Shadow Health Focused Exam: Pediatric Traumatic Brain Injury (Damien
Brooks) with Answers Rated A+
establish chief complain - ANSWER - ANSWER -reports loud noise aggravates
reports hitting head headache
reports falling off skateboard reports touching hematoma aggravates pain
reports scalp hematoma
reports headache
reports confusion asked pt about relieving factors -
reports dizziness ANSWER -reports staying still relieves
reports light sensitivity headache
reports dim light and darkness relieve light
sensitivity
asked pt about addt'l sx - ANSWER - denies ice pack relieving pain
reports also vomiting denies taking meds for sx
reports also losing consciousness
denies noticing other injuries
asked pt about severity - ANSWER -reports
pain 5/10
asked pt onset and duration - ANSWER -
reports headache started when he fell
reports confusion started when he fell asked pt about past medical hx -
reports dizziness started when he fell ANSWER -reports falling off skateboard
reports light sensitivity since he fell previously
reports vomiting once after getting home reports being UTD on all vaccinations
denies knowing duration of LOC denies past surgery
denies previous hospitalization
denies previous head injury
asked pt about mechanism of injury -
ANSWER -denies wearing helmet
denies knowing how he fell asked pt about home meds - ANSWER -
denies knowing how far he fell denies taking prescription meds
denies taking OTC meds
asked pt about hx of present illness -
ANSWER -reports going to skate park after asked pt about sport safety - ANSWER -
school reports wearing his helmet "sometimes"
reports being with his friend when he fell reports not wearing helmet because of peer
reports walking home with his friend after he fell pressure
reports being driven to ED by his step father reports never wearing knee/elbowpads
asked pt about characteristics of pain - asked pt about substance abuse -
ANSWER -reports dull pain from headache ANSWER -denies drugs/alcohol
report pain is steady
asked pt about neurological system -
asked pt about aggravating factors -
1/5
, Shadow Health Focused Exam: Pediatric Traumatic Brain Injury (Damien
Brooks) with Answers Rated A+
ANSWER -denies difficulty moving ANSWER -reports pt fell from height of 3
extremities feet
denies tingling in extremities reports pt falling by losing balance
reports difficulty remembering anything that reports pt was not wearing helmet
happened after the fall
denies fluids from ears, nose, or eyes
denies lack of sensation asked guardian about hx of present illness -
denies changes in vision ANSWER -reports pt falling at skatepark
after school
reports pt being with a friend when he fell
asked pt about musculoskeletal system - reports pt walked home
ANSWER -denies neck pain reports driving pt to ED
denies muscle spasms reports seeing the fall on video
denies muscle weakness
denies problems with gait and balance
reports general soreness asked guardian about relieving factors -
ANSWER -reports giving ice pack
reports dimming lights
confirm guardian relationship to pt - denies giving meds
ANSWER -reports he is step dad
asked guardian about past medical hx -
confirmed pt chief complain - ANSWER - ANSWER -reports pt is UTD on vaccines
reports pt fell off skateboard and hit head reports pt falling on his skateboard previously
reports noticing scalp hematoma denies previous hospitalization, head injuries,
reports pt c/o headache, confusion, dizziness, and surgery
and light sensitivity
asked guardian about home meds -
asked guardian about addt'l sx - ANSWER -reports pt doesn't take
ANSWER -reports pt vomit 1x prescription or OTC meds
reports pt lost conciousness
denies noticing addt'l injuries
asked guardian about neurological system -
ANSWER -reports pt is speaking slightly
asked guardian about onset/duration - slower than normal
ANSWER -reports pt headache, confusion, reports pt responding to questions and
dizziness, and light sensitivity lasting at least instructions
since he came home reports pt seems "a little out of it"
reports pt lost consciousness for about a minute denies noticing gait or balance problems
reports the fall happened 2 hours ago
asked guardian about musculoskeletal system -
asked guardian about mechanism of injury - ANSWER -denies muscle spasms/muscle
2/5
Brooks) with Answers Rated A+
establish chief complain - ANSWER - ANSWER -reports loud noise aggravates
reports hitting head headache
reports falling off skateboard reports touching hematoma aggravates pain
reports scalp hematoma
reports headache
reports confusion asked pt about relieving factors -
reports dizziness ANSWER -reports staying still relieves
reports light sensitivity headache
reports dim light and darkness relieve light
sensitivity
asked pt about addt'l sx - ANSWER - denies ice pack relieving pain
reports also vomiting denies taking meds for sx
reports also losing consciousness
denies noticing other injuries
asked pt about severity - ANSWER -reports
pain 5/10
asked pt onset and duration - ANSWER -
reports headache started when he fell
reports confusion started when he fell asked pt about past medical hx -
reports dizziness started when he fell ANSWER -reports falling off skateboard
reports light sensitivity since he fell previously
reports vomiting once after getting home reports being UTD on all vaccinations
denies knowing duration of LOC denies past surgery
denies previous hospitalization
denies previous head injury
asked pt about mechanism of injury -
ANSWER -denies wearing helmet
denies knowing how he fell asked pt about home meds - ANSWER -
denies knowing how far he fell denies taking prescription meds
denies taking OTC meds
asked pt about hx of present illness -
ANSWER -reports going to skate park after asked pt about sport safety - ANSWER -
school reports wearing his helmet "sometimes"
reports being with his friend when he fell reports not wearing helmet because of peer
reports walking home with his friend after he fell pressure
reports being driven to ED by his step father reports never wearing knee/elbowpads
asked pt about characteristics of pain - asked pt about substance abuse -
ANSWER -reports dull pain from headache ANSWER -denies drugs/alcohol
report pain is steady
asked pt about neurological system -
asked pt about aggravating factors -
1/5
, Shadow Health Focused Exam: Pediatric Traumatic Brain Injury (Damien
Brooks) with Answers Rated A+
ANSWER -denies difficulty moving ANSWER -reports pt fell from height of 3
extremities feet
denies tingling in extremities reports pt falling by losing balance
reports difficulty remembering anything that reports pt was not wearing helmet
happened after the fall
denies fluids from ears, nose, or eyes
denies lack of sensation asked guardian about hx of present illness -
denies changes in vision ANSWER -reports pt falling at skatepark
after school
reports pt being with a friend when he fell
asked pt about musculoskeletal system - reports pt walked home
ANSWER -denies neck pain reports driving pt to ED
denies muscle spasms reports seeing the fall on video
denies muscle weakness
denies problems with gait and balance
reports general soreness asked guardian about relieving factors -
ANSWER -reports giving ice pack
reports dimming lights
confirm guardian relationship to pt - denies giving meds
ANSWER -reports he is step dad
asked guardian about past medical hx -
confirmed pt chief complain - ANSWER - ANSWER -reports pt is UTD on vaccines
reports pt fell off skateboard and hit head reports pt falling on his skateboard previously
reports noticing scalp hematoma denies previous hospitalization, head injuries,
reports pt c/o headache, confusion, dizziness, and surgery
and light sensitivity
asked guardian about home meds -
asked guardian about addt'l sx - ANSWER -reports pt doesn't take
ANSWER -reports pt vomit 1x prescription or OTC meds
reports pt lost conciousness
denies noticing addt'l injuries
asked guardian about neurological system -
ANSWER -reports pt is speaking slightly
asked guardian about onset/duration - slower than normal
ANSWER -reports pt headache, confusion, reports pt responding to questions and
dizziness, and light sensitivity lasting at least instructions
since he came home reports pt seems "a little out of it"
reports pt lost consciousness for about a minute denies noticing gait or balance problems
reports the fall happened 2 hours ago
asked guardian about musculoskeletal system -
asked guardian about mechanism of injury - ANSWER -denies muscle spasms/muscle
2/5
