Exam (elaborations)
Patient Damien Brooks Shadow Health
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Patient Damien Brooks Shadow Health
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Patient: DamienBroo ksSubjectiveDataCollection:28of28(1 0 .0%)
Category
Scored Items
Expertsse lec ted theseto picsa se ssentia lco mpone ntso fastro ng,thorough intervie wwithth is
patient.
,Patient Data
Not Scored
Acomb ina tionofop enan dclosedquestionswilyie ldbeterpa tien tdata.Thefolowingde ta ilsa re
factsofthep atien t'sc ase.
Chief Complaint Patient
•
Finding:
Estab lishedch ie fco mp la int
•
Finding:
Reportshitin ghead
(Found)
P roTip:Apedia tricp atie nt'sch ie fco mpla in testab lishesan yilne seso rconc ernsthe ya re
presen ting.Ask ingabou thechie fco mpla in twilalo wthe patien to vo icean yc oncernsor
symp to msthep atien tma yha ve.
Example Question:
Do youre me mberde ta ilsofthe acident?
•
Finding:
Reportsfa lingoffska teb oard
(Found)
P roTip:Apedia tricp atie nt'sch ie fco mpla in testab lishesan yilne seso rconc ernsthe ya re
presen ting.Ask ingabou thechie fco mpla in twilalo wthe patien to vo icean yc oncernsor
symp to msthep atien tma yha ve.
Example Question:
Whatmad e youco mehe re toda y?
,•
Finding:
Reportssca lphe ma to ma
(Found)
P roTip:Apedia tricp atie nt'sch ie fco mpla in testab lishesan yilne seso rconc ernsthe ya re
presen ting.Ask ingabou thechie fco mpla in twilalo wthe patien to vo icean yc oncernsor
symp to msthep atien tma yha ve.
Example Question:
Whered id youhu rtwhen youfel?
•
Finding:
Reportsheadac he
(Found)
P roTip:Apedia tricp atie nt'sch ie fco mpla in testab lishesan yilne seso rconc ernsthe ya re
presen ting.Ask ingabou thechie fco mpla in twilalo wthe patien to vo icean yc oncernsor
symp to msthep atien tma yha ve.
Example Question:
Whatare yoursymp to ms?
•
Finding:
Reportsconfu sion
(Found)
P roTip:Apedia tricp atie nt'sch ie fco mpla in testab lishesan yilne seso rconc ernsthe ya re
presen ting.Ask ingabou thechie fco mpla in twilalo wthe patien to vo icean yc oncernsor
symp to msthep atien tma yha ve.
Example Question:
Were youcon fuse dwhen you wokeup?
, •
Finding:
Reportsdiz ine s
(Found)
P roTip:Apedia tricp atie nt'sch ie fco mpla in testab lishesan yilne seso rconc ernsthe ya re
presen ting.Ask ingabou thechie fco mpla in twilalo wthe patien to vo icean yc oncernsor
symp to msthep atien tma yha ve.
Example Question:
Have you fe ltlighth eade dordiz y?
•
Finding:
Reportsligh tsen sitivity
(Found)
P roTip:Apedia tricp atie nt'sch ie fco mpla in testab lishesan yilne seso rconc ernsthe ya re
presen ting.Ask ingabou thechie fco mpla in twilalo wthe patien to vo icean yc oncernsor
symp to msthep atien tma yha ve.
Example Question:
Have yoube nsen sitive to ligh t?
History of Present Illness Patient
•
Finding:
Askedpatien tabou tad itiona lsympto ms
•
Finding:
Reportsalso vo mitin g
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