twice last
Levothyroxine: 50 mcg, P.O., daily
week.
Venlafaxine extended-release (Effexor XR): 150
PSYCHOLOGICAL: History of depression and
mg P.O. daily
has a prescribed antidepressant medication.
Zolpidem: 5 mg, P.O., PRN at bedtime
Does not endorse sad mood. Lost interest and
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Chief Complaint - ANSWER -Ms. Abigail
Harris is an 86-year-old African American woman Family History - ANSWER -No family
who presented in the ED with weakness and history of mental illness.
fatigue.
Social History - ANSWER -Occupations:
History of Present Illness - ANSWER - Retired high school English teacher.
Reports weakness and fatigue for last month, Marital Status: Widowed; husband died six years
increasing over last 7 days. Ms. Harris is ago.
occasionally unable to get out of bed in the Substance Use: Never used tobacco. Drinks one
morning. The timing of fatigue is every morning. alcoholic beverage less than once a month.
Reports that her fatigue is somewhat alleviated Religion: Christian (Non-denominational).
by lying down, and that she has slightly more Her son is her primary caregiver and helps her
energy in the afternoon. No known triggers. manage medications, including refilling and
Reports feeling guilty about appearance and lack picking up prescriptions and ensuring she is
of social interaction last two weeks. complaint. Ms. Harris reports that her depression
Reports not leaving her house much. She reports started after the loss of her husband. Since then,
a depression diagnosis, and her current she has moved in with her son and his family.
depression screening shows her positive for Previously had organized a knitting group at her
moderate depressive symptoms. church and attended weekly, and walked most
evenings for her dog and for exercise and stress
management.
Allergies - ANSWER -NKA/NKDA
Review of Relevant Systems - ANSWER -
Past Medical History - ANSWER - GENERAL: Lost 9 pounds over the last month.
Hypothyroidism age 50 Has some trouble falling asleep and staying
DM Type II age 50 asleep. Daytime fatigue, worst in morning, like a
Depression age 81 "hangover."
Previous hospitalization (36 years ago) for HEENT: Dizzy in the morning. Mild presbycusia
fatigue and weight loss related to DM II and and presbyopia (corrected with glasses)
hypothyroidism RESPIRATORY: Reports shortness of breath
walking around the house (ex. to the bathroom).
Mostly lays in bed at home lately.
Past Surgical History - ANSWER -No GASTROINTESTINAL: Positive for anorexia: less
previous surgeries. desire to eat until later in the day. Still takes
regular insulin "TID" (mealtimes). Positive for mild
nausea and constipation. Negative for abdominal
tenderness.
Medication History - ANSWER -Insulin
MUSCULOSKELETAL: Negative for joint pain,
aspart: 16 units, SC, TID mealtimes
swelling.
Insulin glargine: 45 units, SC, daily
NEUROLOGICAL: Weak, nearly fell twice last
Levothyroxine: 50 mcg, P.O., daily
week.
Venlafaxine extended-release (Effexor XR): 150
PSYCHOLOGICAL: History of depression and
mg P.O. daily
has a prescribed antidepressant medication.
Zolpidem: 5 mg, P.O., PRN at bedtime
Does not endorse sad mood. Lost interest and
1/2
