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Shadow Health - HEENT Tina Jones Latest Update 100% Pass

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Páginas
15
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Subido en
01-09-2023
Escrito en
2023/2024

Shadow Health - HEENT Tina Jones Latest Update 100% Pass Inspect head and face skull symmetry: symmetric facial feature symmetry: symmetric appearance: Papules, pustules, or comedones Inspect eyes and orbital area orbital area: No visible abnormal findings sclera: White conjunctiva: Moist and pink conjunctival discharge: No discharge Inspect nasal cavities color: Pink discharge: No discharge turbinate patency: Patent observations: No additional visible abnormal findings Inspect ears right auditory canal color: Pink right tympanic membrane color: Pearly gray right tympanic membrane appearance: No visible abnormal findings right cone of light: 5:00 right discharge: No discharge left auditory canal color: Pink left tympanic membrane color: Pearly gray left tympanic membrane appearance: No visible abnormal findings left cone of light: 7:00 left discharge: No discharge Inspect mouth and throat oral mucosa: Moist and pink throat color: Pink throat texture: No abnormal findings tonsils: No visible abnormal findings post nasal drip: No discharge Inspect neck symmetry: Symmetric appearance: Discoloration Palpated scalp observations: o additional abnormal findings tenderness: None reported Palapated sinuses frontal: None reported maxillary: None reported Palpated carotid arteries right vibration: No thrill right intensity: 2+ Expected left vibration: No thrill left intensity: 2+ Expected Palpated jaw observations: No palpable abnormal findings Palpated lymph nodes head and neck: No palpable nodes supraclavicular: No palpable nodes axillary: No palpable nodes Palpated thyroid gland observations: No palpable abnormal findings tenderness: None reported Auscultated carotid arteries right: No bruit left: No bruit Tested pupillary reaction observations with penlight: No visible abnormal findings (PERRL) Tested extraocular movement cardinal fields: No abnormal findings convergence: No abnormal findings Tested peripheral vision observations: No abnormal findings Examined fundus with ophthalmoscope right retina: Cotton wool bodies right disc margin: Sharp left retina: No visible abnormal findings left disc margin: Sharp Tested visual acuity right: 20/40 left: 20/20 Performed whisper test right: Normal left: Normal Asked about head problems "Do you get headaches? "Do you currently have a headache? "Other than headaches, are you experiencing head problems?" Asked about frequency of headaches "How frequently do your headaches occur?" Asked about duration of headaches "How long do your headaches last?" Asked about character and location of headaches "What do your headaches feel like?" "Where do you feel your headaches?" Asked to rate headache pain on a scale "On a scale of 1 to 10, how bad are your headaches?" Asked about headache treatment "Do you take anything to treat your headaches?" Do you do anything to treat your headaches? What helps with your headaches? Asked about headache triggers When do you get headaches? Do your headaches coincide with your blurry vision? Asked about vision Have you been having problems with your vision? Asked about onset and frequency of blurry vision When did your vision begin worsening? When does your blurry vision occur? Have you been getting blurry vision more often? Asked about relieving factors for blurry vision What makes your blurry vision go away? Asked about vision care When was your last vision exam? Do you use corrective lenses? Asked about additional eye problems Does your cat allergy make your eyes itch? Do you have eye redness? Do you have eye pain? Do you have eye dryness? Asked about triggers for eye symptoms Does being around cats make your eyes itch? Does dust make your eyes itch? Asked about treatment of eye symptoms Are you taking medication for itchy eyes? Asked about nasal problems Do you have general nose problems? Have you had nosebleeds? Asked about sinus problems Do you have frequent sinus congestion? Followed up on trigger of nasal problem Do your allergies trigger your runny nose? Followed up on treatment of nasal problem Are you taking any medication for your runny nose? How have you been treating your runny nose? Asked about current nasal problems Do you have a runny nose right now? Asked about alcohol intake When was your last alcoholic drink? How many alcoholic drinks do you typically have in one sitting? How many alcoholic drinks do you typically have in a week? Ask about tobacco use Do you smoke tobacco? Do you vape? Asked about ear problems Do you have ear pain? Do you have ear discharge? Do you have vertigo? Do you use cotton swabs in your ears? Asked about hearing Have you had changes in your hearing? Do you have difficulty hearing? Asked about mouth problems Have you had bleeding gums? Have you had mouth sores? Have you had tongue problems? Have you had dry mouth? Asked about dentition Do you have current dental problems? When was your last dental visit? Did you visit the dentist regularly as a child? Did you have cavities as a child? Do you floss? Asked about throat problems Have you had a sore throat? Has your voice changed? Do you have difficulty swallowing? Asked about lymph node problems Have your lymph nodes been painful? Have your lymph nodes been swollen? Asked about thyroid problems Have you been diagnosed with thyroid problems? Asked family history of head problems Do head problems run in your family? Asked family history of eye problems Do you have a family history of eye problems? Asked family history of ear problems Do ear problems run in your family? Do you have a family history of hearing loss? Asked family history of nasal problems Has anyone in your family had hay fever? Asked family history of mouth problems Do mouth problems run in your family? Do you have a family history of dental problems? Do you have a family history of mouth cancer? Asked family history of throat and surrounding gland problems Do thyroid problems run in your family? Do you have a family history of lymph node cancers? Do you have a family history of throat cancer?

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Shadow Health - HEENT Tina Jones
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Shadow Health - HEENT Tina Jones

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Subido en
1 de septiembre de 2023
Número de páginas
15
Escrito en
2023/2024
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