SHADOW HEALTH DANNY RIVIERA SUBJECTIVE DATA COLLECTION UPDATED
2022\2023
Subjective Data Collection: 16 of 20 (80.0%)
Hover To Reveal...
Hover over the Patient Data items below to reveal important information, including Pro Tips
and Example Questions.
• Found:
Indicates an item that you found.
• Available:
Indicates an item that is available to be found.
Category Scored Items
Experts selected these topics as essential components of a strong, thorough interview with this
patient.
Patient Data
Not Scored
,A combination of open and closed questions will yield better patient data. The following details
are facts of the patient's case.
Chief Complaint
• Finding:
Established chief complaint
• Finding:
Reports cough
(Found)
Pro Tip: Asking about the characteristics of your patient's cough and voice quality should
guide your assessment.
Example Question:
Do you have a cough?
History of Present Illness
• Finding:
Asked about onset of cough
• Finding:
, Reports cough started 5 days ago
(Found)
Pro Tip: Whenever you are assessing a symptom or a health condition, inquiring about
onset assesses the severity and the progression of the problem.
Example Question:
How long have you had a cough?
• Finding:
Asked about frequency and duration of cough
• Finding:
Reports coughing every couple minutes
(Available)
Pro Tip: Establishing a timeline for Danny's coughing will illustrate how long he has been
suffering these particular symptoms and might indicate possible triggers.
Example Question:
How frequently have you been coughing?
• Finding:
, Asked about character of cough
• Finding:
Reports cough is wet
(Available)
Pro Tip: Asking about the characteristics of your patient's cough and voice quality should
guide your assessment.
Example Question:
Is your cough a wet cough?
• Finding:
Reports clear sputum with cough
(Found)
Pro Tip: Asking if your patient's cough is productive should guide your assessment.
Example Question:
Do you produce any phlegm or sputum with your cough?
• Finding:
Asked about aggravating factors for cough
2022\2023
Subjective Data Collection: 16 of 20 (80.0%)
Hover To Reveal...
Hover over the Patient Data items below to reveal important information, including Pro Tips
and Example Questions.
• Found:
Indicates an item that you found.
• Available:
Indicates an item that is available to be found.
Category Scored Items
Experts selected these topics as essential components of a strong, thorough interview with this
patient.
Patient Data
Not Scored
,A combination of open and closed questions will yield better patient data. The following details
are facts of the patient's case.
Chief Complaint
• Finding:
Established chief complaint
• Finding:
Reports cough
(Found)
Pro Tip: Asking about the characteristics of your patient's cough and voice quality should
guide your assessment.
Example Question:
Do you have a cough?
History of Present Illness
• Finding:
Asked about onset of cough
• Finding:
, Reports cough started 5 days ago
(Found)
Pro Tip: Whenever you are assessing a symptom or a health condition, inquiring about
onset assesses the severity and the progression of the problem.
Example Question:
How long have you had a cough?
• Finding:
Asked about frequency and duration of cough
• Finding:
Reports coughing every couple minutes
(Available)
Pro Tip: Establishing a timeline for Danny's coughing will illustrate how long he has been
suffering these particular symptoms and might indicate possible triggers.
Example Question:
How frequently have you been coughing?
• Finding:
, Asked about character of cough
• Finding:
Reports cough is wet
(Available)
Pro Tip: Asking about the characteristics of your patient's cough and voice quality should
guide your assessment.
Example Question:
Is your cough a wet cough?
• Finding:
Reports clear sputum with cough
(Found)
Pro Tip: Asking if your patient's cough is productive should guide your assessment.
Example Question:
Do you produce any phlegm or sputum with your cough?
• Finding:
Asked about aggravating factors for cough
