Focused Exam: Type 1 Diabetes
Patient: Chelsea Warren
Digital Clinical Experience Score
100%
Subjective Data Collection: 25 of 25 (100.0% Category
Patient Status
History of Present Illness Patient
Finding:
Asked patient about symptoms of DKA
Finding:
Denies remembering incident very well
(Found)
Pro Tip: Asking a pediatric patient about the duration and onset of their current health
issues solicits information relevant to the history of their present illness. Details of their
current complaint will help you follow-up on any present conditions or symptoms, such
as the location of their pain or the amount of pain they may be experiencing.
Example Question:
Why were you admitted?
Finding:
Reports feeling nauseated at a horseback riding lesson
(Found)
Pro Tip: Asking a pediatric patient about the duration and onset of their current health
issues solicits information relevant to the history of their present illness. Details of their
current complaint will help you follow-up on any present conditions or symptoms, such
as the location of their pain or the amount of pain they may be experiencing.
,Example Question:
Why were you admitted?
Finding:
Reports vomiting
(Found)
Pro Tip: Asking a pediatric patient about the duration and onset of their current health
issues solicits information relevant to the history of their present illness. Details of their
current complaint will help you follow-up on any present conditions or symptoms, such
as the location of their pain or the amount of pain they may be experiencing.
Finding:
Assessed patient status
Finding:
Reports feeling "way better"
(Found)
Pro Tip: Assessing a pediatric patient's status involves asking about their current comfort,
needs, and chief complaint. It's important to check in with a patient's status, because it
may reveal insight into their current condition.
Example Question:
How do you feel?
Finding:
Reports eagerness to go home
(Found)
Pro Tip: Assessing a pediatric patient's status involves asking about their current comfort,
needs, and chief complaint. It's important to check in with a patient's status, because it
may reveal insight into their current condition.
Example Question:
How do you feel?
Finding:
Asked about patient's comfort
Finding:
Reports feeling comfortable
(Found)
Pro Tip: Assessing a pediatric patient's status involves asking about their current comfort,
needs, and chief complaint. It's important to check in with a patient's status, because it
may reveal insight into their current condition.
Example Question:
Are you having pain right now?
Finding:
Asked about patient's needs
Finding:
Denies needing anything
, (Found)
Pro Tip: Assessing a pediatric patient's status involves asking about their current comfort,
needs, and chief complaint. It's important to check in with a patient's status, because it
may reveal insight into their current condition.
Example Question:
Do you need anything?
History of Present Illness Patient
Finding:
Asked patient about symptoms of DKA
Finding:
Denies remembering incident very well
(Found)
Pro Tip: Asking a pediatric patient about the duration and onset of their current health
issues solicits information relevant to the history of their present illness. Details of their
current complaint will help you follow-up on any present conditions or symptoms, such
as the location of their pain or the amount of pain they may be experiencing.
Example Question:
Why were you admitted?
Finding:
Reports feeling nauseated at a horseback riding lesson
(Found)
Pro Tip: Asking a pediatric patient about the duration and onset of their current health
issues solicits information relevant to the history of their present illness. Details of their
current complaint will help you follow-up on any present conditions or symptoms, such
as the location of their pain or the amount of pain they may be experiencing.
Example Question:
Why were you admitted?
Finding:
Reports vomiting
(Found)
Pro Tip: Asking a pediatric patient about the duration and onset of their current health
issues solicits information relevant to the history of their present illness. Details of their
current complaint will help you follow-up on any present conditions or symptoms, such
as the location of their pain or the amount of pain they may be experiencing.
Example Question:
Why were you admitted?
Finding:
Asked about patient's other symptoms prior to DKA
Finding:
Reports frequent urination prior to DKA
(Found)
Pro Tip: Asking a pediatric patient about the duration and onset of their current health
issues solicits information relevant to the history of their present illness. Details of their
current complaint will help you follow-up on any present conditions or symptoms, such
as the location of their pain or the amount of pain they may be experiencing.
Patient: Chelsea Warren
Digital Clinical Experience Score
100%
Subjective Data Collection: 25 of 25 (100.0% Category
Patient Status
History of Present Illness Patient
Finding:
Asked patient about symptoms of DKA
Finding:
Denies remembering incident very well
(Found)
Pro Tip: Asking a pediatric patient about the duration and onset of their current health
issues solicits information relevant to the history of their present illness. Details of their
current complaint will help you follow-up on any present conditions or symptoms, such
as the location of their pain or the amount of pain they may be experiencing.
Example Question:
Why were you admitted?
Finding:
Reports feeling nauseated at a horseback riding lesson
(Found)
Pro Tip: Asking a pediatric patient about the duration and onset of their current health
issues solicits information relevant to the history of their present illness. Details of their
current complaint will help you follow-up on any present conditions or symptoms, such
as the location of their pain or the amount of pain they may be experiencing.
,Example Question:
Why were you admitted?
Finding:
Reports vomiting
(Found)
Pro Tip: Asking a pediatric patient about the duration and onset of their current health
issues solicits information relevant to the history of their present illness. Details of their
current complaint will help you follow-up on any present conditions or symptoms, such
as the location of their pain or the amount of pain they may be experiencing.
Finding:
Assessed patient status
Finding:
Reports feeling "way better"
(Found)
Pro Tip: Assessing a pediatric patient's status involves asking about their current comfort,
needs, and chief complaint. It's important to check in with a patient's status, because it
may reveal insight into their current condition.
Example Question:
How do you feel?
Finding:
Reports eagerness to go home
(Found)
Pro Tip: Assessing a pediatric patient's status involves asking about their current comfort,
needs, and chief complaint. It's important to check in with a patient's status, because it
may reveal insight into their current condition.
Example Question:
How do you feel?
Finding:
Asked about patient's comfort
Finding:
Reports feeling comfortable
(Found)
Pro Tip: Assessing a pediatric patient's status involves asking about their current comfort,
needs, and chief complaint. It's important to check in with a patient's status, because it
may reveal insight into their current condition.
Example Question:
Are you having pain right now?
Finding:
Asked about patient's needs
Finding:
Denies needing anything
, (Found)
Pro Tip: Assessing a pediatric patient's status involves asking about their current comfort,
needs, and chief complaint. It's important to check in with a patient's status, because it
may reveal insight into their current condition.
Example Question:
Do you need anything?
History of Present Illness Patient
Finding:
Asked patient about symptoms of DKA
Finding:
Denies remembering incident very well
(Found)
Pro Tip: Asking a pediatric patient about the duration and onset of their current health
issues solicits information relevant to the history of their present illness. Details of their
current complaint will help you follow-up on any present conditions or symptoms, such
as the location of their pain or the amount of pain they may be experiencing.
Example Question:
Why were you admitted?
Finding:
Reports feeling nauseated at a horseback riding lesson
(Found)
Pro Tip: Asking a pediatric patient about the duration and onset of their current health
issues solicits information relevant to the history of their present illness. Details of their
current complaint will help you follow-up on any present conditions or symptoms, such
as the location of their pain or the amount of pain they may be experiencing.
Example Question:
Why were you admitted?
Finding:
Reports vomiting
(Found)
Pro Tip: Asking a pediatric patient about the duration and onset of their current health
issues solicits information relevant to the history of their present illness. Details of their
current complaint will help you follow-up on any present conditions or symptoms, such
as the location of their pain or the amount of pain they may be experiencing.
Example Question:
Why were you admitted?
Finding:
Asked about patient's other symptoms prior to DKA
Finding:
Reports frequent urination prior to DKA
(Found)
Pro Tip: Asking a pediatric patient about the duration and onset of their current health
issues solicits information relevant to the history of their present illness. Details of their
current complaint will help you follow-up on any present conditions or symptoms, such
as the location of their pain or the amount of pain they may be experiencing.
