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Tina Jones HEENT Completed

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Tina Jones HEENT

Experience Overview

Patient: Tina Jones

Digital Clinical Experience Score

98.2%

This score measures your performance on the Student Performance Index in relation to other students in comparable academic programs. Your instructor has chosen to scale your Student Performance Index score so that the average score on the index is a 80.0%. This score may not be your final grade if your instructor chooses to include additional components, such as documentation or time spent.

Student Performance Index

55 

out of

59

Proficiency Level:

Proficient

Students rated as “proficient” demonstrate an entry-level expertise in advanced practice competencies and clinical reasoning skills. In comparable programs, the top 25% of students perform at the level of a proficient practitioner.

Subjective Data Collection

29 

out of

29

Objective Data Collection

25 

out of

25

Education and Empathy

1 

out of

5

Time

52 minutes total spent in assignment

Interaction with patient

52 minutes

 

 

Transcript

Started: Mar 27, 2025 | Total Time: 52 min

All Lines (130)Interview Questions (44)Statements (1)Exam Actions (85)

Hello, my name is Mileidy. I will be your nurse today Greet
03/27/25 4:31 AM EDT
Hey.
WHat brings you here today Question
03/27/25 4:31 AM EDT
My throat has been sore… and itchy. And my nose won’t stop running. These symptoms are driving me nuts.
I am sorry for that Empathize
03/27/25 4:31 AM EDT
I appreciate you saying that.
When did the symptoms start Question
03/27/25 4:32 AM EDT
Like a week ago, everything started. Sore, itchy throat, runny nose.
How severe us thr throat discomfort? Question
03/27/25 4:32 AM EDT
It’s not… terrible. I mean, it hurts a little. Like, mild to moderate. The main thing is that it won’t go away.
What is the frequency and duration of runny nose? (No matching questions found.) Question
03/27/25 4:32 AM EDT
What is the frequency of runny nose? Question
03/27/25 4:33 AM EDT
It runs all day.
What nasal symptoms do you have? Question
03/27/25 4:33 AM EDT
It’s been running nonstop!
What does the nasal discharge look like? Question
03/27/25 4:43 AM EDT
It’s just clear.
Do you have eye symptoms? Question
03/27/25 4:44 AM EDT
You mean, other than this itchy-eye stuff going on right now? I guess… my eyes get blurry sometimes when I read. It seems like my vision is getting worse over the years.
Do you have any respiratory symptoms? Question
03/27/25 4:44 AM EDT
My breathing’s fine. I haven’t had any asthma problems come up.
what do you think has caused the symptoms? Question
03/27/25 4:45 AM EDT
Well, at first I thought this was a cold, but it’s just sticking around. I’m not getting better or worse, so I’m starting to think it’s allergies or something.
What relieves the symptoms? Question
03/27/25 4:45 AM EDT
All I’ve done is suck on some throat drops. And I’ve been drinking more water, which helps.
What relieves the nose and eye symptoms Question
03/27/25 4:46 AM EDT
All I’ve done is suck on some throat drops. And I’ve been drinking more water, which helps.
What are the relieving factors for nose and eye symptoms Question
03/27/25 4:46 AM EDT
All I’ve done is suck on some throat drops. And I’ve been drinking more water, which helps.
What makes nose and eye symptoms better? (No matching questions found.) Question
03/27/25 4:46 AM EDT
What improves nose and eye symptoms? (No matching questions found.) Question
03/27/25 4:47 AM EDT
nose and eye symptoms? Question
03/27/25 4:47 AM EDT
Yes, my nose won’t stop running!
What relieves nose and eye symptoms? Question
03/27/25 4:47 AM EDT
All I’ve done is suck on some throat drops. And I’ve been drinking more water, which helps.
Do you use medications? Question
03/27/25 4:48 AM EDT
No, I haven’t done anything to try to make my eyes less itchy.
Do you use an inhaler Question
03/27/25 4:48 AM EDT
Yeah, I use it when my asthma acts up.
Are you exposed to allergens? Question
03/27/25 4:48 AM EDT
Not lately.
How is your healthcare access Question
03/27/25 4:49 AM EDT
I have health insurance through my job, so I can go to the doctor if I need to. It’s always a hassle though, so I try to avoid it unless I really have to like right now.
Do you have any head problem? Question
03/27/25 4:49 AM EDT
Just like in general? I get headaches sometimes.
What causes the headaches? Question
03/27/25 4:50 AM EDT
When I get headaches, it’s usually just from reading. I only get them about once a week and it doesn’t really hurt on one side or the other. The pain is mostly behind both eyes.
Do you have vision problems? Question
03/27/25 4:50 AM EDT
Yeah, maybe so. I’ve noticed my vision getting sort of blurry when I read. It seems like it’s getting a little worse — I notice it more.
Do you have any ears problem Question
03/27/25 4:50 AM EDT
No, my ears are fine right now.
Do you have any mouth or jaw problem? Question
03/27/25 4:50 AM EDT
No, that’s not where I’m having problems. [AUDIO COMING SOON]
Do you have any dental issue? Question
03/27/25 4:51 AM EDT
No, I’ve got good teeth. They don’t give me any problems.
Do you have any throat issue? Question
03/30/25 6:54 PM EDT
Yes, my throat’s sore right now.
Are there any relevant family history? (Clarified to Can you tell me about your family medical history?.) Question
03/30/25 6:55 PM EDT
My mom has some issues, and I think some of my grandparents did, too. (Clarified to to tell you about my family medical history.)
Are there any family health history related to your condition? Question
03/30/25 6:55 PM EDT
My mom has some issues, and I think some of my grandparents did, too.
Do you have a family member with this issue? (Clarified to Do you have any family history of breathing problems?.) Question
03/30/25 6:56 PM EDT
My baby sister has asthma, too, but no one else in the family has lung problems, I don’t think. (Clarified to if my family has a history of breathing problems.)
Do you have a family history of throat problems? Question
03/30/25 6:57 PM EDT
No.
 Inspected general face Exam Action
03/30/25 7:19 PM EDT
 Inspected forehead and scalp Exam Action
03/30/25 7:19 PM EDT
 Inspected nose and mouth Exam Action
03/30/25 7:19 PM EDT
 Inspected right side of face Exam Action
03/30/25 7:19 PM EDT
 Inspected back of head Exam Action
03/30/25 7:19 PM EDT
 Inspected right side of face Exam Action
03/30/25 7:19 PM EDT
 Inspected general face Exam Action
03/30/25 7:19 PM EDT
 Inspected left side of face Exam Action
03/30/25 7:19 PM EDT
 Inspected back of head Exam Action
03/30/25 7:19 PM EDT
 Inspected left side of face Exam Action
03/30/25 7:19 PM EDT
 Inspected general face Exam Action
03/30/25 7:19 PM EDT
 Inspected right orbital area and sclera Exam Action
03/30/25 7:19 PM EDT
 Inspected left orbital area and sclera Exam Action
03/30/25 7:19 PM EDT
 Inspected lower conjunctiva Exam Action
03/30/25 7:20 PM EDT
 Inspected upper conjunctiva Exam Action
03/30/25 7:20 PM EDT
 Performed otoscopic examination of right naris Exam Action
03/30/25 7:20 PM EDT
 Performed otoscopic examination of left naris Exam Action
03/30/25 7:20 PM EDT
 Performed otoscopic examination of right naris Exam Action
03/30/25 7:20 PM EDT
 Performed otoscopic examination of right ear Exam Action
03/30/25 7:20 PM EDT
 Performed otoscopic examination of left ear Exam Action
03/30/25 7:20 PM EDT
 Inspected mouth Exam Action
03/30/25 7:20 PM EDT
 Inspected mouth: pushed tongue left with tongue blade Exam Action
03/30/25 7:20 PM EDT
 Inspect mouth: pushed tongue right with tongue blade Exam Action
03/30/25 7:20 PM EDT
 Inspect mouth: lifted tongue with tongue blade Exam Action
03/30/25 7:20 PM EDT
 Inspected mouth: depressed tongue with tongue blade Exam Action
03/30/25 7:20 PM EDT
 Inspected front of neck Exam Action
03/30/25 7:20 PM EDT
 Inspected right side of neck Exam Action
03/30/25 7:20 PM EDT
 Inspected back of neck Exam Action
03/30/25 7:20 PM EDT
 Inspected left side of neck Exam Action
03/30/25 7:20 PM EDT
 Inspected back of neck Exam Action
03/30/25 7:20 PM EDT
 Inspected right side of neck Exam Action
03/30/25 7:21 PM EDT
 Inspected front of neck Exam Action
03/30/25 7:21 PM EDT
 Inspected left side of neck Exam Action
03/30/25 7:21 PM EDT
 Inspected front of neck Exam Action
03/30/25 7:21 PM EDT
 Palpated scalp: No balding or thinning hair distribution, no masses, no tenderness reported Exam Action
03/30/25 7:21 PM EDT
 Palpated frontal sinuses: No tenderness reported Exam Action
03/30/25 7:21 PM EDT
 Palpated maxillary sinuses: No tenderness reported Exam Action
03/30/25 7:21 PM EDT
 Palpated temporal arteries bilaterally: Right: no thrill, 2+ / Left: no thrill, 2+ Exam Action
03/30/25 7:21 PM EDT
 Palpated right carotid artery: No thrill, 2+ Exam Action
03/30/25 7:21 PM EDT
 Palpated left carotid artery: No thrill, 2+ Exam Action
03/30/25 7:22 PM EDT
open and close your mouth Question
03/30/25 7:22 PM EDT
 Palpated jaw: Full range of motion, no popping or clicking Exam Action
03/30/25 7:22 PM EDT
 Palpated lymph nodes of head and neck: Not palpable Exam Action
03/30/25 7:23 PM EDT
 Palpated supraclavicular lymph nodes: Not palpable Exam Action
03/30/25 7:23 PM EDT
 Palpated axillary lymph nodes: Not palpable Exam Action
03/30/25 7:23 PM EDT
 Palpated thyroid gland: No nodules, not enlarged, no irregularities, no tenderness reported Exam Action
03/30/25 7:23 PM EDT
 Auscultated breath sounds in anterior right upper lobe Exam Action
03/30/25 7:23 PM EDT
 Auscultated breath sounds in anterior left upper lobe Exam Action
03/30/25 7:23 PM EDT
 Auscultated breath sounds in anterior right middle lobe Exam Action
03/30/25 7:23 PM EDT
 Auscultated breath sounds in anterior left mid-chest (upper lobe) Exam Action
03/30/25 7:23 PM EDT
 Auscultated breath sounds in anterior right lower lobe Exam Action
03/30/25 7:24 PM EDT
 Auscultated breath sounds in anterior left lower lobe Exam Action
03/30/25 7:24 PM EDT
 Auscultated breath sounds in posterior left upper lobe Exam Action
03/30/25 7:24 PM EDT
 Auscultated breath sounds in posterior right upper lobe Exam Action
03/30/25 7:24 PM EDT
 Auscultated breath sounds in posterior left mid-back (lower lobe) Exam Action
03/30/25 7:24 PM EDT
 Auscultated breath sounds in posterior right mid-back (lower lobe) Exam Action
03/30/25 7:24 PM EDT
 Auscultated breath sounds in posterior left lower lobe Exam Action
03/30/25 7:24 PM EDT
 Auscultated breath sounds in posterior right lower lobe Exam Action
03/30/25 7:24 PM EDT
 Auscultated breath sounds in posterior left lower lobe on side Exam Action
03/30/25 7:24 PM EDT
 Auscultated breath sounds in posterior left lower lobe near spine Exam Action
03/30/25 7:24 PM EDT
 Auscultated breath sounds in posterior right lower lobe near spine Exam Action
03/30/25 7:24 PM EDT
 Auscultated breath sounds in posterior right lower lobe on side Exam Action
03/30/25 7:24 PM EDT
 Auscultated right temporal pulse Exam Action
03/30/25 7:25 PM EDT
 Auscultated left temporal pulse Exam Action
03/30/25 7:25 PM EDT
 Auscultated right carotid pulse Exam Action
03/30/25 7:25 PM EDT
 Auscultated left carotid pulse Exam Action
03/30/25 7:25 PM EDT
 Tested left pupillary reaction with penlight Exam Action
03/30/25 7:25 PM EDT
 Tested right pupillary reaction with penlight Exam Action
03/30/25 7:25 PM EDT
Follow my fingers with just your eyes Question
03/30/25 7:25 PM EDT
Ok.
 Tested EOM to the upper left Exam Action
03/30/25 7:26 PM EDT
 Tested EOM to the upper center Exam Action
03/30/25 7:26 PM EDT
 Tested EOM to the upper right Exam Action
03/30/25 7:26 PM EDT
 Tested convergence to the center Exam Action
03/30/25 7:26 PM EDT
 Tested EOM to the lower right Exam Action
03/30/25 7:26 PM EDT
 Tested EOM to the lower center Exam Action
03/30/25 7:26 PM EDT
 Tested EOM to the lower left Exam Action
03/30/25 7:26 PM EDT
Tell me when you can no longer see my finger Question
03/30/25 7:26 PM EDT
Ok, I will.
 Tested peripheral vision Exam Action
03/30/25 7:26 PM EDT
Now.
 Examined fundus of right eye with ophthalmoscope Exam Action
03/30/25 7:26 PM EDT
 Examined fundus of left eye with ophthalmoscope Exam Action
03/30/25 7:27 PM EDT
Um, that one’s kind of blurry.
E D E O X F
Um, that one’s kind of blurry.
F E L O P Z D
D E F P O T E C
 Tested visual acuity of left eye (right eye covered) Exam Action
03/30/25 7:28 PM EDT
I can’t read that line. It’s too little.
I can’t read that line. It’s too little.
That’s… I can’t really tell.
Um, that one’s kind of blurry.
E D E O X F
P E C F D
 Tested visual acuity of right eye (left eye covered) Exam Action
03/30/25 7:29 PM EDT
P E C F D
E D F C Z P
F E L O P Z D
D E F P O T E C
 Tested visual acuity with both eyes Exam Action
03/30/25 7:30 PM EDT
is the volume the same in both ears or louder in one ear? Question
03/30/25 7:31 PM EDT
Ok.
Same in both ears.
 Performed Weber test with tuning fork Exam Action
03/30/25 7:31 PM EDT
Tell me when you no longer hear the ringing Question
03/30/25 7:31 PM EDT
Ok, I will.
Now.
Tell me when you no longer hear the ringing Question
03/30/25 7:32 PM EDT
Ok, I will.
Now.
 Performed Rinne test on right ear with tuning fork Exam Action
03/30/25 7:32 PM EDT
Now.
Four Question
03/30/25 7:32 PM EDT
Four.
R. Question
03/30/25 7:32 PM EDT
R.
Nine. Question
03/30/25 7:33 PM EDT
Nine.
 Performed whisper test in left ear Exam Action
03/30/25 7:33 PM EDT
F. Question
03/30/25 7:33 PM EDT
F.
Eight Question
03/30/25 7:33 PM EDT
Eight.
W. Question
03/30/25 7:33 PM EDT
W.
 Performed whisper test in right ear Exam Action
03/30/25 7:33 PM EDT
 Tested gag reflex with tongue blade Exam Action
03/30/25 7:33 PM EDT

 

Subjective Data Collection: 29 of 29 (100.0%)

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 sore throat

(Found)

Pro Tip: A patient’s chief complaint establishes any illnesses or concerns they are presenting. Asking about the chief complaint will allow the patient to voice any concerns or symptoms the patient may have.

Example Question:

Is your throat sore?

Finding:

Reports itchy throat

(Found)

Pro Tip: A patient’s chief complaint establishes any illnesses or concerns they are presenting. Asking about the chief complaint will allow the patient to voice any concerns or symptoms the patient may have.

Example Question:

Is your throat itchy?

Finding:

Reports itchy eyes

(Found)

Pro Tip: A patient’s chief complaint establishes any illnesses or concerns they are presenting. Asking about the chief complaint will allow the patient to voice any concerns or symptoms the patient may have.

Example Question:

Are your eyes itchy?

Finding:

Reports runny nose

(Found)

Pro Tip: A patient’s chief complaint establishes any illnesses or concerns they are presenting. Asking about the chief complaint will allow the patient to voice any concerns or symptoms the patient may have.

Example Question:

Do you have a runny nose?

History of Present Illness

Finding:

Asked about onset of symptoms

Finding:

Reports sore throat began 1 week ago

(Found)

Pro Tip: Asking a patient about the length 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:

How long has your throat been sore?

Finding:

Reports runny nose began 1 week ago

(Found)

Pro Tip: Asking a patient about the length 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:

When did your nose start running?

Finding:

Reports itchy eyes began 1 week ago

(Found)

Pro Tip: Asking a patient about the length 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:

When did your eyes start itching?

Finding:

Asked about aggravating factors for throat symptoms

Finding:

Reports throat pain is constant

(Found)

Pro Tip: Asking a patient about the length 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:

Is the throat pain constant?

Finding:

Reports throat pain is worse in the morning

(Available)

Pro Tip: Asking a patient about the length 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:

When does your sore throat feel the worst?

Finding:

Reports some soreness with swallowing

(Available)

Pro Tip: Asking a patient about the length 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:

Does it hurt when you swallow?

Finding:

Asked severity of throat discomfort

Finding:

Reports sore throat discomfort as mild to moderate

(Available)

Pro Tip: Asking a patient about the length 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:

Can you rate your sore throat on a scale of 0 to 10?

Finding:

Asked about frequency and duration of runny nose

Finding:

Reports runny nose is constant

(Found)

Pro Tip: Asking a patient about the length 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:

How often does your nose run?

Finding:

Followed up on nasal symptoms

Finding:

Denies itchy nose

(Available)

Pro Tip: Asking a patient about the length 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:

Does your nose itch?

Finding:

Denies sinus pain

(Available)

Pro Tip: Asking a patient about the length 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:

Do you feel any sinus pain?

Finding:

Denies sinus pressure

(Available)

Pro Tip: Asking a patient about the length 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:

Do you feel any sinus pressure?

Finding:

Denies sneezing

(Available)

Pro Tip: Asking a patient about the length 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:

Have you been sneezing?

Finding:

Followed up about character of nasal discharge

Finding:

Reports clear discharge

(Found)

Pro Tip: Asking a patient about the length 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:

What color is your mucus?

Finding:

Reports thin discharge

(Available)

Pro Tip: Asking a patient about the length 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:

Is the mucus thick?

Finding:

Denies pus

(Found)

Pro Tip: Asking a patient about the length 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:

Does your mucus have pus in it?

Finding:

Asked about eye symptoms

Finding:

Reports eye itching is constant

(Available)

Pro Tip: Asking a patient about the length 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:

Do your eyes constantly itch?

Finding:

Reports eye redness

(Available)

Pro Tip: Asking a patient about the length 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:

Are your eyes red?

Finding:

Asked related respiratory symptoms

Finding:

Reports breathing isn’t affected

(Found)

Pro Tip: Asking a patient about the length 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:

Have you had any changes in your breathing?

Finding:

Denies cough

(Available)

Pro Tip: Asking a patient about the length 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:

Do you have a cough?

Finding:

Denies chest tightness

(Available)

Pro Tip: Asking a patient about the length 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:

Does your chest feel tight?

Finding:

Asked about related asthma symptoms

Finding:

Denies recent wheezing

(Available)

Pro Tip: Asking a patient about the length 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:

Have you been wheezing?

Finding:

Denies increase in recent asthma symptoms

(Found)

Pro Tip: Asking a patient about the length 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:

Has your asthma been worse lately?

Finding:

Asked about perceived cause of symptoms

Finding:

Reports symptoms are similar to allergies

(Found)

Pro Tip: Asking a patient about the length 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:

Do you know what’s causing your symptoms?

Finding:

Reports symptoms don’t seem like a common cold

(Found)

Pro Tip: Asking a patient about the length 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:

Do you think you have a cold?

Finding:

Reports similarity to her sister’s hay fever symptoms

(Found)

Pro Tip: Asking a patient about the length 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:

Do you think you are having an allergic reaction?

Finding:

Asked about relieving factors for nose and eye symptoms

Finding:

Denies treatment for itchy eyes

(Found)

Pro Tip: Asking a patient about the length 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:

Have you treated your eyes with anything?

Finding:

Denies treatment for nasal symptoms

(Available)

Pro Tip: Asking a patient about the length 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:

Have you done anything for your runny nose?

Finding:

Denies taking antihistamine

(Available)

Pro Tip: Asking a patient about the length 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:

Have you taken any antihistamines?

Finding:

Denies taking decongestant

(Available)

Pro Tip: Asking a patient about the length 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:

Have you taken any decongestants?

Finding:

Asked about relieving factors for throat symptoms

Finding:

Reports lozenges as treatment

(Found)

Pro Tip: Asking a patient about the length 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:

Have you taken anything for your sore throat?

Finding:

Reports lozenges reduce symptoms

(Available)

Pro Tip: Asking a patient about the length 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:

Do the lozenges help?

Finding:

Reports ingesting lozenges every few hours

(Available)

Pro Tip: Asking a patient about the length 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:

How often do you have a lozenge?

Finding:

Reports drinking water reduces symptoms

(Found)

Pro Tip: Asking a patient about the length 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:

Does drinking water help?

Home Medications

Finding:

Confirmed home medications

Finding:

Reports no new medications

(Found)

Pro Tip: A patient’s home medications can provide insight into the patient’s current treatment and its efficacy. Inquiring into medication history, dosage, and frequency will help you understand the patient’s background and how it may affect their current situation.

Example Question:

Have you started taking any new medications?

Finding:

Followed up about inhaler use

Finding:

Reports using an inhaler to treat asthma symptoms

(Found)

Pro Tip: A patient’s home medications can provide insight into the patient’s current treatment and its efficacy. Inquiring into medication history, dosage, and frequency will help you understand the patient’s background and how it may affect their current situation.

Example Question:

Do you use an inhaler for your asthma?

Finding:

Reports inhaler is albuterol (Proventil)

(Available)

Pro Tip: A patient’s home medications can provide insight into the patient’s current treatment and its efficacy. Inquiring into medication history, dosage, and frequency will help you understand the patient’s background and how it may affect their current situation.

Example Question:

What is the name of the inhaler you are currently using?

Finding:

Reports last use of inhaler was 1 week ago

(Available)

Pro Tip: A patient’s home medications can provide insight into the patient’s current treatment and its efficacy. Inquiring into medication history, dosage, and frequency will help you understand the patient’s background and how it may affect their current situation.

Example Question:

When did you last use your inhaler?

Finding:

Reports typical inhaler use is 2 – 3 times a week

(Available)

Pro Tip: A patient’s home medications can provide insight into the patient’s current treatment and its efficacy. Inquiring into medication history, dosage, and frequency will help you understand the patient’s background and how it may affect their current situation.

Example Question:

How often do you use your inhaler?

Finding:

Reports using 2 – 3 puffs of inhaler when used

(Available)

Pro Tip: A patient’s home medications can provide insight into the patient’s current treatment and its efficacy. Inquiring into medication history, dosage, and frequency will help you understand the patient’s background and how it may affect their current situation.

Example Question:

How many puffs of your inhaler do you use?

Finding:

Reports prescribed dosage is 2 puffs

(Available)

Pro Tip: A patient’s home medications can provide insight into the patient’s current treatment and its efficacy. Inquiring into medication history, dosage, and frequency will help you understand the patient’s background and how it may affect their current situation.

Example Question:

How many puffs of your inhaler are you supposed to do?

Social Determinants of Health

Finding:

Asked about environmental exposure to allergens

Finding:

Denies exposure to cats

(Found)

Pro Tip: Asking a patient about Social Determinants of Health (SDOH) can unearth underlying social, political, or economic barriers to their health and wellbeing. Recognizing a patient’s SDOH can lead you to provide more informed and empathetic care for your patients, because you will have a greater understanding of the challenges they face.

Example Question:

Have you been recently exposed to any allergens?

Finding:

Denies exposure to mold or mildew

(Available)

Pro Tip: Asking a patient about Social Determinants of Health (SDOH) can unearth underlying social, political, or economic barriers to their health and wellbeing. Recognizing a patient’s SDOH can lead you to provide more informed and empathetic care for your patients, because you will have a greater understanding of the challenges they face.

Example Question:

Do you have mold in your house?

Finding:

Denies exposure to dust

(Found)

Pro Tip: Asking a patient about Social Determinants of Health (SDOH) can unearth underlying social, political, or economic barriers to their health and wellbeing. Recognizing a patient’s SDOH can lead you to provide more informed and empathetic care for your patients, because you will have a greater understanding of the challenges they face.

Example Question:

Do you have dust in your house?

Finding:

Denies exposure to irritants in work environment

(Available)

Pro Tip: Asking a patient about Social Determinants of Health (SDOH) can unearth underlying social, political, or economic barriers to their health and wellbeing. Recognizing a patient’s SDOH can lead you to provide more informed and empathetic care for your patients, because you will have a greater understanding of the challenges they face.

Example Question:

Are you allergic to anything at work?

Finding:

Reports changing bedding once a week

(Available)

Pro Tip: Asking a patient about Social Determinants of Health (SDOH) can unearth underlying social, political, or economic barriers to their health and wellbeing. Recognizing a patient’s SDOH can lead you to provide more informed and empathetic care for your patients, because you will have a greater understanding of the challenges they face.

Example Question:

How often do you change your bedding?

Finding:

Denies history of cigarette smoking

(Available)

Pro Tip: Asking a patient about Social Determinants of Health (SDOH) can unearth underlying social, political, or economic barriers to their health and wellbeing. Recognizing a patient’s SDOH can lead you to provide more informed and empathetic care for your patients, because you will have a greater understanding of the challenges they face.

Example Question:

Have you smoked cigarettes recently?

Finding:

Denies recent exposure to secondhand smoke

(Available)

Pro Tip: Asking a patient about Social Determinants of Health (SDOH) can unearth underlying social, political, or economic barriers to their health and wellbeing. Recognizing a patient’s SDOH can lead you to provide more informed and empathetic care for your patients, because you will have a greater understanding of the challenges they face.

Example Question:

Have you been exposed to secondhand smoke recently?

Finding:

Asked about healthcare access

Finding:

Reports last vision exam was in childhood

(Available)

Pro Tip: Asking a patient about Social Determinants of Health (SDOH) can unearth underlying social, political, or economic barriers to their health and wellbeing. Recognizing a patient’s SDOH can lead you to provide more informed and empathetic care for your patients, because you will have a greater understanding of the challenges they face.

Example Question:

When was your last vision test?

Finding:

Reports last hearing test was in childhood

(Available)

Pro Tip: Asking a patient about Social Determinants of Health (SDOH) can unearth underlying social, political, or economic barriers to their health and wellbeing. Recognizing a patient’s SDOH can lead you to provide more informed and empathetic care for your patients, because you will have a greater understanding of the challenges they face.

Example Question:

When was your last hearing test?

Finding:

Reports dental visit within the last 2 years

(Available)

Pro Tip: Asking a patient about Social Determinants of Health (SDOH) can unearth underlying social, political, or economic barriers to their health and wellbeing. Recognizing a patient’s SDOH can lead you to provide more informed and empathetic care for your patients, because you will have a greater understanding of the challenges they face.

Example Question:

When did you last see the dentist?

Finding:

Reports regular dental visits in childhood

(Available)

Pro Tip: Asking a patient about Social Determinants of Health (SDOH) can unearth underlying social, political, or economic barriers to their health and wellbeing. Recognizing a patient’s SDOH can lead you to provide more informed and empathetic care for your patients, because you will have a greater understanding of the challenges they face.

Example Question:

How often did you see the dentist when you were a child?

Finding:

Denies vision insurance

(Available)

Pro Tip: Asking a patient about Social Determinants of Health (SDOH) can unearth underlying social, political, or economic barriers to their health and wellbeing. Recognizing a patient’s SDOH can lead you to provide more informed and empathetic care for your patients, because you will have a greater understanding of the challenges they face.

Example Question:

Do you have vision insurance?

Finding:

Denies dental insurance

(Available)

Pro Tip: Asking a patient about Social Determinants of Health (SDOH) can unearth underlying social, political, or economic barriers to their health and wellbeing. Recognizing a patient’s SDOH can lead you to provide more informed and empathetic care for your patients, because you will have a greater understanding of the challenges they face.

Example Question:

Do you have dental insurance?

Relevant Medical History

Finding:

Confirmed allergies

Finding:

Reports known allergy to cats

(Available)

Pro Tip: Inquiring into the patient’s relevant history can reveal past diagnoses and previous conditions or concerns. Information about the patient’s existing health conditions, a timeline of diagnosis, symptoms, and allergies can indicate where you should follow-up for further care and treatment.

Example Question:

Can you confirm that you’re allergic to cats?

Finding:

Reports known allergy to dust

(Available)

Pro Tip: Inquiring into the patient’s relevant history can reveal past diagnoses and previous conditions or concerns. Information about the patient’s existing health conditions, a timeline of diagnosis, symptoms, and allergies can indicate where you should follow-up for further care and treatment.

Example Question:

Are you allergic to dust?

Finding:

Denies seasonal allergies

(Available)

Pro Tip: Inquiring into the patient’s relevant history can reveal past diagnoses and previous conditions or concerns. Information about the patient’s existing health conditions, a timeline of diagnosis, symptoms, and allergies can indicate where you should follow-up for further care and treatment.

Example Question:

Do you have seasonal allergies?

Review of Systems

Finding:

Asked about constitutional health

Finding:

Denies recent or frequent illnesses

(Available)

Pro Tip: Understanding a patient’s health involves a comprehensive overview of their physiological systems. This is necessary to understand what symptoms may indicate larger issues, and what treatments the patient may require.

Example Question:

Have you been sick recently?

Finding:

Denies chills

(Available)

Pro Tip: Understanding a patient’s health involves a comprehensive overview of their physiological systems. This is necessary to understand what symptoms may indicate larger issues, and what treatments the patient may require.

Example Question:

Have you had any chills?

Finding:

Denies fever

(Available)

Pro Tip: Understanding a patient’s health involves a comprehensive overview of their physiological systems. This is necessary to understand what symptoms may indicate larger issues, and what treatments the patient may require.

Example Question:

Have you had a fever?

Finding:

Reports low energy level

(Available)

Pro Tip: Understanding a patient’s health involves a comprehensive overview of their physiological systems. This is necessary to understand what symptoms may indicate larger issues, and what treatments the patient may require.

Example Question:

Have you felt fatigued?

Finding:

Denies nausea or vomiting

(Available)

Pro Tip: Understanding a patient’s health involves a comprehensive overview of their physiological systems. This is necessary to understand what symptoms may indicate larger issues, and what treatments the patient may require.

Example Question:

Have you felt nauseous?

Finding:

Asked about review of systems for head

Finding:

Reports occasional headaches

(Found)

Pro Tip: Understanding a patient’s health involves a comprehensive overview of their physiological systems. This is necessary to understand what symptoms may indicate larger issues, and what treatments the patient may require.

Example Question:

Do you ever get headaches?

Finding:

Denies current headache

(Available)

Pro Tip: Understanding a patient’s health involves a comprehensive overview of their physiological systems. This is necessary to understand what symptoms may indicate larger issues, and what treatments the patient may require.

Example Question:

Do you have a headache currently?

Finding:

Denies history of head injury

(Available)

Pro Tip: Understanding a patient’s health involves a comprehensive overview of their physiological systems. This is necessary to understand what symptoms may indicate larger issues, and what treatments the patient may require.

Example Question:

Have you ever had a head injury?

Finding:

Denies lightheadedness

(Available)

Pro Tip: Understanding a patient’s health involves a comprehensive overview of their physiological systems. This is necessary to understand what symptoms may indicate larger issues, and what treatments the patient may require.

Example Question:

Do you ever get lightheaded?

Finding:

Followed up on headaches

Finding:

Reports headaches occur once a week

(Found)

Pro Tip: Understanding a patient’s health involves a comprehensive overview of their physiological systems. This is necessary to understand what symptoms may indicate larger issues, and what treatments the patient may require.

Example Question:

How often do you get headaches?

Finding:

Reports headaches last a few hours

(Available)

Pro Tip: Understanding a patient’s health involves a comprehensive overview of their physiological systems. This is necessary to understand what symptoms may indicate larger issues, and what treatments the patient may require.

Example Question:

How long do your headaches last?

Finding:

Reports headaches feel tight and throbbing

(Available)

Pro Tip: Understanding a patient’s health involves a comprehensive overview of their physiological systems. This is necessary to understand what symptoms may indicate larger issues, and what treatments the patient may require.

Example Question:

How would you describe your headaches?

Finding:

Reports headache location is behind her forehead

(Found)

Pro Tip: Understanding a patient’s health involves a comprehensive overview of their physiological systems. This is necessary to understand what symptoms may indicate larger issues, and what treatments the patient may require.

Example Question:

Where do you feel your headaches?

Finding:

Reports headache pain as a 3 or 4

(Available)

Pro Tip: Understanding a patient’s health involves a comprehensive overview of their physiological systems. This is necessary to understand what symptoms may indicate larger issues, and what treatments the patient may require.

Example Question:

How would you rate your headache pain on a scale of 0 to 10?

Finding:

Reports treating headaches with acetaminophen (Tylenol)

(Available)

Pro Tip: Understanding a patient’s health involves a comprehensive overview of their physiological systems. This is necessary to understand what symptoms may indicate larger issues, and what treatments the patient may require.

Example Question:

How do you treat your headaches?

Finding:

Reports reading and studying seem to cause headaches

(Found)

Pro Tip: Understanding a patient’s health involves a comprehensive overview of their physiological systems. This is necessary to understand what symptoms may indicate larger issues, and what treatments the patient may require.

Example Question:

What seems to cause your headaches?

Finding:

Asked about review of systems for eyes

Finding:

Reports occasional blurry vision

(Found)

Pro Tip: Understanding a patient’s health involves a comprehensive overview of their physiological systems. This is necessary to understand what symptoms may indicate larger issues, and what treatments the patient may require.

Example Question:

Do you have blurry vision?

Finding:

Reports worsening vision

(Found)

Pro Tip: Understanding a patient’s health involves a comprehensive overview of their physiological systems. This is necessary to understand what symptoms may indicate larger issues, and what treatments the patient may require.

Example Question:

Has your vision gotten worse?

Finding:

Denies eye pain

(Available)

Pro Tip: Understanding a patient’s health involves a comprehensive overview of their physiological systems. This is necessary to understand what symptoms may indicate larger issues, and what treatments the patient may require.

Example Question:

Have you had eye pain?

Finding:

Denies dry eyes

(Available)

Pro Tip: Understanding a patient’s health involves a comprehensive overview of their physiological systems. This is necessary to understand what symptoms may indicate larger issues, and what treatments the patient may require.

Example Question:

Have you had dry eyes?

Finding:

Denies corrective lenses

(Available)

Pro Tip: Understanding a patient’s health involves a comprehensive overview of their physiological systems. This is necessary to understand what symptoms may indicate larger issues, and what treatments the patient may require.

Example Question:

Do you have glasses or contacts?

Finding:

Followed up on vision problems

Finding:

Reports blurry vision as fuzzy letters

(Available)

Pro Tip: Understanding a patient’s health involves a comprehensive overview of their physiological systems. This is necessary to understand what symptoms may indicate larger issues, and what treatments the patient may require.

Example Question:

Can you describe your blurry vision?

Finding:

Reports blurry vision occurs when reading for long periods

(Found)

Pro Tip: Understanding a patient’s health involves a comprehensive overview of their physiological systems. This is necessary to understand what symptoms may indicate larger issues, and what treatments the patient may require.

Example Question:

When do you get blurry vision?

Finding:

Reports blurry vision occurs after 2+ hours of reading

(Available)

Pro Tip: Understanding a patient’s health involves a comprehensive overview of their physiological systems. This is necessary to understand what symptoms may indicate larger issues, and what treatments the patient may require.

Example Question:

How long have you been reading when your vision gets blurry?

Finding:

Reports that blurry vision and headaches often coincide

(Available)

Pro Tip: Understanding a patient’s health involves a comprehensive overview of their physiological systems. This is necessary to understand what symptoms may indicate larger issues, and what treatments the patient may require.

Example Question:

Do you get headaches when you have blurry vision?

Finding:

Asked about review of systems for ears

Finding:

Denies general ear problems

(Found)

Pro Tip: Understanding a patient’s health involves a comprehensive overview of their physiological systems. This is necessary to understand what symptoms may indicate larger issues, and what treatments the patient may require.

Example Question:

Have you had ear problems?

Finding:

Denies change in hearing

(Available)

Pro Tip: Understanding a patient’s health involves a comprehensive overview of their physiological systems. This is necessary to understand what symptoms may indicate larger issues, and what treatments the patient may require.

Example Question:

Have you had any changes in your hearing?

Finding:

Denies ear pain

(Available)

Pro Tip: Understanding a patient’s health involves a comprehensive overview of their physiological systems. This is necessary to understand what symptoms may indicate larger issues, and what treatments the patient may require.

Example Question:

Have you had ear pain?

Finding:

Denies ear discharge

(Available)

Pro Tip: Understanding a patient’s health involves a comprehensive overview of their physiological systems. This is necessary to understand what symptoms may indicate larger issues, and what treatments the patient may require.

Example Question:

Have you noticed ear discharge?

Finding:

Asked about review of systems for nose

Finding:

Denies change in sense of smell

(Available)

Pro Tip: Understanding a patient’s health involves a comprehensive overview of their physiological systems. This is necessary to understand what symptoms may indicate larger issues, and what treatments the patient may require.

Example Question:

Have you had any changes in your sense of smell?

Finding:

Denies nasal or sinus surgeries

(Available)

Pro Tip: Understanding a patient’s health involves a comprehensive overview of their physiological systems. This is necessary to understand what symptoms may indicate larger issues, and what treatments the patient may require.

Example Question:

Have you ever had a nasal surgery?

Finding:

Denies nosebleeds

(Available)

Pro Tip: Understanding a patient’s health involves a comprehensive overview of their physiological systems. This is necessary to understand what symptoms may indicate larger issues, and what treatments the patient may require.

Example Question:

Do you ever get nosebleeds?

Finding:

Asked about review of systems for mouth and jaw

Finding:

Denies general mouth problems

(Found)

Pro Tip: Understanding a patient’s health involves a comprehensive overview of their physiological systems. This is necessary to understand what symptoms may indicate larger issues, and what treatments the patient may require.

Example Question:

Have you ever had problems with your mouth?

Finding:

Denies change in sense of taste

(Available)

Pro Tip: Understanding a patient’s health involves a comprehensive overview of their physiological systems. This is necessary to understand what symptoms may indicate larger issues, and what treatments the patient may require.

Example Question:

Has your sense of taste changed?

Finding:

Denies dry mouth

(Available)

Pro Tip: Understanding a patient’s health involves a comprehensive overview of their physiological systems. This is necessary to understand what symptoms may indicate larger issues, and what treatments the patient may require.

Example Question:

Have you had dry mouth recently?

Finding:

Denies history of oral surgery

(Available)

Pro Tip: Understanding a patient’s health involves a comprehensive overview of their physiological systems. This is necessary to understand what symptoms may indicate larger issues, and what treatments the patient may require.

Example Question:

Have you ever had oral surgery?

Finding:

Denies mouth pain

(Available)

Pro Tip: Understanding a patient’s health involves a comprehensive overview of their physiological systems. This is necessary to understand what symptoms may indicate larger issues, and what treatments the patient may require.

Example Question:

Do you have mouth pain?

Finding:

Denies mouth sores

(Available)

Pro Tip: Understanding a patient’s health involves a comprehensive overview of their physiological systems. This is necessary to understand what symptoms may indicate larger issues, and what treatments the patient may require.

Example Question:

Do you have any mouth sores?

Finding:

Denies gum problems

(Available)

Pro Tip: Understanding a patient’s health involves a comprehensive overview of their physiological systems. This is necessary to understand what symptoms may indicate larger issues, and what treatments the patient may require.

Example Question:

Do you have any problems with your gums?

Finding:

Denies tongue problems

(Available)

Pro Tip: Understanding a patient’s health involves a comprehensive overview of their physiological systems. This is necessary to understand what symptoms may indicate larger issues, and what treatments the patient may require.

Example Question:

Do you have any problems with your tongue?

Finding:

Denies jaw problems

(Found)

Pro Tip: Understanding a patient’s health involves a comprehensive overview of their physiological systems. This is necessary to understand what symptoms may indicate larger issues, and what treatments the patient may require.

Example Question:

Do you have any problems with your jaw?

Finding:

Asked about review of systems for dentation

Finding:

Denies current dental problems

(Found)

Pro Tip: Understanding a patient’s health involves a comprehensive overview of their physiological systems. This is necessary to understand what symptoms may indicate larger issues, and what treatments the patient may require.

Example Question:

Do you have any current dental problems?

Finding:

Reports a few cavities in childhood

(Available)

Pro Tip: Understanding a patient’s health involves a comprehensive overview of their physiological systems. This is necessary to understand what symptoms may indicate larger issues, and what treatments the patient may require.

Example Question:

What dental problems have you had?

Finding:

Asked about review of systems for neck, throat and glands

Finding:

Denies history of recurrent strep throat

(Available)

Pro Tip: Understanding a patient’s health involves a comprehensive overview of their physiological systems. This is necessary to understand what symptoms may indicate larger issues, and what treatments the patient may require.

Example Question:

Do you get strep throat often?

Finding:

Denies lymph node problems

(Available)

Pro Tip: Understanding a patient’s health involves a comprehensive overview of their physiological systems. This is necessary to understand what symptoms may indicate larger issues, and what treatments the patient may require.

Example Question:

Do you have any problems with your lymph nodes?

Finding:

Denies history of general throat problems

(Available)

Pro Tip: Understanding a patient’s health involves a comprehensive overview of their physiological systems. This is necessary to understand what symptoms may indicate larger issues, and what treatments the patient may require.

Example Question:

Do you have a history of throat problems?

Finding:

Denies voice changes

(Available)

Pro Tip: Understanding a patient’s health involves a comprehensive overview of their physiological systems. This is necessary to understand what symptoms may indicate larger issues, and what treatments the patient may require.

Example Question:

Have you noticed any changes to your voice?

Finding:

Denies history of tonsil problems

(Available)

Pro Tip: Understanding a patient’s health involves a comprehensive overview of their physiological systems. This is necessary to understand what symptoms may indicate larger issues, and what treatments the patient may require.

Example Question:

Do you have any history of tonsil problems?

Finding:

Denies general neck pain

(Available)

Pro Tip: Understanding a patient’s health involves a comprehensive overview of their physiological systems. This is necessary to understand what symptoms may indicate larger issues, and what treatments the patient may require.

Example Question:

Do you have neck pain?

Relevant Family History

Finding:

Asked about relevant family history

Finding:

Reports sister with hay fever

(Available)

Pro Tip: A patient’s family medical history can indicate if the patient is at a higher risk for certain illnesses and disorders. Gathering this information can contextualize a patient’s current complaint and how their family’s health history might be influencing it.

Example Question:

Do you have any family members with allergies?

Finding:

Denies family history of vision problems

(Available)

Pro Tip: A patient’s family medical history can indicate if the patient is at a higher risk for certain illnesses and disorders. Gathering this information can contextualize a patient’s current complaint and how their family’s health history might be influencing it.

Example Question:

Do vision problems run in your family?

Finding:

Denies family history of sinus problems

(Available)

Pro Tip: A patient’s family medical history can indicate if the patient is at a higher risk for certain illnesses and disorders. Gathering this information can contextualize a patient’s current complaint and how their family’s health history might be influencing it.

Example Question:

Do sinus problems run in your family?

Finding:

Denies family history of ear or hearing problems

(Available)

Pro Tip: A patient’s family medical history can indicate if the patient is at a higher risk for certain illnesses and disorders. Gathering this information can contextualize a patient’s current complaint and how their family’s health history might be influencing it.

Example Question:

Do hearing problems run in your family?

Finding:

Denies family history of mouth, throat, or gland problems

(Found)

Pro Tip: A patient’s family medical history can indicate if the patient is at a higher risk for certain illnesses and disorders. Gathering this information can contextualize a patient’s current complaint and how their family’s health history might be influencing it.

Example Question:

Do you have any family history of throat problems?

Finding:

Denies family history of headache or migraine

 

Objective Data Collection: 25 of 25 (100%)

  •  Correct
  •  Partially correct
  •  Incorrect
  •  Missed

 Inspected head and face

1 of 1 point

 

Skull Symmetry (1/3 point)

  •  Symmetric

Facial Feature Symmetry (1/3 point)

  •  Symmetric

Appearance (1/3 point)

  •  Papules, pustules, or comedones
  •  Excessive hair growth
  •  Red, chapped nose

 Inspected eyes and orbital area

1 of 1 point

 

Orbital Area (1/4 point)

  •  No visible abnormal findings

Sclera (1/4 point)

  •  Injection

Conjunctiva (1/4 point)

  •  Moist and pink

Conjunctival Discharge (1/4 point)

  •  No discharge

 Inspected nasal cavities

1 of 1 point

 

Color (1/4 point)

  •  Pale
  •  Bluish

Discharge (1/4 point)

  •  Clear discharge

Turbinate Patency (1/4 point)

  •  Patent

Observations (1/4 point)

  •  No additional visible abnormal findings

 Inspected ears

1 of 1 point

 

Right: Auditory Canal Color (1/10 point)

  •  Pink

Right: Tympanic Membrane Color (1/10 point)

  •  Pearly gray

Right: Tympanic Membrane Appearance (1/10 point)

  •  No visible abnormal findings

Right: Cone Of Light (1/10 point)

  •  5:00

Right: Discharge (1/10 point)

  •  No discharge

Left: Auditory Canal Color (1/10 point)

  •  Pink

Left: Tympanic Membrane Color (1/10 point)

  •  Pearly gray

Left: Tympanic Membrane Appearance (1/10 point)

  •  No visible abnormal findings

Left: Cone Of Light (1/10 point)

  •  7:00

Left: Discharge (1/10 point)

  •  No discharge

 Inspected mouth and throat

1 of 1 point

 

Oral Mucosa (1/6 point)

  •  Moist and pink

Tonsils (1/6 point)

  •  Edema

Tonsil Grade (1/6 point)

  •  1+: Tonsils <25% of space between pillars

Posterior Oropharynx Color (1/6 point)

  •  Erythemic

Posterior Oropharynx Texture (1/6 point)

  •  Cobblestoning

Post Nasal Drip (1/6 point)

  •  Clear discharge

 Inspected neck

1 of 1 point

 

Symmetry (1/2 point)

  •  Symmetric

Appearance (1/2 point)

  •  Discoloration

 Palpated scalp

1 of 1 point

 

Tenderness (1/2 point)

  •  None reported

Observations (1/2 point)

  •  No additional abnormal findings

 Palpated sinuses

1 of 1 point

 

Frontal (1/2 point)

  •  None reported

Maxillary (1/2 point)

  •  None reported

 Palpated temporal arteries

1 of 1 point

 

Right: Vibration (1/4 point)

  •  No thrill

Right: Intensity (1/4 point)

  •  2+ Expected

Left: Vibration (1/4 point)

  •  No thrill

Left: Intensity (1/4 point)

  •  2+ Expected

 Palpated carotid arteries

1 of 1 point

 

Right: Vibration (1/4 point)

  •  No thrill

Right: Intensity (1/4 point)

  •  2+ Expected

Left: Vibration (1/4 point)

  •  No thrill

Left: Intensity (1/4 point)

  •  2+ Expected

 Palpated jaw

1 of 1 point

 

Observations (1/1 point)

  •  No palpable abnormal findings

 Palpated lymph nodes

1 of 1 point

 

Head And Neck (1/3 point)

  •  No palpable nodes

Supraclavicular (1/3 point)

  •  No palpable nodes

Axillary (1/3 point)

  •  No palpable nodes

 Palpated thyroid gland

1 of 1 point

 

Observations (1/2 point)

  •  No palpable abnormal findings

Tenderness (1/2 point)

  •  None reported

 Auscultated breath sounds

1 of 1 point

 

Breath Sounds (1/3 point)

  •  Present in all areas

Adventitious Sounds (1/3 point)

  •  No adventitious sounds

Location (1/3 point)

  •  All areas clear

 Auscultated temporal arteries

1 of 1 point

 

Right (1/2 point)

  •  No bruit

Left (1/2 point)

  •  No bruit

 Auscultated carotid arteries

1 of 1 point

 

Right (1/2 point)

  •  No bruit

Left (1/2 point)

  •  No bruit

 Tested pupillary reaction

1 of 1 point

 

Observations With Penlight (1/1 point)

  •  No visible abnormal findings (PERRL)

 Tested extraocular eye movements

1 of 1 point

 

Cardinal Fields (1/2 point)

  •  No visible abnormal findings

Convergence (1/2 point)

  •  No visible abnormal findings

 Tested peripheral vision

1 of 1 point

 

Observations (1/1 point)

  •  No abnormal findings

 Examined fundus with ophthalmoscope

1 of 1 point

 

Right: Retina (1/4 point)

  •  Cotton wool bodies

Right: Disc Margin (1/4 point)

  •  Sharp

Left: Retina (1/4 point)

  •  No visible abnormal findings

Left: Disc Margin (1/4 point)

  •  Sharp

 Tested visual acuity

1 of 1 point

 

Right (1/2 point)

  •  20/40

Left (1/2 point)

  •  20/20

 Performed Weber test

1 of 1 point

 

Results (1/1 point)

  •  Normal

 Performed Rinne test

1 of 1 point

 

Right (1/2 point)

  •  Normal

Left (1/2 point)

  •  Normal

 Performed whisper test

1 of 1 point

 

Right (1/2 point)

  •  Normal

Left (1/2 point)

  •  Normal

 Tested gag reflex

1 of 1 point

 

Observations (1/1 point)

  •  Intact

 

Education & Empathy : 1 of 5 (20.0%)

During the patient interview, there are a number of opportunities to provide patient education and empathy. The opportunities listed below are those identified by nursing experts to be of particular importance to this patient. A Model Statement is provided as an example of an appropriate response to each opportunity.

  • Opportunities marked as Not Encountered are opportunities that were not elicited in the interview
  • Opportunities marked as Not Followed Up are missed opportunities that were present in the interview, but where no statements were made
  • Opportunities marked as Followed Up were followed up by students, and include the dialogue between student and patient

 1 Symptoms

Followed Up

 

 Description: Tina describes the symptoms that have been bothering her.
WHat brings you here today Question
04:31 AM EDT
My throat has been sore… and itchy. And my nose won’t stop running. These symptoms are driving me nuts.
I am sorry for that Empathize
04:31 AM EDT
I appreciate you saying that.
 Model Statement: “I’m sorry to hear you don’t feel well. I’ll ask you some questions to learn more about your symptoms, and we will make a plan to help you feel better.”

 2 Cause of Symptoms

Not Followed Up

 

 Description: Tina describes her symptoms as being similar to allergies.
what do you think has caused the symptoms? Question
04:45 AM EDT
Well, at first I thought this was a cold, but it’s just sticking around. I’m not getting better or worse, so I’m starting to think it’s allergies or something.
What relieves the symptoms? Question
04:45 AM EDT
 Model Statement: “It is possible to develop new allergies as an adult, and so I will take that into consideration as I try to determine the cause of your symptoms.”

 3 Medications

Not Followed Up

 

 Description: Tina describes her medication regimen.
What relieves nose and eye symptoms? Question
04:47 AM EDT
All I’ve done is suck on some throat drops. And I’ve been drinking more water, which helps.
Do you use medications? Question
04:48 AM EDT
No, I haven’t done anything to try to make my eyes less itchy.
Do you use an inhaler Question
04:48 AM EDT
Yeah, I use it when my asthma acts up.
Are you exposed to allergens? Question
04:48 AM EDT
Not lately.
How is your healthcare access Question
04:49 AM EDT
I have health insurance through my job, so I can go to the doctor if I need to. It’s always a hassle though, so I try to avoid it unless I really have to like right now.
 Model Statement: “Thank you for letting me know that you’re using throat drops in addition to the medications you usually take. I will ask you a few questions about how you’re using each medication.”

 4 Headaches

Not Followed Up

 

 Description: Tina reports occasional headaches.
Do you have any head problem? Question
04:49 AM EDT
Just like in general? I get headaches sometimes.
What causes the headaches? Question
04:50 AM EDT
When I get headaches, it’s usually just from reading. I only get them about once a week and it doesn’t really hurt on one side or the other. The pain is mostly behind both eyes.
Do you have vision problems? Question
04:50 AM EDT
 Model Statement: “It sounds like you’re getting frequent headaches. I’m sorry you have to deal with those. I think we can determine more about what’s causing them, and try to relieve those for you.”

 5 Vision

Not Followed Up

 

 Description: Tina describes her vision problems and lack of eye care.
Do you have vision problems? Question
04:50 AM EDT
Yeah, maybe so. I’ve noticed my vision getting sort of blurry when I read. It seems like it’s getting a little worse — I notice it more.
Do you have any ears problem Question
04:50 AM EDT
No, my ears are fine right now.
Do you have any mouth or jaw problem? Question
04:50 AM EDT
No, that’s not where I’m having problems. [AUDIO COMING SOON]
 Model Statement: “Blurry vision can be a frustrating symptom. Taking steps toward better eye care, like seeing an eye doctor, could improve your vision and prevent blurriness when you read.”

 

Documentation / Electronic Health Record

Document: Provider Notes

Student Documentation Model Documentation
Subjective

Ms. Jones is a 28 y/o African American woman who visits the clinic due to sore and itchy throat, itchy eyes and runny nose which has lasted for one week. No aggravating symptoms but sore throat is worse in the morning. She rates the pain as 4/10. She relieves pain with throat lozenges. Has soreness while swallowing. She has a clear nose discharge. Not had any treatment. No cough or other illness. No fever, chills or sweats. Social History: Not exposed to irritants. does not use tobacco, alcohol or drugs. ROS Head: Occasional headaches Eyes: Vision worsening Ears: no discharge or pain Mouth/throat: Sore, itchy Nose/sinuses: Pain outside of nose Respiratory: No shortness of breath

 HPI: Ms. Jones is a pleasant 28-year-old African American woman who presented to the clinic with complaints of sore, itchy throat, itchy eyes, and runny nose for the last week. She states that these symptoms started spontaneously and have been constant in nature. She does not note any specific aggravating symptoms, but states that her throat pain seems to be worse in the morning. She rates her throat pain as 4/10 and her throat itchiness as 5/10. She has treated her throat pain with occasional throat lozenges which has “helped a little”. She states that she has some soreness when swallowing, but otherwise no other associated symptoms. She states that her nose “runs all day” and is clear discharge. She has not attempted any treatment for her nasal symptoms. She states that her eyes are constantly itchy and she has not attempted any eye specific treatment. She denies cough and recent illness. She has had no exposures to sick individuals. She denies changes in her hearing, vision, and taste. She denies fevers, chills, and night sweats. She has never been diagnosed with seasonal allergies, but does note that her sister has “hay fever”. Social History: She is not aware of any environmental exposures or irritants at her job or home. She changes her sheets weekly and denies dust/mildew at her home. She denies use of tobacco, alcohol, and illicit drugs. She does not exercise. Review of Systems: General: Denies changes in weight, fatigue, weakness, fever, chills, and night sweats. • Head: Denies history of trauma. Reports headaches while studying. • Eyes: She does not wear corrective lenses, but notes that her vision has been worsening over the past few years. She complains of blurry vision after reading for extended periods. Denies increased tearing or itching prior to this past week. • Ears: Denies hearing loss, tinnitus, vertigo, discharge, or earache. • Nose/Sinuses: Denies rhinorrhea prior to this episode. Denies stuffiness, sneezing, itching, previous allergy, epistaxis, or sinus pressure. • Mouth/Throat: Denies bleeding gums, hoarseness, swollen lymph nodes, or wounds in mouth. No sore throat prior to this episode. • Respiratory: She denies shortness of breath, wheezing, cough, sputum, hemoptysis, pneumonia, bronchitis, emphysema, tuberculosis. She has a history of asthma, last hospitalization was age 16 for asthma, last chest XR was age 16. Her current inhaler use has been her baseline of 2-3 times per week.
Objective

She is alert and well oriented Head: Symmetric, no scalps Eyes: Bilateral eyes Ears: No inflammation, whisper normal Nose: Nosal mucosa is boggy and pale Mouse/Throat: Moist buccal mucosa Neck: Thyroid is smooth Respiratory: Symmetrical chest

 General: Ms. Jones is a pleasant, obese 28-year-old African American woman in no acute distress. She is alert and oriented. She maintains eye contact throughout interview and examination. • Head: Head is normocephalic and atraumatic. Scalp with no masses, normal hair distribution. • Eyes: Bilateral eyes with equal hair distribution, no lesions, no ptosis, no edema, conjunctiva clear and injected. Extraocular movements intact bilaterally. Pupils equal, round, and reactive to light bilaterally. Normal convergence. Left fundoscopic exam reveals sharp disc margins, no hemorrhages. Right fundoscopic exam reveals mild retinopathic changes. Left eye vision: 20/20. Right eye vision: 20/40. • Ears: Ear shape equal bilaterally. External canals without inflammation bilaterally. Tympanic membranes pearly grey and intact with positive light reflex bilaterally. Rinne, Weber, and Whisper tests normal bilaterally. • Nose: Septum is midline, nasal mucosa is boggy and pale bilaterally. No pain with palpation of frontal or maxillary sinuses. • Mouth/Throat: Moist buccal mucosa, no wounds visualized. Adequate dental hygiene. Uvula midline. Tonsils 1+ and without evidence of inflammation. Posterior pharynx is slightly erythematous with mild cobblestoning. •Neck: No cervical, infraclavicular lymphadenopathy. Thyroid is smooth without nodules or goiter. Acanthosis nigricans present. Carotid pulses 2+, no thrills. Jaw with no clicks, full range of motion. Bilateral carotid artery auscultation without bruit. • Respiratory: Chest is symmetrical with respirations. Lung sounds clear to auscultation without wheezes, crackles, or cough.
Assessment

Allergic Rhinitis

 Allergic Rhinitis
Plan

Continue monitoring symptoms Initiate loratadine 10mg by mouth daily Increase intake of water Avoid triggers Seek care in case of uncontrollable episodes Come for check up in 2 weeks

 Encourage Ms. Jones to continue to monitor symptoms and log her episodes of allergic symptoms with associated factors and bring log to next visit. • Initiate trial of loratadine (Claritin) 10 mg by mouth daily. • Encourage to increase intake of water and other fluids and educate on frequent handwashing. • Educate on avoidance of triggers and known allergens • Educate Ms. Jones on when to seek care including episodes of uncontrollable epistaxis, worsening headache, or fever. • Revisit clinic in 2-4 weeks for follow up and evaluation.

 

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Tina Jones Health History Completed

/in , /by

Tina Jones Health History

 

Transcript

Started: Mar 19, 2025 | Total Time: 97 min

All Lines (113)Interview Questions (97)Statements (4)Exam Actions (12)

 Weight: 90 kg Exam Action
03/19/25 9:25 AM EDT
 BMI: 31 Exam Action
03/19/25 9:25 AM EDT
 Random blood glucose: 238 Exam Action
03/19/25 9:25 AM EDT
 Blood pressure: 142/82 Exam Action
03/19/25 9:25 AM EDT
 Respiratory rate: 19 Exam Action
03/19/25 9:25 AM EDT
 O2 sat: 99% Exam Action
03/19/25 9:25 AM EDT
 Heart rate: 86 Exam Action
03/19/25 9:25 AM EDT
 Height: 170.2 cm Exam Action
03/19/25 9:25 AM EDT
 Temperature: 38.4 °C Exam Action
03/19/25 9:25 AM EDT
Hello, my name is Mileidy. I will be your nurse today Greet
03/23/25 12:39 AM EDT
Hey.
What brings you here today? Question
03/23/25 12:39 AM EDT
I got this scrape on my foot a while ago, and I thought it would heal up on its own, but now it’s looking pretty nasty. And the pain is killing me!
I am sorry for that Empathize
03/23/25 12:39 AM EDT
I appreciate you saying that.
Can you rate the pain on a scale of 1 to 10 Question
03/23/25 12:40 AM EDT
I’d say a 7. It hurts a lot, and the pain pills haven’t kicked in yet.
Where is the paid located? Question
03/23/25 12:40 AM EDT
SSC is a community college. It’s downtown.
When did the pain start? Question
03/23/25 12:40 AM EDT
Well, I got the scrape a week ago, but the scrape and the pain got a lot worse in the last few days.
Have you gone for check up? (No matching questions found.) Question
03/23/25 12:41 AM EDT
Has the injury been assessed at the ER? (No matching questions found.) Question
03/23/25 12:41 AM EDT
was the injury assessed at the ER? (Clarified to What did the ER doctor tell you was wrong with your foot?.) Question
03/23/25 12:42 AM EDT
She said my ankle was fine, and I should just stay off it. And to keep the scrape clean and dry. Which I did. (Clarified to what the ER doctor told me was wrong with my foot.)
Dose the wound have drainage? (Clarified to Is your foot wound draining?.) Question
03/23/25 12:42 AM EDT
Yeah, there’s definitely pus. (Clarified to if my foot wound is draining.)
What colour is the pus? Question
03/23/25 12:42 AM EDT
It’s… white or maybe off-white.
How did you treat the wound at home? Question
03/23/25 12:43 AM EDT
I made sure to clean it and just keep it bandaged. And I put Neosporin on it.
What other symptoms does the wound have? Question
03/23/25 12:43 AM EDT
I mean, it’s all red and swollen, and there’s pus, it feels hot, it hurts like hell… It’s got all that going on.
Has the injury affected your activities? Question
03/23/25 12:43 AM EDT
I mean, the last two days I couldn’t walk on my foot, so it’s gotten in the way of everything — I had to basically stay home and off my foot. I didn’t think it could get to the point where it caused so many problems.
Do you have any preexisting condition? Question
03/23/25 12:44 AM EDT
Yeah. . . I have asthma and diabetes.
How do you manage the diabetes? Question
03/23/25 12:44 AM EDT
I just watch what I eat and try to stay away from sweets.
Which medication are you using for diabetes? Question
03/23/25 12:44 AM EDT
It’s just a regular Proventil inhaler.
Which current diabetes medication are you using? Question
03/23/25 12:45 AM EDT
I don’t take anything for my diabetes anymore.
Which diabetes medication were you using in the past? (Clarified to When were you taking diabetes medication?.) Question
03/23/25 12:45 AM EDT
I haven’t taken it in about three years, honestly. (Clarified to when I was taking diabetes medication.)
Do you monitor your blood glucose? Question
03/23/25 12:46 AM EDT
I have a monitor at home, but to be honest I don’t really use it that often. It’s such a hassle to check my blood sugar, and my diabetes is under control right now so I don’t really need to.
Do you often feel thirsty? Question
03/23/25 12:46 AM EDT
You know, I did notice lately that I’ve been really thirsty.
Do you urinate frequently? Question
03/23/25 12:47 AM EDT
Yeah, but I’ve been drinking more water.
Have you noted change in appetite? (Clarified to Is your appetite changing?.) Question
03/23/25 12:47 AM EDT
Yeah, lately I’ve definitely been much hungrier than usual. (Clarified to if I am experiencing appetite changes.)
have you noted weight change? Question
03/23/25 12:49 AM EDT
Yeah, I’ve lost some weight recently.
what is the reason for weight change? (Clarified to What led to your losing weight?.) Question
03/23/25 12:49 AM EDT
I don’t know what caused it, I just lost weight. (Clarified to what caused my weight loss.)
When did you know you have asthma? Question
03/23/25 12:50 AM EDT
I think I was about two and a half? I used to have a lot of trouble with asthma attacks back then.
WHat is your history of asthma exacerbation? Question
03/23/25 12:50 AM EDT
I haven’t had an asthma attack in a while, but I used to get them growing up, and my chest would feel really tight, like I couldn’t take in air, and I would wheeze really bad and get all sweaty. It was way worse than now, especially because I would use my inhaler and it wouldn’t help. It was really scary.
Have you been hospitalized before? Question
03/23/25 12:51 AM EDT
Well, I went a week ago on the day I hurt my foot to get it checked out. That was the first time I’ve been in the hospital since I was probably sixteen, though.
How many puffs do you take when using the inhaler? Question
03/23/25 12:51 AM EDT
I usually use two puffs from my albuterol inhaler — it’s 90 micgrograms a spray — but lately sometimes I need three puffs. [AUDIO COMING SOON]
what triggers the asthma? Question
03/23/25 12:51 AM EDT
Being around cats is the worst, but dust and running up stairs can make my breathing bad, too.
do you have any allergies? Question
03/23/25 12:52 AM EDT
Yeah, I’m allergic to cats.
what are the cat allergy symptoms? Question
03/23/25 12:52 AM EDT
Whenever I’m around cats, I start sneezing, my eyes get itchy. . . and my asthma starts to act up.
do you have latex allergy? Question
03/23/25 12:52 AM EDT
Nope.
do you have medication allergies? Question
03/23/25 12:52 AM EDT
Yeah, I’m allergic to penicillin.
How does penicillin react on you? (No matching questions found.) Question
03/23/25 12:53 AM EDT
How does penicillin affect you? Question
03/23/25 12:53 AM EDT
I don’t remember that well because the last time I had penicillin I was pretty little. . . I think I got a rash, like, hives. The doctor told me not to take it again after that.
Do you have food allergies Question
03/23/25 12:53 AM EDT
Nope, no food allergies that I know of.
Have you been immunized? Question
03/23/25 12:54 AM EDT
I’m pretty sure they are all taken care of.
have you had all childhood immunization (Clarified to Have you had all your childhood immunizations?.) Question
03/23/25 12:54 AM EDT
I am pretty sure I received all my vaccines as a kid, like before registering for school. (Clarified to if I got vaccinated as a kid.)
have you received flu vaccine? Question
03/23/25 12:55 AM EDT
No.
Have you received tetanus immunization? Question
03/23/25 12:55 AM EDT
I got a tetanus booster about a year ago.
Do you have hypertension? Question
03/23/25 12:55 AM EDT
No, I’ve never been diagnosed with blood pressure problems.
Do you use pain medication? Question
03/23/25 12:56 AM EDT
Yeah, I had to start taking pain medication.
How frequently do you use pain medication? Question
03/23/25 12:56 AM EDT
I’ve been taking the Tramadol morning, noon, and night. [AUDIO COMING SOON]
what is the dose of pain medication? Question
03/23/25 12:56 AM EDT
I’m not 100% sure, but I think they’re 50 milligrams.
how efficient is the pain medication? (Clarified to How effective is the pain medication?.) Question
03/23/25 12:57 AM EDT
They only help for a few hours at a time. (Clarified to how effective the pain medication is.)
Do you use OTC medication? Question
03/23/25 12:57 AM EDT
I take Tylenol for a headache sometimes, or Advil for cramps, but not often.
How is your access to healthcare? Question
03/23/25 12:57 AM EDT
I have health insurance through my job, so I can go to the doctor if I need to. It’s always a hassle though, so I try to avoid it unless I really have to like right now.
What is your level of education? Question
03/23/25 12:58 AM EDT
Well, I’m finishing up my Bachelor’s degree right now.
How is your living situation? (Clarified to What is your living situation?.) Question
03/23/25 12:58 AM EDT
I live at home with my mom and my sister — we’re a pretty tight-knit family. They’ve been helping me out. (Clarified to to tell you about my living situation.)
Do you have stressors? Question
03/23/25 12:58 AM EDT
Generally, I get stressed when I have too much to do. I can get kind of scattered and disorganized, and then that just makes it worse. But nothing’s been too stressful lately, except for my foot, of course.
how is your salt intake? Question
03/23/25 12:58 AM EDT
Honestly, I don’t pay much attention to how much salt I eat. My mom is always reaching for the salt shaker, but I don’t usually add salt to my food.
How is your caffeine intake? Question
03/23/25 12:59 AM EDT
I don’t know how much caffeine is in them exactly, but I drink about four Diet Cokes a day.
Do you use illicit drugs? Question
03/23/25 12:59 AM EDT
Well, I used to smoke pot. . . but I don’t do that anymore.
WHen last did you use pot? Question
03/23/25 12:59 AM EDT
I haven’t smoked pot since I was twenty or twenty-one.
do you take alcohol? Question
03/23/25 12:59 AM EDT
I do sometimes, yeah, when I go out with my friends.
Do you smoke tobacco? Question
03/23/25 1:00 AM EDT
No. I think it’s gross.
Do you drink alcohol? Question
03/23/25 1:00 AM EDT
I do sometimes, yeah, when I go out with my friends.
how much alcohol do you drink? Question
03/23/25 1:00 AM EDT
I don’t drink very much — I only have a few drinks when I go out.
are you exposed to secondhand smoke? Question
03/23/25 1:00 AM EDT
Some of my friends smoke when we go out drinking. But I don’t smoke, and nobody at home smokes.
how is your mother’s health? Question
03/23/25 1:01 AM EDT
Mom has high cholesterol and blood pressure, I think. She seems to be doing okay though.
how is your father’s health? Question
03/23/25 1:01 AM EDT
Dad passed away last year, so…it’s been really hard.
I am sorry for that Empathize
03/23/25 1:01 AM EDT
Thanks for understanding.
What caused your father’s death? Question
03/23/25 1:02 AM EDT
He died in a car accident.
How did you cope with your father’s death? Question
03/23/25 1:02 AM EDT
Well, right after he died, after the funeral and everything, I just tried to get through that. Mom was having such a hard time, crying a lot, everything made her sad, she was kinda depressed. So I guess at first I just focused on getting things done–groceries, laundry, insurance papers and stuff. Knowing that Mom needed me kinda helped me get through day by day. There was about a month where it was hard for us to get to church. Even getting up and ready for church was too overwhelming. But our church family helped us out, and gave us rides to church and brought meals and all that, so they really helped build us back up. Things were only hard like that for a few months.
how is your paternal grandfather’s health? Question
03/23/25 1:03 AM EDT
Grandpa Jones passed away when I was really little.
how is your paternal grandmother’s health? Question
03/23/25 1:03 AM EDT
Granny’s doing good. She’s still living on her own. She’s slowing down, but we help her out. She lives down the street from us, and she gets around okay. I think she takes some pills, maybe for blood pressure? She might have high cholesterol too. She seems happy.
how is your maternal grandfather’s health? Question
03/23/25 1:03 AM EDT
Well, Poppa died about five years ago.
how is your paternal grandmother’s health? Question
03/23/25 1:04 AM EDT
Granny’s doing good. She’s still living on her own. She’s slowing down, but we help her out. She lives down the street from us, and she gets around okay. I think she takes some pills, maybe for blood pressure? She might have high cholesterol too. She seems happy.
How is your brother’s health? Question
03/23/25 1:04 AM EDT
He’s a healthy guy. Kinda big like me.
how is your maternal grandmother’s health? Question
03/23/25 1:04 AM EDT
Nana was 73 when she died of a stroke about five years ago. I think she had high blood pressure and cholesterol, too.
How us your sister’s health? Question
03/23/25 1:04 AM EDT
She’s pretty healthy. She has asthma too, but she almost never has attacks.
Do you have a family history of obesity? Question
03/23/25 1:05 AM EDT
No, I don’t think so. My brother and my dad are kind of big, but I wouldn’t say they were obese or anything.
Do you have a family history of thyroid issues? Question
03/23/25 1:05 AM EDT
No, I don’t think so.
Do you have a family history of substance abuse? Question
03/23/25 1:05 AM EDT
No, no drugs in my family. The only thing like that is that one of my uncles is an alcoholic.
Do you have a family history of headaches? Question
03/23/25 1:06 AM EDT
No, not that I know of.
How is your general health? Question
03/23/25 1:06 AM EDT
Overall, my health is pretty good. I have a couple of problems, I guess, but they don’t bother me too much.
Do you have head issues? Question
03/23/25 1:06 AM EDT
I don’t think I have any problems. I get headaches sometimes, but that’s all.
Do you have any ear problem? Question
03/23/25 1:06 AM EDT
No. I think my ears are fine.
Do you have any eye problem? Question
03/23/25 1:06 AM EDT
I’ve actually been noticing problems lately. When I’m reading or studying I’ll notice that things start to get kind of blurry.
Do you have nose problem Question
03/23/25 1:07 AM EDT
My nose is fine right now. Sometimes it runs, but not very often.
Do you have mouth problem? Question
03/23/25 1:07 AM EDT
No.
Do you have neck problem? Question
03/23/25 1:07 AM EDT
Sometimes I get a crick in it when I’m reading, but nothing serious.
Do you have any breast problem? Question
03/23/25 1:07 AM EDT
No, no problems in that area.
Do you have any cardiovascular issue? Question
03/23/25 1:08 AM EDT
My heart’s fine, thank God!
Do you have any gastrointestinal issue? Question
03/23/25 1:08 AM EDT
No. I’ve never really had stomach or bowel problems.
Do you have any reproductive system issue? Question
03/23/25 1:08 AM EDT
I don’t think I have problems in that area. I just get really bad periods, that’s all.
how is your menstrual symptoms? (Clarified to Do you have menstrual symptoms?.) Question
03/23/25 1:08 AM EDT
Yeah, I get cramps pretty bad. (Clarified to if I have menstrual symptoms.)
how do you treat the cramps? Question
03/23/25 1:09 AM EDT
I take Advil. I try a heating pad sometimes and that only helps a little.
how is your sexual activity? Question
03/23/25 1:09 AM EDT
Uh, I wouldn’t say I have a “sex life” right now.
do you use contraception? Question
03/23/25 1:09 AM EDT
Nope. But I’ve been single for a while so I haven’t needed to.
Have you tested for STI? (Clarified to Have you been tested for STDs?.) Question
03/23/25 1:10 AM EDT
Yeah, I’m sure they did those tests when I went for a pap smear before. (Clarified to if I have ever been tested for STDs.)
Have you ever been pregnant? Question
03/23/25 1:10 AM EDT
I’ve never been pregnant.
how is your musculoskeletal system? (No matching questions found.) Question
03/23/25 1:10 AM EDT
do you have a musculoskeletal system problem? (No matching questions found.) Question
03/23/25 1:11 AM EDT
do you have a muscle problem Question
03/23/25 1:11 AM EDT
Not really.
Do you have nerve problem? Question
03/23/25 1:11 AM EDT
No.
Do you have a skin problem?? Question
03/23/25 1:11 AM EDT
Well…I guess I was noticing the other day that the skin around my neck is looking weird. Like the skin is getting darker. And my skin’s breaking out, but that’s how it is.
Where is the wound on the foot located? Question
03/23/25 1:12 AM EDT
It’s on the ball of my foot.
How is your menstrual flow? Question
03/23/25 1:13 AM EDT
I’d say it’s heavy. I use the like, extra absorbent tampons, and I still have to change it every two or three hours.
It is important to monitor your blood glucose regurlaly Educate
03/23/25 1:13 AM EDT
Alright, thanks for letting me know.
Diabetes should be managed throughout and therefore you are supposed to be taking medications for diabetes Educate
03/23/25 1:14 AM EDT
OK, I understand.
 Measured wound: 2 cm x 1.5 cm, 2.5 mm deep Exam Action
03/23/25 2:14 AM EDT
 Swabbed wound and sent to lab for C & S Exam Action
03/23/25 2:14 AM EDT
 Cleansed and irrigated wound with normal saline and applied dry sterile dressing. Exam Action
03/23/25 2:14 AM EDT

 

 

 

 

Subjective Data Collection: 100 of 100 (100.0%)

Hover To Reveal…

Hover over the Patient Data items below to reveal important information, including Pro Tips and Example Questions.

  • Found:

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  • Available:

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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 pain

(Found)

Pro Tip: A patient’s chief complaint establishes any illnesses or concerns they are presenting. Asking about the chief complaint will allow the patient to voice any concerns or symptoms the patient may have.

Example Question:

How severe is the pain?

Finding:

Reports foot wound

(Found)

Pro Tip: A patient’s chief complaint establishes any illnesses or concerns they are presenting. Asking about the chief complaint will allow the patient to voice any concerns or symptoms the patient may have.

Example Question:

What’s causing your pain?

History of Present Illness

Finding:

Asked to rate current pain level on a scale

Finding:

Reports current pain is 7/10

(Found)

Pro Tip: Asking a patient about the length 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:

Can you rate the pain on a scale of 0 to 10?

Finding:

Asked for details about the pain

Finding:

Reports pain is throbbing

(Available)

Pro Tip: Asking a patient about the length 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:

Can you please describe the pain?

Finding:

Reports pain is sharp when she attempts to stand

(Available)

Pro Tip: Asking a patient about the length 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:

What is the pain like when you stand on your foot?

Finding:

Reports pain has increased in the past 2 days

(Found)

Pro Tip: Asking a patient about the length 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:

How has the pain changed over time?

Finding:

Reports feeling pain radiating into ankle

(Available)

Pro Tip: Asking a patient about the length 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:

Does the pain radiate anywhere else?

Finding:

Reports pain prevents bearing weight on foot

(Found)

Pro Tip: Asking a patient about the length 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:

Can you bear weight on your foot?

Finding:

Asked location of wound

Finding:

Reports right foot is injured

(Available)

Pro Tip: Asking a patient about the length 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:

Which foot is in pain?

Finding:

Reports wound is on the plantar surface of her foot

(Found)

Pro Tip: Asking a patient about the length 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:

Where is the wound?

Finding:

Asked details of the injury

Finding:

Reports she scraped foot on a cement step

(Available)

Pro Tip: Asking a patient about the length 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:

How did your injury happen?

Finding:

Reports initial injury occurred 1 week ago

(Found)

Pro Tip: Asking a patient about the length 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:

When did the pain start?

Finding:

Reports mild ankle injury

(Available)

Pro Tip: Asking a patient about the length 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:

Did you injure anything besides your foot?

Finding:

Reports being barefoot at the time of injury

(Available)

Pro Tip: Asking a patient about the length 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:

Were you wearing shoes when you fell?

Finding:

Asked about the assessment of the injury at the ER

Finding:

Reports going to the ER after sustaining the injury

(Available)

Pro Tip: Asking a patient about the length 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:

When did you go to the ER?

Finding:

Reports going to the ER because she suspected an ankle sprain

(Available)

Pro Tip: Asking a patient about the length 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 did you go to the ER?

Finding:

Reports receiving an X-ray at the ER

(Available)

Pro Tip: Asking a patient about the length 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:

Did they xray your foot at the ER?

Finding:

Reports X-ray showed no broken bones

(Available)

Pro Tip: Asking a patient about the length 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:

What did the x-ray show?

Finding:

Reports receiving a prescription for pain pills

(Available)

Pro Tip: Asking a patient about the length 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:

Did you receive any pain medications at the ER?

Finding:

Asked about drainage from the foot wound

Finding:

Reports that the wound bled a little after sustaining the injury

(Available)

Pro Tip: Asking a patient about the length 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:

Did your foot bleed?

Finding:

Reports seeing pus draining from wound

(Found)

Pro Tip: Asking a patient about the length 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:

Did you notice any discharge from the wound?

Finding:

Reports noticing pus 2 days ago

(Available)

Pro Tip: Asking a patient about the length 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:

When did you first notice the pus?

Finding:

Followed up on drainage

Finding:

Reports pus as white or yellow

(Found)

Pro Tip: Asking a patient about the length 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:

What color is the drainage from your wound?

Finding:

Denies odor from the wound

(Available)

Pro Tip: Asking a patient about the length 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:

Does the wound have an odor?

Finding:

Asked about home treatment of foot wound

Finding:

Reports wound care regimen of bandaging

(Found)

Pro Tip: Asking a patient about the length 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:

How did you treat your foot at home?

Finding:

Reports cleaning wound twice a day

(Available)

Pro Tip: Asking a patient about the length 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:

How often did you clean the wound?

Finding:

Reports cleaning wound with hydrogen peroxide

(Available)

Pro Tip: Asking a patient about the length 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:

What did you use to clean the wound?

Finding:

Reports applying bacitracin, neomycin and polymyxin B (Neosporin)

(Found)

Pro Tip: Asking a patient about the length 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:

Did you use any ointment on the wound?

Finding:

Asked about other foot wound symptoms

Finding:

Reports swelling around foot wound

(Found)

Pro Tip: Asking a patient about the length 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:

Is there swelling around the wound?

Finding:

Reports swelling worsened in the past 2 days

(Available)

Pro Tip: Asking a patient about the length 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:

How long have you noticed swelling around the wound?

Finding:

Reports redness around the wound

(Found)

Pro Tip: Asking a patient about the length 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:

Did you notice any redness around the wound?

Finding:

Reports that the wound feels warm

(Found)

Pro Tip: Asking a patient about the length 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:

Does the wound feel warm?

Finding:

Explored impact of patient’s foot injury on activities of daily living

Finding:

Reports pain affects ability to walk

(Found)

Pro Tip: Asking a patient about the length 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:

Does your injury impact your ability to walk?

Finding:

Reports pain affects ability to stand at work for long periods of time

(Available)

Pro Tip: Asking a patient about the length 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:

Does your foot pain affect your work?

Finding:

Reports pain prevented her from being able to walk to class

(Available)

Pro Tip: Asking a patient about the length 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:

Has your injury prevented you from going to class?

Past Medical History

Finding:

Asked about preexisting medical conditions

Finding:

Reports diabetes

(Found)

Pro Tip: Inquiring into the patient’s relevant history can reveal past diagnoses and previous conditions or concerns. Information about the patient’s existing health conditions, a timeline of diagnosis, symptoms, and allergies can indicate where you should follow-up for further care and treatment.

Example Question:

Do you have diabetes?

Finding:

Reports asthma

(Found)

Pro Tip: Inquiring into the patient’s relevant history can reveal past diagnoses and previous conditions or concerns. Information about the patient’s existing health conditions, a timeline of diagnosis, symptoms, and allergies can indicate where you should follow-up for further care and treatment.

Example Question:

Do you have asthma?

Finding:

Followed up on diabetes diagnosis

Finding:

Reports specific age of diagnosis was 24

(Available)

Pro Tip: Inquiring into the patient’s relevant history can reveal past diagnoses and previous conditions or concerns. Information about the patient’s existing health conditions, a timeline of diagnosis, symptoms, and allergies can indicate where you should follow-up for further care and treatment.

Example Question:

At what age were you diagnosed with diabetes?

Finding:

Reports that her diabetes is Type 2

(Available)

Pro Tip: Inquiring into the patient’s relevant history can reveal past diagnoses and previous conditions or concerns. Information about the patient’s existing health conditions, a timeline of diagnosis, symptoms, and allergies can indicate where you should follow-up for further care and treatment.

Example Question:

Do you know what type of diabetes you have?

Finding:

Asked about diabetes management through lifestyle changes

Finding:

Reports staying away from sweets

(Found)

Pro Tip: Inquiring into the patient’s relevant history can reveal past diagnoses and previous conditions or concerns. Information about the patient’s existing health conditions, a timeline of diagnosis, symptoms, and allergies can indicate where you should follow-up for further care and treatment.

Example Question:

Tell me more about any sugars you consume.

Finding:

Reports drinking diet soda instead of regular

(Found)

Pro Tip: Inquiring into the patient’s relevant history can reveal past diagnoses and previous conditions or concerns. Information about the patient’s existing health conditions, a timeline of diagnosis, symptoms, and allergies can indicate where you should follow-up for further care and treatment.

Example Question:

Do you drink sugary drinks?

Finding:

Asked about current diabetes medication use

Finding:

Reports that she does not currently take medication for diabetes

(Found)

Pro Tip: Inquiring into the patient’s relevant history can reveal past diagnoses and previous conditions or concerns. Information about the patient’s existing health conditions, a timeline of diagnosis, symptoms, and allergies can indicate where you should follow-up for further care and treatment.

Example Question:

Do you take prescribed medication for your diabetes?

Finding:

Asked about past diabetes medication use

Finding:

Reports that she used to take diabetes medication

(Found)

Pro Tip: Inquiring into the patient’s relevant history can reveal past diagnoses and previous conditions or concerns. Information about the patient’s existing health conditions, a timeline of diagnosis, symptoms, and allergies can indicate where you should follow-up for further care and treatment.

Example Question:

Have you ever taken medication for your diabetes?

Finding:

Reports previous medication was prescription metformin

(Available)

Pro Tip: Inquiring into the patient’s relevant history can reveal past diagnoses and previous conditions or concerns. Information about the patient’s existing health conditions, a timeline of diagnosis, symptoms, and allergies can indicate where you should follow-up for further care and treatment.

Example Question:

Do you remember what you were prescribed for diabetes?

Finding:

Reports last use of medication was 3 years ago

(Found)

Pro Tip: Inquiring into the patient’s relevant history can reveal past diagnoses and previous conditions or concerns. Information about the patient’s existing health conditions, a timeline of diagnosis, symptoms, and allergies can indicate where you should follow-up for further care and treatment.

Example Question:

When was the last time you took your diabetes medication on a regular basis?

Finding:

Asked about blood glucose monitoring

Finding:

Reports infrequent blood glucose monitoring

(Found)

Pro Tip: Inquiring into the patient’s relevant history can reveal past diagnoses and previous conditions or concerns. Information about the patient’s existing health conditions, a timeline of diagnosis, symptoms, and allergies can indicate where you should follow-up for further care and treatment.

Example Question:

Tell me about your blood sugar monitoring.

Finding:

Reports last glucose check was a week ago at the ER

(Available)

Pro Tip: Inquiring into the patient’s relevant history can reveal past diagnoses and previous conditions or concerns. Information about the patient’s existing health conditions, a timeline of diagnosis, symptoms, and allergies can indicate where you should follow-up for further care and treatment.

Example Question:

How often do you check your blood sugar?

Finding:

Reports confusion about what the numbers mean

(Available)

Pro Tip: Inquiring into the patient’s relevant history can reveal past diagnoses and previous conditions or concerns. Information about the patient’s existing health conditions, a timeline of diagnosis, symptoms, and allergies can indicate where you should follow-up for further care and treatment.

Example Question:

What are your usual blood sugar levels?

Finding:

Asked about thirst

Finding:

Reports increased thirst

(Found)

Pro Tip: Inquiring into the patient’s relevant history can reveal past diagnoses and previous conditions or concerns. Information about the patient’s existing health conditions, a timeline of diagnosis, symptoms, and allergies can indicate where you should follow-up for further care and treatment.

Example Question:

Have you been more thirsty lately?

Finding:

Reports increased water intake

(Found)

Pro Tip: Inquiring into the patient’s relevant history can reveal past diagnoses and previous conditions or concerns. Information about the patient’s existing health conditions, a timeline of diagnosis, symptoms, and allergies can indicate where you should follow-up for further care and treatment.

Example Question:

Are you drinking more water than normal?

Finding:

Asked about frequency of urination

Finding:

Reports more frequent urination

(Found)

Pro Tip: Inquiring into the patient’s relevant history can reveal past diagnoses and previous conditions or concerns. Information about the patient’s existing health conditions, a timeline of diagnosis, symptoms, and allergies can indicate where you should follow-up for further care and treatment.

Example Question:

Have you been urinating more often than usual?

Finding:

Reports urinating every hour or two during the day

(Available)

Pro Tip: Inquiring into the patient’s relevant history can reveal past diagnoses and previous conditions or concerns. Information about the patient’s existing health conditions, a timeline of diagnosis, symptoms, and allergies can indicate where you should follow-up for further care and treatment.

Example Question:

How often do you urinate during the day?

Finding:

Reports urinating 2 to 3 times during the night

(Available)

Pro Tip: Inquiring into the patient’s relevant history can reveal past diagnoses and previous conditions or concerns. Information about the patient’s existing health conditions, a timeline of diagnosis, symptoms, and allergies can indicate where you should follow-up for further care and treatment.

Example Question:

How often do you wake up at night to urinate?

Finding:

Asked about change in appetite

Finding:

Reports increased appetite

(Found)

Pro Tip: Inquiring into the patient’s relevant history can reveal past diagnoses and previous conditions or concerns. Information about the patient’s existing health conditions, a timeline of diagnosis, symptoms, and allergies can indicate where you should follow-up for further care and treatment.

Example Question:

Have you noticed an increase in appetite?

Finding:

Reports change in appetite began a month ago

(Available)

Pro Tip: Inquiring into the patient’s relevant history can reveal past diagnoses and previous conditions or concerns. Information about the patient’s existing health conditions, a timeline of diagnosis, symptoms, and allergies can indicate where you should follow-up for further care and treatment.

Example Question:

When did you notice the increase in your appetite?

Finding:

Asked about weight change

Finding:

Reports recent loss of 10 lbs

(Available)

Pro Tip: Inquiring into the patient’s relevant history can reveal past diagnoses and previous conditions or concerns. Information about the patient’s existing health conditions, a timeline of diagnosis, symptoms, and allergies can indicate where you should follow-up for further care and treatment.

Example Question:

How much weight have you lost?

Finding:

Reports weight loss occurred over the past month

(Available)

Pro Tip: Inquiring into the patient’s relevant history can reveal past diagnoses and previous conditions or concerns. Information about the patient’s existing health conditions, a timeline of diagnosis, symptoms, and allergies can indicate where you should follow-up for further care and treatment.

Example Question:

How long did it take you to lose 10 pounds?

Finding:

Followed up on reason for weight change

Finding:

Reports weight loss was unintentional

(Found)

Pro Tip: Inquiring into the patient’s relevant history can reveal past diagnoses and previous conditions or concerns. Information about the patient’s existing health conditions, a timeline of diagnosis, symptoms, and allergies can indicate where you should follow-up for further care and treatment.

Example Question:

Was your weight loss intentional?

Finding:

Asked about history of asthma exacerbations

Finding:

Reports last asthma attack was in high school

(Available)

Pro Tip: Inquiring into the patient’s relevant history can reveal past diagnoses and previous conditions or concerns. Information about the patient’s existing health conditions, a timeline of diagnosis, symptoms, and allergies can indicate where you should follow-up for further care and treatment.

Example Question:

When was your last asthma attack?

Finding:

Reports last exacerbation was three days ago

(Available)

Pro Tip: Inquiring into the patient’s relevant history can reveal past diagnoses and previous conditions or concerns. Information about the patient’s existing health conditions, a timeline of diagnosis, symptoms, and allergies can indicate where you should follow-up for further care and treatment.

Example Question:

When did you last have issues with asthma?

Finding:

Asked about asthma symptoms

Finding:

Reports chest tightness during exacerbation

(Found)

Pro Tip: Inquiring into the patient’s relevant history can reveal past diagnoses and previous conditions or concerns. Information about the patient’s existing health conditions, a timeline of diagnosis, symptoms, and allergies can indicate where you should follow-up for further care and treatment.

Example Question:

What do your asthma symptoms feel like?

Finding:

Reports difficulty breathing during exacerbation

(Found)

Pro Tip: Inquiring into the patient’s relevant history can reveal past diagnoses and previous conditions or concerns. Information about the patient’s existing health conditions, a timeline of diagnosis, symptoms, and allergies can indicate where you should follow-up for further care and treatment.

Example Question:

Do you have trouble breathing?

Finding:

Reports wheezing during exacerbation

(Found)

Pro Tip: Inquiring into the patient’s relevant history can reveal past diagnoses and previous conditions or concerns. Information about the patient’s existing health conditions, a timeline of diagnosis, symptoms, and allergies can indicate where you should follow-up for further care and treatment.

Example Question:

Do you ever wheeze?

Finding:

Asked about prior hospitalizations

Finding:

Reports past hospitalizations

(Found)

Pro Tip: Inquiring into the patient’s relevant history can reveal past diagnoses and previous conditions or concerns. Information about the patient’s existing health conditions, a timeline of diagnosis, symptoms, and allergies can indicate where you should follow-up for further care and treatment.

Example Question:

Have you been hospitalized in the past?

Finding:

Reports last hospitalization was for asthma

(Available)

Pro Tip: Inquiring into the patient’s relevant history can reveal past diagnoses and previous conditions or concerns. Information about the patient’s existing health conditions, a timeline of diagnosis, symptoms, and allergies can indicate where you should follow-up for further care and treatment.

Example Question:

Why were you hospitalized last time?

Finding:

Reports last hospitalization was age 16

(Found)

Pro Tip: Inquiring into the patient’s relevant history can reveal past diagnoses and previous conditions or concerns. Information about the patient’s existing health conditions, a timeline of diagnosis, symptoms, and allergies can indicate where you should follow-up for further care and treatment.

Example Question:

When was your last hospitalization?

Finding:

Reports about 5 total hospitalizations for asthma as a child and teen

(Available)

Pro Tip: Inquiring into the patient’s relevant history can reveal past diagnoses and previous conditions or concerns. Information about the patient’s existing health conditions, a timeline of diagnosis, symptoms, and allergies can indicate where you should follow-up for further care and treatment.

Example Question:

How many times have you been hospitalized?

Finding:

Reports past nebulizer use

(Available)

Pro Tip: Inquiring into the patient’s relevant history can reveal past diagnoses and previous conditions or concerns. Information about the patient’s existing health conditions, a timeline of diagnosis, symptoms, and allergies can indicate where you should follow-up for further care and treatment.

Example Question:

Have you ever used a nebulizer?

Finding:

Asked about asthma diagnosis

Finding:

Reports specific age of diagnosis is 2.5 years old

(Found)

Pro Tip: Inquiring into the patient’s relevant history can reveal past diagnoses and previous conditions or concerns. Information about the patient’s existing health conditions, a timeline of diagnosis, symptoms, and allergies can indicate where you should follow-up for further care and treatment.

Example Question:

At what age were you diagnosed with asthma?

Finding:

Asked about asthma management

Finding:

Reports using an inhaler

(Found)

Pro Tip: Inquiring into the patient’s relevant history can reveal past diagnoses and previous conditions or concerns. Information about the patient’s existing health conditions, a timeline of diagnosis, symptoms, and allergies can indicate where you should follow-up for further care and treatment.

Example Question:

How do you manage your asthma?

Finding:

Reports inhaler is albuterol (Proventil)

(Found)

Pro Tip: Inquiring into the patient’s relevant history can reveal past diagnoses and previous conditions or concerns. Information about the patient’s existing health conditions, a timeline of diagnosis, symptoms, and allergies can indicate where you should follow-up for further care and treatment.

Example Question:

What is the name of the inhaler prescription?

Finding:

Reports last use of inhaler was 3 days ago

(Available)

Pro Tip: Inquiring into the patient’s relevant history can reveal past diagnoses and previous conditions or concerns. Information about the patient’s existing health conditions, a timeline of diagnosis, symptoms, and allergies can indicate where you should follow-up for further care and treatment.

Example Question:

When did you last use your inhaler?

Finding:

Reports using inhaler no more than 2 times per week

(Available)

Pro Tip: Inquiring into the patient’s relevant history can reveal past diagnoses and previous conditions or concerns. Information about the patient’s existing health conditions, a timeline of diagnosis, symptoms, and allergies can indicate where you should follow-up for further care and treatment.

Example Question:

How often do you use your inhaler?

Finding:

Asked about number of puffs when using asthma inhaler

Finding:

Reports recommended dose is 1-3 puffs as needed

(Found)

Pro Tip: Inquiring into the patient’s relevant history can reveal past diagnoses and previous conditions or concerns. Information about the patient’s existing health conditions, a timeline of diagnosis, symptoms, and allergies can indicate where you should follow-up for further care and treatment.

Example Question:

How many puffs of your inhaler are you prescribed?

Finding:

Reports typically taking 2 puffs

(Found)

Pro Tip: Inquiring into the patient’s relevant history can reveal past diagnoses and previous conditions or concerns. Information about the patient’s existing health conditions, a timeline of diagnosis, symptoms, and allergies can indicate where you should follow-up for further care and treatment.

Example Question:

Does your inhaler effectively relieve your symptoms?

Finding:

Reports sometimes needing 3 puffs to control symptoms

(Found)

Pro Tip: Inquiring into the patient’s relevant history can reveal past diagnoses and previous conditions or concerns. Information about the patient’s existing health conditions, a timeline of diagnosis, symptoms, and allergies can indicate where you should follow-up for further care and treatment.

Example Question:

What’s the most puffs you ever take?

Finding:

Asked about asthma triggers

Finding:

Reports asthma triggered by cats

(Found)

Pro Tip: Inquiring into the patient’s relevant history can reveal past diagnoses and previous conditions or concerns. Information about the patient’s existing health conditions, a timeline of diagnosis, symptoms, and allergies can indicate where you should follow-up for further care and treatment.

Example Question:

What triggers your asthma problems?

Finding:

Reports asthma triggered by dust

(Found)

Pro Tip: Inquiring into the patient’s relevant history can reveal past diagnoses and previous conditions or concerns. Information about the patient’s existing health conditions, a timeline of diagnosis, symptoms, and allergies can indicate where you should follow-up for further care and treatment.

Example Question:

Does dust trigger your asthma?

Finding:

Reports asthma triggered by running up stairs

(Found)

Pro Tip: Inquiring into the patient’s relevant history can reveal past diagnoses and previous conditions or concerns. Information about the patient’s existing health conditions, a timeline of diagnosis, symptoms, and allergies can indicate where you should follow-up for further care and treatment.

Example Question:

Does physical activity trigger your asthma?

Finding:

Denies seasonal triggers

(Available)

Pro Tip: Inquiring into the patient’s relevant history can reveal past diagnoses and previous conditions or concerns. Information about the patient’s existing health conditions, a timeline of diagnosis, symptoms, and allergies can indicate where you should follow-up for further care and treatment.

Example Question:

Do you have seasonal asthma triggers?

Finding:

Asked about general allergies

Finding:

Reports allergy to cats

(Found)

Pro Tip: Inquiring into the patient’s relevant history can reveal past diagnoses and previous conditions or concerns. Information about the patient’s existing health conditions, a timeline of diagnosis, symptoms, and allergies can indicate where you should follow-up for further care and treatment.

Example Question:

What allergies do you have?

Finding:

Followed up on cat allergy symptoms

Finding:

Reports sneezing, itchy eyes, and wheezing

(Found)

Pro Tip: Inquiring into the patient’s relevant history can reveal past diagnoses and previous conditions or concerns. Information about the patient’s existing health conditions, a timeline of diagnosis, symptoms, and allergies can indicate where you should follow-up for further care and treatment.

Example Question:

What is your reaction to cats?

Finding:

Asked about latex allergy

Finding:

Denies latex allergy

(Found)

Pro Tip: Inquiring into the patient’s relevant history can reveal past diagnoses and previous conditions or concerns. Information about the patient’s existing health conditions, a timeline of diagnosis, symptoms, and allergies can indicate where you should follow-up for further care and treatment.

Example Question:

Are you allergic to latex?

Finding:

Asked about medication allergies

Finding:

Reports penicillin allergy

(Found)

Pro Tip: Inquiring into the patient’s relevant history can reveal past diagnoses and previous conditions or concerns. Information about the patient’s existing health conditions, a timeline of diagnosis, symptoms, and allergies can indicate where you should follow-up for further care and treatment.

Example Question:

What medication allergies do you have?

Finding:

Asked about penicillin reaction

Finding:

Reports that penicillin resulted in hives in childhood

(Found)

Pro Tip: Inquiring into the patient’s relevant history can reveal past diagnoses and previous conditions or concerns. Information about the patient’s existing health conditions, a timeline of diagnosis, symptoms, and allergies can indicate where you should follow-up for further care and treatment.

Example Question:

What is your reaction to penicillin?

Finding:

Asked about food allergies

Finding:

Denies food allergies

(Found)

Pro Tip: Inquiring into the patient’s relevant history can reveal past diagnoses and previous conditions or concerns. Information about the patient’s existing health conditions, a timeline of diagnosis, symptoms, and allergies can indicate where you should follow-up for further care and treatment.

Example Question:

Do you have any food allergies?

Finding:

Asked if the patient has allergies to dust, mold, or pollen

Finding:

Reports reaction to dust

(Found)

Pro Tip: Inquiring into the patient’s relevant history can reveal past diagnoses and previous conditions or concerns. Information about the patient’s existing health conditions, a timeline of diagnosis, symptoms, and allergies can indicate where you should follow-up for further care and treatment.

Example Question:

Do you have any reaction to dust?

Finding:

Reports dust causes sneezing, itchy eyes, and wheezing

(Available)

Pro Tip: Inquiring into the patient’s relevant history can reveal past diagnoses and previous conditions or concerns. Information about the patient’s existing health conditions, a timeline of diagnosis, symptoms, and allergies can indicate where you should follow-up for further care and treatment.

Example Question:

Do you have any environmental allergies?

Finding:

Denies seasonal allergies

(Available)

Pro Tip: Inquiring into the patient’s relevant history can reveal past diagnoses and previous conditions or concerns. Information about the patient’s existing health conditions, a timeline of diagnosis, symptoms, and allergies can indicate where you should follow-up for further care and treatment.

Example Question:

Do you have any seasonal allergies?

Finding:

Asked about general immunizations received

Finding:

Reports being up to date on shots

(Found)

Pro Tip: Inquiring into the patient’s relevant history can reveal past diagnoses and previous conditions or concerns. Information about the patient’s existing health conditions, a timeline of diagnosis, symptoms, and allergies can indicate where you should follow-up for further care and treatment.

Example Question:

Are your immunizations current?

Finding:

Asked about childhood immunizations

Finding:

Reports receiving all necessary childhood immunizations

(Found)

Pro Tip: Inquiring into the patient’s relevant history can reveal past diagnoses and previous conditions or concerns. Information about the patient’s existing health conditions, a timeline of diagnosis, symptoms, and allergies can indicate where you should follow-up for further care and treatment.

Example Question:

Did you receive childhood vaccinations?

Finding:

Asked if the patient has received a flu vaccine

Finding:

Denies receiving annual flu vaccine

(Found)

Pro Tip: Inquiring into the patient’s relevant history can reveal past diagnoses and previous conditions or concerns. Information about the patient’s existing health conditions, a timeline of diagnosis, symptoms, and allergies can indicate where you should follow-up for further care and treatment.

Example Question:

Did you get a flu shot this year?

Finding:

Asked if the patient received a tetanus immunization

Finding:

Reports last tetanus vaccination was in the past year

(Found)

Pro Tip: Inquiring into the patient’s relevant history can reveal past diagnoses and previous conditions or concerns. Information about the patient’s existing health conditions, a timeline of diagnosis, symptoms, and allergies can indicate where you should follow-up for further care and treatment.

Example Question:

When was your last tetanus booster?

Finding:

Asked about hypertension

Finding:

Denies past diagnosis of hypertension

(Found)

Pro Tip: Inquiring into the patient’s relevant history can reveal past diagnoses and previous conditions or concerns. Information about the patient’s existing health conditions, a timeline of diagnosis, symptoms, and allergies can indicate where you should follow-up for further care and treatment.

Example Question:

Have you ever been diagnosed with hypertension?

Finding:

Reports that last BP reading was 140 over 80 or 90

(Available)

Pro Tip: Inquiring into the patient’s relevant history can reveal past diagnoses and previous conditions or concerns. Information about the patient’s existing health conditions, a timeline of diagnosis, symptoms, and allergies can indicate where you should follow-up for further care and treatment.

Example Question:

What is your usual blood pressure?

Finding:

Denies checking BP regularly

(Available)

Pro Tip: Inquiring into the patient’s relevant history can reveal past diagnoses and previous conditions or concerns. Information about the patient’s existing health conditions, a timeline of diagnosis, symptoms, and allergies can indicate where you should follow-up for further care and treatment.

Example Question:

How often do you check your blood pressure?

Home Medications

Finding:

Asked about use of pain medication

Finding:

Reports taking prescription pain medication

(Found)

Pro Tip: A patient’s home medications can provide insight into the patient’s current treatment and its efficacy. Inquiring into medication history, dosage, and frequency will help you understand the patient’s background and how it may affect their current situation.

Example Question:

Have you taken any prescription pain medications?

Finding:

Reports medication is tramadol

(Available)

Pro Tip: A patient’s home medications can provide insight into the patient’s current treatment and its efficacy. Inquiring into medication history, dosage, and frequency will help you understand the patient’s background and how it may affect their current situation.

Example Question:

What is the name of the pain medication?

Finding:

Followed up on pain medication frequency

Finding:

Reports taking pain medication for 2 days

(Available)

Pro Tip: A patient’s home medications can provide insight into the patient’s current treatment and its efficacy. Inquiring into medication history, dosage, and frequency will help you understand the patient’s background and how it may affect their current situation.

Example Question:

How many days have you needed pain medication?

Finding:

Reports taking tramadol 3 times a day

(Found)

Pro Tip: A patient’s home medications can provide insight into the patient’s current treatment and its efficacy. Inquiring into medication history, dosage, and frequency will help you understand the patient’s background and how it may affect their current situation.

Example Question:

How many times a day do you take pain medication?

Finding:

Reports last dose was this morning

(Available)

Pro Tip: A patient’s home medications can provide insight into the patient’s current treatment and its efficacy. Inquiring into medication history, dosage, and frequency will help you understand the patient’s background and how it may affect their current situation.

Example Question:

When was your last dose of pain medication?

Finding:

Followed up on pain medication dose

Finding:

Reports dosage is 50 mg

(Found)

Pro Tip: A patient’s home medications can provide insight into the patient’s current treatment and its efficacy. Inquiring into medication history, dosage, and frequency will help you understand the patient’s background and how it may affect their current situation.

Example Question:

What is the dose of the pain medication?

Finding:

Reports taking 2 pills each time

(Available)

Pro Tip: A patient’s home medications can provide insight into the patient’s current treatment and its efficacy. Inquiring into medication history, dosage, and frequency will help you understand the patient’s background and how it may affect their current situation.

Example Question:

How many pain pills do you take at a time?

Finding:

Followed up on efficacy of pain medication

Finding:

Reports that pain pills provide partial relief

(Found)

Pro Tip: A patient’s home medications can provide insight into the patient’s current treatment and its efficacy. Inquiring into medication history, dosage, and frequency will help you understand the patient’s background and how it may affect their current situation.

Example Question:

How effective is the pain medication?

Finding:

Reports pain returns in full every few hours

(Found)

Pro Tip: A patient’s home medications can provide insight into the patient’s current treatment and its efficacy. Inquiring into medication history, dosage, and frequency will help you understand the patient’s background and how it may affect their current situation.

Example Question:

How long does the pain medication last?

Finding:

Asked about other prescription medications

Finding:

Reports a prescription inhaler

(Found)

Pro Tip: A patient’s home medications can provide insight into the patient’s current treatment and its efficacy. Inquiring into medication history, dosage, and frequency will help you understand the patient’s background and how it may affect their current situation.

Example Question:

What prescription medications do you take?

Finding:

Asked about use of OTC medication

Finding:

Reports occasionally taking Advil (ibuprofen) for cramps

(Found)

Pro Tip: A patient’s home medications can provide insight into the patient’s current treatment and its efficacy. Inquiring into medication history, dosage, and frequency will help you understand the patient’s background and how it may affect their current situation.

Example Question:

Do you take any over the counter medications?

Finding:

Reports occasionally taking Tylenol (acetaminophen) for headaches

(Found)

Pro Tip: A patient’s home medications can provide insight into the patient’s current treatment and its efficacy. Inquiring into medication history, dosage, and frequency will help you understand the patient’s background and how it may affect their current situation.

Example Question:

Do you take any over the counter medications?

Finding:

Denies vitamin supplements

(Available)

Pro Tip: A patient’s home medications can provide insight into the patient’s current treatment and its efficacy. Inquiring into medication history, dosage, and frequency will help you understand the patient’s background and how it may affect their current situation.

Example Question:

Do you take any vitamins?

Finding:

Denies herbal supplements

(Available)

Pro Tip: A patient’s home medications can provide insight into the patient’s current treatment and its efficacy. Inquiring into medication history, dosage, and frequency will help you understand the patient’s background and how it may affect their current situation.

Example Question:

Do you take any herbal supplements?

Social Determinants of Health

Finding:

Asked about access to healthcare

Finding:

Denies finances are a barrier to healthcare

(Found)

Pro Tip: Asking a patient about Social Determinants of Health (SDOH) can unearth underlying social, political, or economic barriers to their health and wellbeing. Recognizing a patient’s SDOH can lead you to provide more informed and empathetic care for your patients, because you will have a greater understanding of the challenges they face.

Example Question:

Do you have trouble affording healthcare?

Finding:

Denies transportation is a barrier to healthcare

(Available)

Pro Tip: Asking a patient about Social Determinants of Health (SDOH) can unearth underlying social, political, or economic barriers to their health and wellbeing. Recognizing a patient’s SDOH can lead you to provide more informed and empathetic care for your patients, because you will have a greater understanding of the challenges they face.

Example Question:

Is transportation a barrier to your healthcare?

Finding:

Followed up on diabetes noncompliance

Finding:

Reports that she got sick of the demands of medication compliance

(Available)

Pro Tip: Asking a patient about Social Determinants of Health (SDOH) can unearth underlying social, political, or economic barriers to their health and wellbeing. Recognizing a patient’s SDOH can lead you to provide more informed and empathetic care for your patients, because you will have a greater understanding of the challenges they face.

Example Question:

Why aren’t you taking your diabetes medication?

Finding:

Reports disliking metformin side effects

(Available)

Pro Tip: Asking a patient about Social Determinants of Health (SDOH) can unearth underlying social, political, or economic barriers to their health and wellbeing. Recognizing a patient’s SDOH can lead you to provide more informed and empathetic care for your patients, because you will have a greater understanding of the challenges they face.

Example Question:

Did the metformin cause any side effects?

Finding:

Reports disliking checking blood glucose

(Found)

Pro Tip: Asking a patient about Social Determinants of Health (SDOH) can unearth underlying social, political, or economic barriers to their health and wellbeing. Recognizing a patient’s SDOH can lead you to provide more informed and empathetic care for your patients, because you will have a greater understanding of the challenges they face.

Example Question:

What’s preventing you from taking your diabetes medication?

Finding:

Denies that cost of metformin was reason for discontinuing medication

(Available)

Pro Tip: Asking a patient about Social Determinants of Health (SDOH) can unearth underlying social, political, or economic barriers to their health and wellbeing. Recognizing a patient’s SDOH can lead you to provide more informed and empathetic care for your patients, because you will have a greater understanding of the challenges they face.

Example Question:

Did you have problems affording the diabetes medication?

Finding:

Denies that glucometer-related costs are reason for not checking blood glucose

(Available)

Pro Tip: Asking a patient about Social Determinants of Health (SDOH) can unearth underlying social, political, or economic barriers to their health and wellbeing. Recognizing a patient’s SDOH can lead you to provide more informed and empathetic care for your patients, because you will have a greater understanding of the challenges they face.

Example Question:

Do you have problems affording the glucometer?

Finding:

Asked about patient’s level of education

Finding:

Reports currently working toward undergraduate degree

(Found)

Pro Tip: Asking a patient about Social Determinants of Health (SDOH) can unearth underlying social, political, or economic barriers to their health and wellbeing. Recognizing a patient’s SDOH can lead you to provide more informed and empathetic care for your patients, because you will have a greater understanding of the challenges they face.

Example Question:

What is your highest level of education?

Finding:

Reports her major is accounting

(Available)

Pro Tip: Asking a patient about Social Determinants of Health (SDOH) can unearth underlying social, political, or economic barriers to their health and wellbeing. Recognizing a patient’s SDOH can lead you to provide more informed and empathetic care for your patients, because you will have a greater understanding of the challenges they face.

Example Question:

What do you study?

Finding:

Asked about patient’s living situation

Finding:

Reports living with mother and sister

(Found)

Pro Tip: Asking a patient about Social Determinants of Health (SDOH) can unearth underlying social, political, or economic barriers to their health and wellbeing. Recognizing a patient’s SDOH can lead you to provide more informed and empathetic care for your patients, because you will have a greater understanding of the challenges they face.

Example Question:

Does anyone live at home with you?

Finding:

Reports family members will be able to help with activities

(Found)

Pro Tip: Asking a patient about Social Determinants of Health (SDOH) can unearth underlying social, political, or economic barriers to their health and wellbeing. Recognizing a patient’s SDOH can lead you to provide more informed and empathetic care for your patients, because you will have a greater understanding of the challenges they face.

Example Question:

Tell me more about living at home.

Social History

Finding:

Asked about stressors

Finding:

Reports she is currently under high stress

(Available)

Pro Tip: A patient’s social history encompasses their family and support system, living situation, and daily behaviors such as diet, exercise, sexual activity, and substance use. These factors can influence their current health and wellness. Asking about a patient’s social history can also unveil the influence of their present illnesses in their social lives.

Example Question:

Can you tell me about your stress level?

Finding:

Asked about food intake

Finding:

Reports last meal was dinner time the previous night

(Available)

Pro Tip: A patient’s social history encompasses their family and support system, living situation, and daily behaviors such as diet, exercise, sexual activity, and substance use. These factors can influence their current health and wellness. Asking about a patient’s social history can also unveil the influence of their present illnesses in their social lives.

Example Question:

When was your last meal?

Finding:

Reports last meal consisted of baked chicken and mashed potatoes

(Available)

Pro Tip: A patient’s social history encompasses their family and support system, living situation, and daily behaviors such as diet, exercise, sexual activity, and substance use. These factors can influence their current health and wellness. Asking about a patient’s social history can also unveil the influence of their present illnesses in their social lives.

Example Question:

What did you eat for your last meal?

Finding:

Reports breakfast is usually a muffin or pumpkin bread

(Available)

Pro Tip: A patient’s social history encompasses their family and support system, living situation, and daily behaviors such as diet, exercise, sexual activity, and substance use. These factors can influence their current health and wellness. Asking about a patient’s social history can also unveil the influence of their present illnesses in their social lives.

Example Question:

What is your typical breakfast?

Finding:

Reports lunch is usually a sandwich

(Available)

Pro Tip: A patient’s social history encompasses their family and support system, living situation, and daily behaviors such as diet, exercise, sexual activity, and substance use. These factors can influence their current health and wellness. Asking about a patient’s social history can also unveil the influence of their present illnesses in their social lives.

Example Question:

What is your typical lunch?

Finding:

Reports dinner is usually a home-cooked meat dish and side of vegetables

(Available)

Pro Tip: A patient’s social history encompasses their family and support system, living situation, and daily behaviors such as diet, exercise, sexual activity, and substance use. These factors can influence their current health and wellness. Asking about a patient’s social history can also unveil the influence of their present illnesses in their social lives.

Example Question:

What is your typical dinner?

Finding:

Reports snacks are pretzels or French fries

(Available)

Pro Tip: A patient’s social history encompasses their family and support system, living situation, and daily behaviors such as diet, exercise, sexual activity, and substance use. These factors can influence their current health and wellness. Asking about a patient’s social history can also unveil the influence of their present illnesses in their social lives.

Example Question:

What do you typically eat for snacks?

Finding:

Asked about salt intake

Finding:

Denies adding salt to food

(Found)

Pro Tip: A patient’s social history encompasses their family and support system, living situation, and daily behaviors such as diet, exercise, sexual activity, and substance use. These factors can influence their current health and wellness. Asking about a patient’s social history can also unveil the influence of their present illnesses in their social lives.

Example Question:

Do you add a lot of salt to your food?

Finding:

Asked about caffeine intake

Finding:

Denies drinking coffee

(Found)

Pro Tip: A patient’s social history encompasses their family and support system, living situation, and daily behaviors such as diet, exercise, sexual activity, and substance use. These factors can influence their current health and wellness. Asking about a patient’s social history can also unveil the influence of their present illnesses in their social lives.

Example Question:

Do you drink coffee?

Finding:

Reports habitual diet soda drinking

(Found)

Pro Tip: A patient’s social history encompasses their family and support system, living situation, and daily behaviors such as diet, exercise, sexual activity, and substance use. These factors can influence their current health and wellness. Asking about a patient’s social history can also unveil the influence of their present illnesses in their social lives.

Example Question:

Do you drink soda?

Finding:

Reports drinking up to 4 diet sodas per day

(Found)

Pro Tip: A patient’s social history encompasses their family and support system, living situation, and daily behaviors such as diet, exercise, sexual activity, and substance use. These factors can influence their current health and wellness. Asking about a patient’s social history can also unveil the influence of their present illnesses in their social lives.

Example Question:

How many diet sodas do you drink in a day?

Finding:

Asked about illicit drug use

Finding:

Reports history of recreational marijuana smoking

(Found)

Pro Tip: A patient’s social history encompasses their family and support system, living situation, and daily behaviors such as diet, exercise, sexual activity, and substance use. These factors can influence their current health and wellness. Asking about a patient’s social history can also unveil the influence of their present illnesses in their social lives.

Example Question:

Have you ever experimented with drugs?

Finding:

Followed up on drug use

Finding:

Reports last use was at age 20 or 21

(Found)

Pro Tip: A patient’s social history encompasses their family and support system, living situation, and daily behaviors such as diet, exercise, sexual activity, and substance use. These factors can influence their current health and wellness. Asking about a patient’s social history can also unveil the influence of their present illnesses in their social lives.

Example Question:

When did you last smoke marijuana?

Finding:

Reports she stopped because of health reasons and waning interest

(Available)

Pro Tip: A patient’s social history encompasses their family and support system, living situation, and daily behaviors such as diet, exercise, sexual activity, and substance use. These factors can influence their current health and wellness. Asking about a patient’s social history can also unveil the influence of their present illnesses in their social lives.

Example Question:

What happened to cause you to stop smoking pot?

Finding:

Asked about alcohol intake

Finding:

Reports last alcoholic drink was 3 weeks ago

(Available)

Pro Tip: A patient’s social history encompasses their family and support system, living situation, and daily behaviors such as diet, exercise, sexual activity, and substance use. These factors can influence their current health and wellness. Asking about a patient’s social history can also unveil the influence of their present illnesses in their social lives.

Example Question:

When was your last alcoholic drink?

Finding:

Reports no more than 2 or 3 alcoholic drinks in one sitting

(Available)

Pro Tip: A patient’s social history encompasses their family and support system, living situation, and daily behaviors such as diet, exercise, sexual activity, and substance use. These factors can influence their current health and wellness. Asking about a patient’s social history can also unveil the influence of their present illnesses in their social lives.

Example Question:

How many alcoholic drinks do you have in one sitting?

Finding:

Reports no more than 1 or 2 nights a week drinking alcohol

(Available)

Pro Tip: A patient’s social history encompasses their family and support system, living situation, and daily behaviors such as diet, exercise, sexual activity, and substance use. These factors can influence their current health and wellness. Asking about a patient’s social history can also unveil the influence of their present illnesses in their social lives.

Example Question:

How many nights a week do you drink alcohol?

Finding:

Asked about tobacco use

Finding:

Denies smoking tobacco

(Found)

Pro Tip: A patient’s social history encompasses their family and support system, living situation, and daily behaviors such as diet, exercise, sexual activity, and substance use. These factors can influence their current health and wellness. Asking about a patient’s social history can also unveil the influence of their present illnesses in their social lives.

Example Question:

Have you ever smoked cigarettes?

Finding:

Denies vaping

(Available)

Pro Tip: A patient’s social history encompasses their family and support system, living situation, and daily behaviors such as diet, exercise, sexual activity, and substance use. These factors can influence their current health and wellness. Asking about a patient’s social history can also unveil the influence of their present illnesses in their social lives.

Example Question:

Do you vape?

Finding:

Asked about secondhand smoke

Finding:

Denies exposure to secondhand smoke

(Found)

Pro Tip: A patient’s social history encompasses their family and support system, living situation, and daily behaviors such as diet, exercise, sexual activity, and substance use. These factors can influence their current health and wellness. Asking about a patient’s social history can also unveil the influence of their present illnesses in their social lives.

Example Question:

Are you ever exposed to secondhand smoke?

Family Medical History

Finding:

Asked about mother’s health

Finding:

Reports mother diagnosed with high blood pressure

(Found)

Pro Tip: A patient’s family medical history can indicate if the patient is at a higher risk for certain illnesses and disorders. Gathering this information can contextualize a patient’s current complaint and how their family’s health history might be influencing it.

Example Question:

Does your mother have health conditions?

Finding:

Reports mother diagnosed with high cholesterol

(Found)

Pro Tip: A patient’s family medical history can indicate if the patient is at a higher risk for certain illnesses and disorders. Gathering this information can contextualize a patient’s current complaint and how their family’s health history might be influencing it.

Example Question:

Does your mother have health conditions?

Finding:

Asked about father’s health

Finding:

Reports father was diagnosed with Type 2 diabetes

(Available)

Pro Tip: A patient’s family medical history can indicate if the patient is at a higher risk for certain illnesses and disorders. Gathering this information can contextualize a patient’s current complaint and how their family’s health history might be influencing it.

Example Question:

Does your father have health conditions?

Finding:

Reports father was diagnosed with high blood pressure

(Available)

Pro Tip: A patient’s family medical history can indicate if the patient is at a higher risk for certain illnesses and disorders. Gathering this information can contextualize a patient’s current complaint and how their family’s health history might be influencing it.

Example Question:

Does your father have health conditions?

Finding:

Reports father was diagnosed with high cholesterol

(Available)

Pro Tip: A patient’s family medical history can indicate if the patient is at a higher risk for certain illnesses and disorders. Gathering this information can contextualize a patient’s current complaint and how their family’s health history might be influencing it.

Example Question:

Does your father have health conditions?

Finding:

Followed up on father’s death

Finding:

Reports father died at age 58

(Available)

Pro Tip: A patient’s family medical history can indicate if the patient is at a higher risk for certain illnesses and disorders. Gathering this information can contextualize a patient’s current complaint and how their family’s health history might be influencing it.

Example Question:

How old was your father when he died?

Finding:

Reports cause of death was a car accident

(Found)

Pro Tip: A patient’s family medical history can indicate if the patient is at a higher risk for certain illnesses and disorders. Gathering this information can contextualize a patient’s current complaint and how their family’s health history might be influencing it.

Example Question:

What caused your father’s death?

Finding:

Followed up on coping with father’s death

Finding:

Reports past grief

(Found)

Pro Tip: A patient’s family medical history can indicate if the patient is at a higher risk for certain illnesses and disorders. Gathering this information can contextualize a patient’s current complaint and how their family’s health history might be influencing it.

Example Question:

How are you coping with your father’s death?

Finding:

Reports feeling at peace now

(Found)

Pro Tip: A patient’s family medical history can indicate if the patient is at a higher risk for certain illnesses and disorders. Gathering this information can contextualize a patient’s current complaint and how their family’s health history might be influencing it.

Example Question:

How are you coping now?

Finding:

Asked about paternal grandfather’s health

Finding:

Reports paternal grandfather diagnosed with Type 2 diabetes

(Available)

Pro Tip: A patient’s family medical history can indicate if the patient is at a higher risk for certain illnesses and disorders. Gathering this information can contextualize a patient’s current complaint and how their family’s health history might be influencing it.

Example Question:

Does your paternal grandfather have health conditions?

Finding:

Reports paternal grandfather diagnosed with high blood pressure

(Available)

Pro Tip: A patient’s family medical history can indicate if the patient is at a higher risk for certain illnesses and disorders. Gathering this information can contextualize a patient’s current complaint and how their family’s health history might be influencing it.

Example Question:

Does your paternal grandfather have health conditions?

Finding:

Reports paternal grandfather diagnosed with high cholesterol

(Available)

Pro Tip: A patient’s family medical history can indicate if the patient is at a higher risk for certain illnesses and disorders. Gathering this information can contextualize a patient’s current complaint and how their family’s health history might be influencing it.

Example Question:

Does your paternal grandfather have health conditions?

Finding:

Reports paternal grandfather died of colon cancer

(Available)

Pro Tip: A patient’s family medical history can indicate if the patient is at a higher risk for certain illnesses and disorders. Gathering this information can contextualize a patient’s current complaint and how their family’s health history might be influencing it.

Example Question:

Have you had any family members with cancer?

Finding:

Asked about paternal grandmother’s health

Finding:

Reports paternal grandmother diagnosed with high blood pressure

(Found)

Pro Tip: A patient’s family medical history can indicate if the patient is at a higher risk for certain illnesses and disorders. Gathering this information can contextualize a patient’s current complaint and how their family’s health history might be influencing it.

Example Question:

Does your paternal grandmother have health conditions?

Finding:

Reports paternal grandmother diagnosed with high cholesterol

(Found)

Pro Tip: A patient’s family medical history can indicate if the patient is at a higher risk for certain illnesses and disorders. Gathering this information can contextualize a patient’s current complaint and how their family’s health history might be influencing it.

Example Question:

Does your paternal grandmother have health conditions?

Finding:

Asked about maternal grandfather’s health

Finding:

Reports maternal grandfather diagnosed with high blood pressure

(Available)

Pro Tip: A patient’s family medical history can indicate if the patient is at a higher risk for certain illnesses and disorders. Gathering this information can contextualize a patient’s current complaint and how their family’s health history might be influencing it.

Example Question:

Does your maternal grandfather have health conditions?

Finding:

Reports maternal grandfather diagnosed with high cholesterol

(Available)

Pro Tip: A patient’s family medical history can indicate if the patient is at a higher risk for certain illnesses and disorders. Gathering this information can contextualize a patient’s current complaint and how their family’s health history might be influencing it.

Example Question:

Does your maternal grandfather have health conditions?

Finding:

Asked about maternal grandmother’s health

Finding:

Reports maternal grandmother diagnosed with high blood pressure

(Found)

Pro Tip: A patient’s family medical history can indicate if the patient is at a higher risk for certain illnesses and disorders. Gathering this information can contextualize a patient’s current complaint and how their family’s health history might be influencing it.

Example Question:

Does your maternal grandmother have health conditions?

Finding:

Reports maternal grandmother diagnosed with high cholesterol

(Found)

Pro Tip: A patient’s family medical history can indicate if the patient is at a higher risk for certain illnesses and disorders. Gathering this information can contextualize a patient’s current complaint and how their family’s health history might be influencing it.

Example Question:

Does your maternal grandmother have health conditions?

Finding:

Asked about brother’s health

Finding:

Denies brother having diagnosed health problems

(Found)

Pro Tip: A patient’s family medical history can indicate if the patient is at a higher risk for certain illnesses and disorders. Gathering this information can contextualize a patient’s current complaint and how their family’s health history might be influencing it.

Example Question:

Does your brother have health conditions?

Finding:

Asked about sister’s health

Finding:

Reports sister diagnosed with asthma

(Found)

Pro Tip: A patient’s family medical history can indicate if the patient is at a higher risk for certain illnesses and disorders. Gathering this information can contextualize a patient’s current complaint and how their family’s health history might be influencing it.

Example Question:

Does your sister have health conditions?

Finding:

Asked about family history of obesity

Finding:

Reports that family members are overweight

(Found)

Pro Tip: A patient’s family medical history can indicate if the patient is at a higher risk for certain illnesses and disorders. Gathering this information can contextualize a patient’s current complaint and how their family’s health history might be influencing it.

Example Question:

Does obesity run in your family?

Finding:

Asked about family history of thyroid issues

Finding:

Denies family history of thyroid issues

(Found)

Pro Tip: A patient’s family medical history can indicate if the patient is at a higher risk for certain illnesses and disorders. Gathering this information can contextualize a patient’s current complaint and how their family’s health history might be influencing it.

Example Question:

Do you have a family history of thyroid problems?

Finding:

Asked about family history of substance abuse

Finding:

Reports 1 uncle has alcoholism

(Found)

Pro Tip: A patient’s family medical history can indicate if the patient is at a higher risk for certain illnesses and disorders. Gathering this information can contextualize a patient’s current complaint and how their family’s health history might be influencing it.

Example Question:

Do you have relatives with addiction problems?

Finding:

Asked about family history of headaches

Finding:

Denies family history of headaches

(Found)

Pro Tip: A patient’s family medical history can indicate if the patient is at a higher risk for certain illnesses and disorders. Gathering this information can contextualize a patient’s current complaint and how their family’s health history might be influencing it.

Example Question:

Do you have a family history of headaches?

Review of Systems

Finding:

Asked about constitutional health

Finding:

Reports occasional tiredness or fatigue

(Available)

Pro Tip: Understanding a patient’s health involves a comprehensive overview of their physiological systems. This is necessary to understand what symptoms may indicate larger issues, and what treatments the patient may require.

Example Question:

Are you fatigued?

Finding:

Reports typical sleep pattern

(Available)

Pro Tip: Understanding a patient’s health involves a comprehensive overview of their physiological systems. This is necessary to understand what symptoms may indicate larger issues, and what treatments the patient may require.

Example Question:

Have you noticed changes in your sleep?

Finding:

Reports fever

(Available)

Pro Tip: Understanding a patient’s health involves a comprehensive overview of their physiological systems. This is necessary to understand what symptoms may indicate larger issues, and what treatments the patient may require.

Example Question:

Are you feeling feverish right now?

Finding:

Reports chills

(Available)

Pro Tip: Understanding a patient’s health involves a comprehensive overview of their physiological systems. This is necessary to understand what symptoms may indicate larger issues, and what treatments the patient may require.

Example Question:

Have you had chills?

Finding:

Denies night sweats

(Available)

Pro Tip: Understanding a patient’s health involves a comprehensive overview of their physiological systems. This is necessary to understand what symptoms may indicate larger issues, and what treatments the patient may require.

Example Question:

Have you had night sweats?

Finding:

Asked about review of systems for mental health

Finding:

Denies depression

(Available)

Pro Tip: Understanding a patient’s health involves a comprehensive overview of their physiological systems. This is necessary to understand what symptoms may indicate larger issues, and what treatments the patient may require.

Example Question:

Do you have a history of depression?

Finding:

Denies suicidal ideation or attempts

(Available)

Pro Tip: Understanding a patient’s health involves a comprehensive overview of their physiological systems. This is necessary to understand what symptoms may indicate larger issues, and what treatments the patient may require.

Example Question:

Do you have a history of suicidal thinking?

Finding:

Asked about review of systems for head

Finding:

Reports occasional headaches

(Found)

Pro Tip: Understanding a patient’s health involves a comprehensive overview of their physiological systems. This is necessary to understand what symptoms may indicate larger issues, and what treatments the patient may require.

Example Question:

Do you ever get headaches?

Finding:

Denies current headache

(Available)

Pro Tip: Understanding a patient’s health involves a comprehensive overview of their physiological systems. This is necessary to understand what symptoms may indicate larger issues, and what treatments the patient may require.

Example Question:

Do you have a headache?

Finding:

Denies head injury

(Available)

Pro Tip: Understanding a patient’s health involves a comprehensive overview of their physiological systems. This is necessary to understand what symptoms may indicate larger issues, and what treatments the patient may require.

Example Question:

Have you had any head injuries?

Finding:

Asked about review of systems for ears

Finding:

Denies change in hearing

(Available)

Pro Tip: Understanding a patient’s health involves a comprehensive overview of their physiological systems. This is necessary to understand what symptoms may indicate larger issues, and what treatments the patient may require.

Example Question:

Has your hearing changed?

Finding:

Denies ringing or tinnitus

(Available)

Pro Tip: Understanding a patient’s health involves a comprehensive overview of their physiological systems. This is necessary to understand what symptoms may indicate larger issues, and what treatments the patient may require.

Example Question:

Do you ever have ringing in your ears?

Finding:

Denies ear pain

(Available)

Pro Tip: Understanding a patient’s health involves a comprehensive overview of their physiological systems. This is necessary to understand what symptoms may indicate larger issues, and what treatments the patient may require.

Example Question:

Have you had ear pain?

Finding:

Denies ear discharge

(Available)

Pro Tip: Understanding a patient’s health involves a comprehensive overview of their physiological systems. This is necessary to understand what symptoms may indicate larger issues, and what treatments the patient may require.

Example Question:

Have you had ear discharge?

Finding:

Asked about review of systems for eyes and vision

Finding:

Reports periods of blurry vision

(Found)

Pro Tip: Understanding a patient’s health involves a comprehensive overview of their physiological systems. This is necessary to understand what symptoms may indicate larger issues, and what treatments the patient may require.

Example Question:

Have you noticed any changes in your vision?

Finding:

Denies corrective lenses

(Available)

Pro Tip: Understanding a patient’s health involves a comprehensive overview of their physiological systems. This is necessary to understand what symptoms may indicate larger issues, and what treatments the patient may require.

Example Question:

Do you wear glasses or contact?

Finding:

Denies double vision

(Available)

Pro Tip: Understanding a patient’s health involves a comprehensive overview of their physiological systems. This is necessary to understand what symptoms may indicate larger issues, and what treatments the patient may require.

Example Question:

Do you ever get double vision?

Finding:

Reports infrequent itchy eyes

(Available)

Pro Tip: Understanding a patient’s health involves a comprehensive overview of their physiological systems. This is necessary to understand what symptoms may indicate larger issues, and what treatments the patient may require.

Example Question:

Have you had itchy eyes?

Finding:

Denies eye redness

(Available)

Pro Tip: Understanding a patient’s health involves a comprehensive overview of their physiological systems. This is necessary to understand what symptoms may indicate larger issues, and what treatments the patient may require.

Example Question:

Have you had red eyes?

Finding:

Denies discharge, crusting or wateriness

(Available)

Pro Tip: Understanding a patient’s health involves a comprehensive overview of their physiological systems. This is necessary to understand what symptoms may indicate larger issues, and what treatments the patient may require.

Example Question:

Have you had watery eyes?

Finding:

Denies eye pain

(Available)

Pro Tip: Understanding a patient’s health involves a comprehensive overview of their physiological systems. This is necessary to understand what symptoms may indicate larger issues, and what treatments the patient may require.

Example Question:

Have you had eye pain?

Finding:

Denies dry eyes

(Available)

Pro Tip: Understanding a patient’s health involves a comprehensive overview of their physiological systems. This is necessary to understand what symptoms may indicate larger issues, and what treatments the patient may require.

Example Question:

Have you had dry eyes?

Finding:

Reports last eye exam was in childhood

(Available)

Pro Tip: Understanding a patient’s health involves a comprehensive overview of their physiological systems. This is necessary to understand what symptoms may indicate larger issues, and what treatments the patient may require.

Example Question:

When was your last eye exam?

Finding:

Asked about review of systems for nose

Finding:

Reports infrequent nose problems

(Found)

Pro Tip: Understanding a patient’s health involves a comprehensive overview of their physiological systems. This is necessary to understand what symptoms may indicate larger issues, and what treatments the patient may require.

Example Question:

Have you had nose problems?

Finding:

Reports infrequent runny nose

(Found)

Pro Tip: Understanding a patient’s health involves a comprehensive overview of their physiological systems. This is necessary to understand what symptoms may indicate larger issues, and what treatments the patient may require.

Example Question:

Have you had a runny nose?

Finding:

Denies frequent sinus problems

(Available)

Pro Tip: Understanding a patient’s health involves a comprehensive overview of their physiological systems. This is necessary to understand what symptoms may indicate larger issues, and what treatments the patient may require.

Example Question:

Have you had sinus pain?

Finding:

Denies change in sense of smell

(Available)

Pro Tip: Understanding a patient’s health involves a comprehensive overview of their physiological systems. This is necessary to understand what symptoms may indicate larger issues, and what treatments the patient may require.

Example Question:

Has your sense of smell changed?

Finding:

Denies nosebleeds

(Available)

Pro Tip: Understanding a patient’s health involves a comprehensive overview of their physiological systems. This is necessary to understand what symptoms may indicate larger issues, and what treatments the patient may require.

Example Question:

Have you had nosebleeds?

Finding:

Asked about review of systems for mouth and jaw

Finding:

Denies dental problems

(Available)

Pro Tip: Understanding a patient’s health involves a comprehensive overview of their physiological systems. This is necessary to understand what symptoms may indicate larger issues, and what treatments the patient may require.

Example Question:

Have you had any recent dental problems?

Finding:

Reports last dental visit was several years ago

(Available)

Pro Tip: Understanding a patient’s health involves a comprehensive overview of their physiological systems. This is necessary to understand what symptoms may indicate larger issues, and what treatments the patient may require.

Example Question:

When did you last see a dentist?

Finding:

Denies change in sense of taste

(Available)

Pro Tip: Understanding a patient’s health involves a comprehensive overview of their physiological systems. This is necessary to understand what symptoms may indicate larger issues, and what treatments the patient may require.

Example Question:

Has your sense of taste changed?

Finding:

Denies dry mouth

(Available)

Pro Tip: Understanding a patient’s health involves a comprehensive overview of their physiological systems. This is necessary to understand what symptoms may indicate larger issues, and what treatments the patient may require.

Example Question:

Have you had dry mouth?

Finding:

Denies mouth pain

(Available)

Pro Tip: Understanding a patient’s health involves a comprehensive overview of their physiological systems. This is necessary to understand what symptoms may indicate larger issues, and what treatments the patient may require.

Example Question:

Have you had mouth pain?

Finding:

Denies mouth sores

(Available)

Pro Tip: Understanding a patient’s health involves a comprehensive overview of their physiological systems. This is necessary to understand what symptoms may indicate larger issues, and what treatments the patient may require.

Example Question:

Have you had mouth sores?

Finding:

Denies gum problems

(Available)

Pro Tip: Understanding a patient’s health involves a comprehensive overview of their physiological systems. This is necessary to understand what symptoms may indicate larger issues, and what treatments the patient may require.

Example Question:

Have you had gum problems?

Finding:

Denies tongue problems

(Available)

Pro Tip: Understanding a patient’s health involves a comprehensive overview of their physiological systems. This is necessary to understand what symptoms may indicate larger issues, and what treatments the patient may require.

Example Question:

Have you had tongue problems?

Finding:

Denies jaw problems

(Available)

Pro Tip: Understanding a patient’s health involves a comprehensive overview of their physiological systems. This is necessary to understand what symptoms may indicate larger issues, and what treatments the patient may require.

Example Question:

Have you had jaw problems?

Finding:

Asked about review of systems for neck, throat, and glands

Finding:

Denies difficulty swallowing

(Available)

Pro Tip: Understanding a patient’s health involves a comprehensive overview of their physiological systems. This is necessary to understand what symptoms may indicate larger issues, and what treatments the patient may require.

Example Question:

Have you had difficulty swallowing?

Finding:

Denies sore throat

(Available)

Pro Tip: Understanding a patient’s health involves a comprehensive overview of their physiological systems. This is necessary to understand what symptoms may indicate larger issues, and what treatments the patient may require.

Example Question:

Have you had a sore throat?

Finding:

Denies lymph node problems

(Available)

Pro Tip: Understanding a patient’s health involves a comprehensive overview of their physiological systems. This is necessary to understand what symptoms may indicate larger issues, and what treatments the patient may require.

Example Question:

How are your lymph nodes?

Finding:

Denies frequent sore throat

(Available)

Pro Tip: Understanding a patient’s health involves a comprehensive overview of their physiological systems. This is necessary to understand what symptoms may indicate larger issues, and what treatments the patient may require.

Example Question:

Do you have a history of throat problems?

Finding:

Denies swollen glands

(Available)

Pro Tip: Understanding a patient’s health involves a comprehensive overview of their physiological systems. This is necessary to understand what symptoms may indicate larger issues, and what treatments the patient may require.

Example Question:

Do you have any swollen glands?

Finding:

Denies voice changes

(Available)

Pro Tip: Understanding a patient’s health involves a comprehensive overview of their physiological systems. This is necessary to understand what symptoms may indicate larger issues, and what treatments the patient may require.

Example Question:

Have you had voice changes?

Finding:

Denies general neck problems

(Found)

Pro Tip: Understanding a patient’s health involves a comprehensive overview of their physiological systems. This is necessary to understand what symptoms may indicate larger issues, and what treatments the patient may require.

Example Question:

Have you had neck pain?

Finding:

Asked about breast health

Finding:

Reports doing occasional breast exams

(Available)

Pro Tip: Understanding a patient’s health involves a comprehensive overview of their physiological systems. This is necessary to understand what symptoms may indicate larger issues, and what treatments the patient may require.

Example Question:

Do you do regular breast exams?

Finding:

Denies general breast problems

(Found)

Pro Tip: Understanding a patient’s health involves a comprehensive overview of their physiological systems. This is necessary to understand what symptoms may indicate larger issues, and what treatments the patient may require.

Example Question:

Do you have any problems with your breasts?

Finding:

Denies breast lumps

(Available)

Pro Tip: Understanding a patient’s health involves a comprehensive overview of their physiological systems. This is necessary to understand what symptoms may indicate larger issues, and what treatments the patient may require.

Example Question:

Have you noticed any lumps in your breasts?

Finding:

Denies breast pain

(Available)

Pro Tip: Understanding a patient’s health involves a comprehensive overview of their physiological systems. This is necessary to understand what symptoms may indicate larger issues, and what treatments the patient may require.

Example Question:

Have you felt pain in your breasts?

Finding:

Denies nipple changes

(Available)

Pro Tip: Understanding a patient’s health involves a comprehensive overview of their physiological systems. This is necessary to understand what symptoms may indicate larger issues, and what treatments the patient may require.

Example Question:

Have you noticed changes in your nipples?

Finding:

Denies nipple discharge

(Available)

Pro Tip: Understanding a patient’s health involves a comprehensive overview of their physiological systems. This is necessary to understand what symptoms may indicate larger issues, and what treatments the patient may require.

Example Question:

Have you noticed any nipple discharge?

Finding:

Denies ever having a mammogram

(Available)

Pro Tip: Understanding a patient’s health involves a comprehensive overview of their physiological systems. This is necessary to understand what symptoms may indicate larger issues, and what treatments the patient may require.

Example Question:

Have you ever had a mammogram?

Finding:

Asked about review of systems for respiratory

Finding:

Denies current breathing problems

(Available)

Pro Tip: Understanding a patient’s health involves a comprehensive overview of their physiological systems. This is necessary to understand what symptoms may indicate larger issues, and what treatments the patient may require.

Example Question:

Have you had breathing problems?

Finding:

Denies current wheezing

(Available)

Pro Tip: Understanding a patient’s health involves a comprehensive overview of their physiological systems. This is necessary to understand what symptoms may indicate larger issues, and what treatments the patient may require.

Example Question:

Have you been wheezing?

Finding:

Denies current chest tightness

(Available)

Pro Tip: Understanding a patient’s health involves a comprehensive overview of their physiological systems. This is necessary to understand what symptoms may indicate larger issues, and what treatments the patient may require.

Example Question:

Have you had chest tightness?

Finding:

Denies pain while breathing

(Available)

Pro Tip: Understanding a patient’s health involves a comprehensive overview of their physiological systems. This is necessary to understand what symptoms may indicate larger issues, and what treatments the patient may require.

Example Question:

Does it hurt when you breathe?

Finding:

Denies frequent coughing

(Available)

Pro Tip: Understanding a patient’s health involves a comprehensive overview of their physiological systems. This is necessary to understand what symptoms may indicate larger issues, and what treatments the patient may require.

Example Question:

Have you been coughing?

Finding:

Asked about review of systems for cardiovascular

Finding:

Denies chest pain or discomfort

(Available)

Pro Tip: Understanding a patient’s health involves a comprehensive overview of their physiological systems. This is necessary to understand what symptoms may indicate larger issues, and what treatments the patient may require.

Example Question:

Do you ever have chest pain?

Finding:

Denies palpitations

(Available)

Pro Tip: Understanding a patient’s health involves a comprehensive overview of their physiological systems. This is necessary to understand what symptoms may indicate larger issues, and what treatments the patient may require.

Example Question:

Have you had palpitations?

Finding:

Denies irregular heartbeat

(Available)

Pro Tip: Understanding a patient’s health involves a comprehensive overview of their physiological systems. This is necessary to understand what symptoms may indicate larger issues, and what treatments the patient may require.

Example Question:

Has your heartbeat been irregular?

Finding:

Denies easy bruising

(Available)

Pro Tip: Understanding a patient’s health involves a comprehensive overview of their physiological systems. This is necessary to understand what symptoms may indicate larger issues, and what treatments the patient may require.

Example Question:

Have you noticed bruising more than usual?

Finding:

Denies edema

(Available)

Pro Tip: Understanding a patient’s health involves a comprehensive overview of their physiological systems. This is necessary to understand what symptoms may indicate larger issues, and what treatments the patient may require.

Example Question:

Have you noticed any swelling in your legs?

Finding:

Denies circulation problems

(Available)

Pro Tip: Understanding a patient’s health involves a comprehensive overview of their physiological systems. This is necessary to understand what symptoms may indicate larger issues, and what treatments the patient may require.

Example Question:

Do you have circulation problems?

Finding:

Denies vascular diseases

(Available)

Pro Tip: Understanding a patient’s health involves a comprehensive overview of their physiological systems. This is necessary to understand what symptoms may indicate larger issues, and what treatments the patient may require.

Example Question:

Do you have any vascular diseases?

Finding:

Asked review of systems for gastrointestinal

Finding:

Denies nausea

(Available)

Pro Tip: Understanding a patient’s health involves a comprehensive overview of their physiological systems. This is necessary to understand what symptoms may indicate larger issues, and what treatments the patient may require.

Example Question:

Have you had nausea?

Finding:

Denies vomiting

(Available)

Pro Tip: Understanding a patient’s health involves a comprehensive overview of their physiological systems. This is necessary to understand what symptoms may indicate larger issues, and what treatments the patient may require.

Example Question:

Have you been vomiting?

Finding:

Denies stomach pain

(Available)

Pro Tip: Understanding a patient’s health involves a comprehensive overview of their physiological systems. This is necessary to understand what symptoms may indicate larger issues, and what treatments the patient may require.

Example Question:

Do you have stomach pain?

Finding:

Denies change in bowel movements

(Available)

Pro Tip: Understanding a patient’s health involves a comprehensive overview of their physiological systems. This is necessary to understand what symptoms may indicate larger issues, and what treatments the patient may require.

Example Question:

Have you had changes in your bowel movements?

Finding:

Denies heartburn, GERD, or indigestion

(Available)

Pro Tip: Understanding a patient’s health involves a comprehensive overview of their physiological systems. This is necessary to understand what symptoms may indicate larger issues, and what treatments the patient may require.

Example Question:

Do you ever get heartburn?

Finding:

Denies constipation

(Available)

Pro Tip: Understanding a patient’s health involves a comprehensive overview of their physiological systems. This is necessary to understand what symptoms may indicate larger issues, and what treatments the patient may require.

Example Question:

Do you have constipation?

Finding:

Denies diarrhea or loose stool

(Available)

Pro Tip: Understanding a patient’s health involves a comprehensive overview of their physiological systems. This is necessary to understand what symptoms may indicate larger issues, and what treatments the patient may require.

Example Question:

Do you have diarrhea?

Finding:

Denies flatulence or bloating

(Available)

Pro Tip: Understanding a patient’s health involves a comprehensive overview of their physiological systems. This is necessary to understand what symptoms may indicate larger issues, and what treatments the patient may require.

Example Question:

Do you have flatulence?

Finding:

Denies bloody or tarry stool

(Available)

Pro Tip: Understanding a patient’s health involves a comprehensive overview of their physiological systems. This is necessary to understand what symptoms may indicate larger issues, and what treatments the patient may require.

Example Question:

Do you have tarry stools?

Finding:

Asked review of systems for genitourinary

Finding:

Denies painful or difficult urination

(Available)

Pro Tip: Understanding a patient’s health involves a comprehensive overview of their physiological systems. This is necessary to understand what symptoms may indicate larger issues, and what treatments the patient may require.

Example Question:

Does it hurt when you urinate?

Finding:

Reports waking up to urinate during the night

(Available)

Pro Tip: Understanding a patient’s health involves a comprehensive overview of their physiological systems. This is necessary to understand what symptoms may indicate larger issues, and what treatments the patient may require.

Example Question:

Do you wake up at night to urinate?

Finding:

Reports large amount of urine

(Found)

Pro Tip: Understanding a patient’s health involves a comprehensive overview of their physiological systems. This is necessary to understand what symptoms may indicate larger issues, and what treatments the patient may require.

Example Question:

Do you urinate frequently?

Finding:

Denies blood in urine

(Available)

Pro Tip: Understanding a patient’s health involves a comprehensive overview of their physiological systems. This is necessary to understand what symptoms may indicate larger issues, and what treatments the patient may require.

Example Question:

Do you ever notice blood in your urine?

Finding:

Denies flank pain

(Available)

Pro Tip: Understanding a patient’s health involves a comprehensive overview of their physiological systems. This is necessary to understand what symptoms may indicate larger issues, and what treatments the patient may require.

Example Question:

Do you have flank pain?

Finding:

Denies incontinence

(Available)

Pro Tip: Understanding a patient’s health involves a comprehensive overview of their physiological systems. This is necessary to understand what symptoms may indicate larger issues, and what treatments the patient may require.

Example Question:

Are you able to hold your urine?

Finding:

Denies history of urinary tract or bladder infection

(Available)

Pro Tip: Understanding a patient’s health involves a comprehensive overview of their physiological systems. This is necessary to understand what symptoms may indicate larger issues, and what treatments the patient may require.

Example Question:

Have you ever had a urinary infection?

Finding:

Reports normal vaginal discharge

(Available)

Pro Tip: Understanding a patient’s health involves a comprehensive overview of their physiological systems. This is necessary to understand what symptoms may indicate larger issues, and what treatments the patient may require.

Example Question:

What is your vaginal discharge like?

Finding:

Asked review of systems for reproductive

Finding:

Reports last menstrual period was 3 weeks ago

(Available)

Pro Tip: Understanding a patient’s health involves a comprehensive overview of their physiological systems. This is necessary to understand what symptoms may indicate larger issues, and what treatments the patient may require.

Example Question:

When was your last menstrual period?

Finding:

Reports that periods are irregular

(Available)

Pro Tip: Understanding a patient’s health involves a comprehensive overview of their physiological systems. This is necessary to understand what symptoms may indicate larger issues, and what treatments the patient may require.

Example Question:

Are your periods regular?

Finding:

Reports menstruating every 6 weeks to 2 months

(Available)

Pro Tip: Understanding a patient’s health involves a comprehensive overview of their physiological systems. This is necessary to understand what symptoms may indicate larger issues, and what treatments the patient may require.

Example Question:

How often do you get your period?

Finding:

Reports typical period lasts 9 days

(Available)

Pro Tip: Understanding a patient’s health involves a comprehensive overview of their physiological systems. This is necessary to understand what symptoms may indicate larger issues, and what treatments the patient may require.

Example Question:

How many days does your period last?

Finding:

Followed up on menstrual flow

Finding:

Reports heavy periods

(Found)

Pro Tip: Understanding a patient’s health involves a comprehensive overview of their physiological systems. This is necessary to understand what symptoms may indicate larger issues, and what treatments the patient may require.

Example Question:

Do you have heavy periods?

Finding:

Reports heavy flow for 4 to 5 days

(Available)

Pro Tip: Understanding a patient’s health involves a comprehensive overview of their physiological systems. This is necessary to understand what symptoms may indicate larger issues, and what treatments the patient may require.

Example Question:

How many days is your period heavy?

Finding:

Reports changing tampon every 2 to 3 hours

(Found)

Pro Tip: Understanding a patient’s health involves a comprehensive overview of their physiological systems. This is necessary to understand what symptoms may indicate larger issues, and what treatments the patient may require.

Example Question:

How often do you change your tampon or pad?

Finding:

Reports using super absorbency tampons

(Found)

Pro Tip: Understanding a patient’s health involves a comprehensive overview of their physiological systems. This is necessary to understand what symptoms may indicate larger issues, and what treatments the patient may require.

Example Question:

What absorbency are your tampons?

Finding:

Denies anemia

(Available)

Pro Tip: Understanding a patient’s health involves a comprehensive overview of their physiological systems. This is necessary to understand what symptoms may indicate larger issues, and what treatments the patient may require.

Example Question:

Have you ever been diagnosed with low iron?

Finding:

Followed up on menstrual symptoms

Finding:

Reports heavy cramping

(Found)

Pro Tip: Understanding a patient’s health involves a comprehensive overview of their physiological systems. This is necessary to understand what symptoms may indicate larger issues, and what treatments the patient may require.

Example Question:

Do you get menstrual cramps?

Finding:

Reports cramps for the first 2 days of period

(Available)

Pro Tip: Understanding a patient’s health involves a comprehensive overview of their physiological systems. This is necessary to understand what symptoms may indicate larger issues, and what treatments the patient may require.

Example Question:

How many days do your cramps last?

Finding:

Asked about treatment of menstrual symptoms

Finding:

Reports using a heating pad at home to treat cramps

(Found)

Pro Tip: Understanding a patient’s health involves a comprehensive overview of their physiological systems. This is necessary to understand what symptoms may indicate larger issues, and what treatments the patient may require.

Example Question:

Do you use a heating pad?

Finding:

Reports taking ibuprofen for first 3 days of period

(Available)

Pro Tip: Understanding a patient’s health involves a comprehensive overview of their physiological systems. This is necessary to understand what symptoms may indicate larger issues, and what treatments the patient may require.

Example Question:

How many days do you need Advil for your cramps?

Finding:

Reports ibuprofen effectively reduces pain from cramps

(Available)

Pro Tip: Understanding a patient’s health involves a comprehensive overview of their physiological systems. This is necessary to understand what symptoms may indicate larger issues, and what treatments the patient may require.

Example Question:

Does the Advil reduce your cramps?

Finding:

Asked about sexual activity

Finding:

Denies recent sexual activity

(Found)

Pro Tip: Understanding a patient’s health involves a comprehensive overview of their physiological systems. This is necessary to understand what symptoms may indicate larger issues, and what treatments the patient may require.

Example Question:

Are you sexually active?

Finding:

Reports past sexual activity

(Available)

Pro Tip: Understanding a patient’s health involves a comprehensive overview of their physiological systems. This is necessary to understand what symptoms may indicate larger issues, and what treatments the patient may require.

Example Question:

Have you ever been sexually active?

Finding:

Reports that she prefers to sleep with men

(Available)

Pro Tip: Understanding a patient’s health involves a comprehensive overview of their physiological systems. This is necessary to understand what symptoms may indicate larger issues, and what treatments the patient may require.

Example Question:

Do you prefer to sleep with men, women, or both?

Finding:

Reports first sexual activity was at age 18

(Available)

Pro Tip: Understanding a patient’s health involves a comprehensive overview of their physiological systems. This is necessary to understand what symptoms may indicate larger issues, and what treatments the patient may require.

Example Question:

When were you first sexually active?

Finding:

Reports last sexual activity was 2 years ago

(Available)

Pro Tip: Understanding a patient’s health involves a comprehensive overview of their physiological systems. This is necessary to understand what symptoms may indicate larger issues, and what treatments the patient may require.

Example Question:

When was your last sexual encounter?

Finding:

Reports total number of partners is 3

(Available)

Pro Tip: Understanding a patient’s health involves a comprehensive overview of their physiological systems. This is necessary to understand what symptoms may indicate larger issues, and what treatments the patient may require.

Example Question:

How many sexual partners have you had?

Finding:

Asked about contraception

Finding:

Reports no current use of any oral or hormonal birth control

(Found)

Pro Tip: Understanding a patient’s health involves a comprehensive overview of their physiological systems. This is necessary to understand what symptoms may indicate larger issues, and what treatments the patient may require.

Example Question:

Are you currently taking oral contraception?

Finding:

Reports past use of oral contraception

(Found)

Pro Tip: Understanding a patient’s health involves a comprehensive overview of their physiological systems. This is necessary to understand what symptoms may indicate larger issues, and what treatments the patient may require.

Example Question:

Have you ever taken oral contraception?

Finding:

Reports last taking oral contraception a couple of years ago

(Available)

Pro Tip: Understanding a patient’s health involves a comprehensive overview of their physiological systems. This is necessary to understand what symptoms may indicate larger issues, and what treatments the patient may require.

Example Question:

When did you last take oral contraception?

Finding:

Reports she didn’t see the point in taking contraception while single

(Available)

Pro Tip: Understanding a patient’s health involves a comprehensive overview of their physiological systems. This is necessary to understand what symptoms may indicate larger issues, and what treatments the patient may require.

Example Question:

Why did you stop taking birth control?

Finding:

Asked about condom use

Finding:

Reports past condom use

(Found)

Pro Tip: Understanding a patient’s health involves a comprehensive overview of their physiological systems. This is necessary to understand what symptoms may indicate larger issues, and what treatments the patient may require.

Example Question:

Have you ever used a condom?

Finding:

Reports past sexual encounters without condoms

(Available)

Pro Tip: Understanding a patient’s health involves a comprehensive overview of their physiological systems. This is necessary to understand what symptoms may indicate larger issues, and what treatments the patient may require.

Example Question:

Have you ever had sex without using a condom?

Finding:

Reports oral contraceptive use while sexually active

(Available)

Pro Tip: Understanding a patient’s health involves a comprehensive overview of their physiological systems. This is necessary to understand what symptoms may indicate larger issues, and what treatments the patient may require.

Example Question:

Were you on oral contraception when you did not use a condom?

Finding:

Asked about STI testing

Finding:

Reports last STI testing was 4 years ago

(Available)

Pro Tip: Understanding a patient’s health involves a comprehensive overview of their physiological systems. This is necessary to understand what symptoms may indicate larger issues, and what treatments the patient may require.

Example Question:

When were you last tested for STIs?

Finding:

Denies STI symptoms

(Available)

Pro Tip: Understanding a patient’s health involves a comprehensive overview of their physiological systems. This is necessary to understand what symptoms may indicate larger issues, and what treatments the patient may require.

Example Question:

Do you have STI symptoms?

Finding:

Reports uncertainty about past partners and STI testing

(Available)

Pro Tip: Understanding a patient’s health involves a comprehensive overview of their physiological systems. This is necessary to understand what symptoms may indicate larger issues, and what treatments the patient may require.

Example Question:

Have your previous partners been tested for STIs?

Finding:

Asked about history of pap smears

Finding:

Reports last pap smear was 4 years ago

(Available)

Pro Tip: Understanding a patient’s health involves a comprehensive overview of their physiological systems. This is necessary to understand what symptoms may indicate larger issues, and what treatments the patient may require.

Example Question:

When was your last pap smear?

Finding:

Reports no abnormal pap smears

(Available)

Pro Tip: Understanding a patient’s health involves a comprehensive overview of their physiological systems. This is necessary to understand what symptoms may indicate larger issues, and what treatments the patient may require.

Example Question:

Have you ever had an abnormal pap smear?

Finding:

Asked about history of pregnancy

Finding:

Denies current pregnancy

(Available)

Pro Tip: Understanding a patient’s health involves a comprehensive overview of their physiological systems. This is necessary to understand what symptoms may indicate larger issues, and what treatments the patient may require.

Example Question:

Do you think you are pregnant?

Finding:

Denies past pregnancies

(Found)

Pro Tip: Understanding a patient’s health involves a comprehensive overview of their physiological systems. This is necessary to understand what symptoms may indicate larger issues, and what treatments the patient may require.

Example Question:

Have you ever tested positive for pregnancy?

Finding:

Asked review of systems for musculoskeletal

Finding:

Denies muscle pain

(Available)

Pro Tip: Understanding a patient’s health involves a comprehensive overview of their physiological systems. This is necessary to understand what symptoms may indicate larger issues, and what treatments the patient may require.

Example Question:

Do you have muscle pain?

Finding:

Denies joint pain

(Available)

Pro Tip: Understanding a patient’s health involves a comprehensive overview of their physiological systems. This is necessary to understand what symptoms may indicate larger issues, and what treatments the patient may require.

Example Question:

Do you have joint pain?

Finding:

Denies muscle weakness

(Available)

Pro Tip: Understanding a patient’s health involves a comprehensive overview of their physiological systems. This is necessary to understand what symptoms may indicate larger issues, and what treatments the patient may require.

Example Question:

Do you have muscle weakness?

Finding:

Denies joint swelling

(Available)

Pro Tip: Understanding a patient’s health involves a comprehensive overview of their physiological systems. This is necessary to understand what symptoms may indicate larger issues, and what treatments the patient may require.

Example Question:

Do you ever have swelling in your joints?

Finding:

Denies back pain

(Available)

Pro Tip: Understanding a patient’s health involves a comprehensive overview of their physiological systems. This is necessary to understand what symptoms may indicate larger issues, and what treatments the patient may require.

Example Question:

Do you ever have back pain?

Finding:

Denies history of fractures or breaks

(Available)

Pro Tip: Understanding a patient’s health involves a comprehensive overview of their physiological systems. This is necessary to understand what symptoms may indicate larger issues, and what treatments the patient may require.

Example Question:

Have you ever broken a bone?

Finding:

Asked review of systems for neurological

Finding:

Denies recent loss of consciousness or fainting

(Available)

Pro Tip: Understanding a patient’s health involves a comprehensive overview of their physiological systems. This is necessary to understand what symptoms may indicate larger issues, and what treatments the patient may require.

Example Question:

Have you ever passed out?

Finding:

Denies dizziness or vertigo

(Available)

Pro Tip: Understanding a patient’s health involves a comprehensive overview of their physiological systems. This is necessary to understand what symptoms may indicate larger issues, and what treatments the patient may require.

Example Question:

Do you get dizzy?

Finding:

Denies lightheadedness

(Available)

Pro Tip: Understanding a patient’s health involves a comprehensive overview of their physiological systems. This is necessary to understand what symptoms may indicate larger issues, and what treatments the patient may require.

Example Question:

Do you get light-headed?

Finding:

Denies vision disturbances

(Available)

Pro Tip: Understanding a patient’s health involves a comprehensive overview of their physiological systems. This is necessary to understand what symptoms may indicate larger issues, and what treatments the patient may require.

Example Question:

Do you ever see spots?

Finding:

Denies tingling

(Available)

Pro Tip: Understanding a patient’s health involves a comprehensive overview of their physiological systems. This is necessary to understand what symptoms may indicate larger issues, and what treatments the patient may require.

Example Question:

Do you ever get tingling?

Finding:

Denies loss of coordination

(Available)

Pro Tip: Understanding a patient’s health involves a comprehensive overview of their physiological systems. This is necessary to understand what symptoms may indicate larger issues, and what treatments the patient may require.

Example Question:

Do you notice being more clumsy than usual?

Finding:

Denies loss of sensation

(Available)

Pro Tip: Understanding a patient’s health involves a comprehensive overview of their physiological systems. This is necessary to understand what symptoms may indicate larger issues, and what treatments the patient may require.

Example Question:

Do you have a loss of sensation anywhere?

Finding:

Denies history of seizures

(Available)

Pro Tip: Understanding a patient’s health involves a comprehensive overview of their physiological systems. This is necessary to understand what symptoms may indicate larger issues, and what treatments the patient may require.

Example Question:

Have you ever had a seizure?

Finding:

Denies problems with balance or disequilibrium

(Available)

Pro Tip: Understanding a patient’s health involves a comprehensive overview of their physiological systems. This is necessary to understand what symptoms may indicate larger issues, and what treatments the patient may require.

Example Question:

Do you lose your balance often?

Finding:

Denies memory loss

(Available)

Pro Tip: Understanding a patient’s health involves a comprehensive overview of their physiological systems. This is necessary to understand what symptoms may indicate larger issues, and what treatments the patient may require.

Example Question:

Have you ever experienced memory loss?

Finding:

Asked review of systems for skin, hair, and nails

Finding:

Denies skin rashes

(Available)

Pro Tip: Understanding a patient’s health involves a comprehensive overview of their physiological systems. This is necessary to understand what symptoms may indicate larger issues, and what treatments the patient may require.

Example Question:

Do you get skin rashes?

Finding:

Reports rarely using sunscreen

(Available)

Pro Tip: Understanding a patient’s health involves a comprehensive overview of their physiological systems. This is necessary to understand what symptoms may indicate larger issues, and what treatments the patient may require.

Example Question:

When do you wear sunscreen?

Finding:

Reports acne

(Found)

Pro Tip: Understanding a patient’s health involves a comprehensive overview of their physiological systems. This is necessary to understand what symptoms may indicate larger issues, and what treatments the patient may require.

Example Question:

Do you still have acne?

Finding:

Reports excessive facial or body hair

(Available)

Pro Tip: Understanding a patient’s health involves a comprehensive overview of their physiological systems. This is necessary to understand what symptoms may indicate larger issues, and what treatments the patient may require.

Example Question:

Do you have an increase in body hair?

Finding:

Reports changes to neck skin

(Available)

Pro Tip: Understanding a patient’s health involves a comprehensive overview of their physiological systems. This is necessary to understand what symptoms may indicate larger issues, and what treatments the patient may require.

Example Question:

Do you have any skin discoloration?

Finding:

Reports moles

(Available)

Pro Tip: Understanding a patient’s health involves a comprehensive overview of their physiological systems. This is necessary to understand what symptoms may indicate larger issues, and what treatments the patient may require.

Example Question:

Have your moles changed?

Finding:

Reports no body sores (aside from foot wound)

(Available)

Pro Tip: Understanding a patient’s health involves a comprehensive overview of their physiological systems. This is necessary to understand what symptoms may indicate larger issues, and what treatments the patient may require.

Example Question:

Do you have any sores?

Finding:

Denies dandruff

(Available)

Pro Tip: Understanding a patient’s health involves a comprehensive overview of their physiological systems. This is necessary to understand what symptoms may indicate larger issues, and what treatments the patient may require.

Example Question:

Do you have dandruff?

Finding:

Denies nail abnormalities

(Available)

Pro Tip: Understanding a patient’s health involves a comprehensive overview of their physiological systems. This is necessary to understand what symptoms may indicate larger issues, and what treatments the patient may require.

Example Question:

Do you have any problems with your nails?

Finding:

Reports occasional dry skin

 

 

Objective Data Collection: 1 of 1 (100.0%)

Hover To Reveal…

Hover over the Patient Data items below to reveal important information, including Pro Tips.

  • Found:

Indicates an item that you found.

  • Available:

Indicates an item that is available to be found.

Category

Scored Items

 

Experts selected these examinations as essential components of objective data collection for this patient.

Patient Data

Not Scored

Thorough examinations will yield better patient data. The following actions reveal the objective data of the patient’s case.

Wound Treatment

Finding:

Inspected wound

Finding:

Measured wound: 2 cm x 1.5 cm, 2.5 mm deep

(Found)

Pro Tip: Measuring a patient’s wound will help you track whether it worsens or heals in future visits.

Example Question:

Finding:

Swabbed wound and sent to lab for C & S

(Found)

Pro Tip: Sending a culture of wound drainage to a medical lab will help you choose the best antibiotic for that microbe type, and can rule out dangerous infections such as MRSA.

Example Question:

Finding:

Cleansed and irrigated wound with normal saline and applied dry sterile dressing.

 

Education & Empathy : 2 of 11 (18.2%)

During the patient interview, there are a number of opportunities to provide patient education and empathy. The opportunities listed below are those identified by nursing experts to be of particular importance to this patient. A Model Statement is provided as an example of an appropriate response to each opportunity.

  • Opportunities marked as Not Encountered are opportunities that were not elicited in the interview
  • Opportunities marked as Not Followed Up are missed opportunities that were present in the interview, but where no statements were made
  • Opportunities marked as Followed Up were followed up by students, and include the dialogue between student and patient

 1 Expression of pain

Followed Up

 

 Description: Tina expresses frustration about her level of pain.
What brings you here today? Question
12:39 AM EDT
I got this scrape on my foot a while ago, and I thought it would heal up on its own, but now it’s looking pretty nasty. And the pain is killing me!
I am sorry for that Empathize
12:39 AM EDT
I appreciate you saying that.
 Model Statement: “I’m sorry to hear that your pain is returning. We want you to be in as little pain as possible. Together we can figure out the best way to reduce your pain quickly.”

 2 Impact of injury on daily life

Not Followed Up

 

 Description: Tina brings up her pain and frustration at how being unable to bear weight on her foot impacts her life.
Has the injury affected your activities? Question
12:43 AM EDT
I mean, the last two days I couldn’t walk on my foot, so it’s gotten in the way of everything — I had to basically stay home and off my foot. I didn’t think it could get to the point where it caused so many problems.
Do you have any preexisting condition? Question
12:44 AM EDT
Yeah. . . I have asthma and diabetes.
How do you manage the diabetes? Question
12:44 AM EDT
 Model Statement: “This sounds like a challenging time for you. I understand your frustration at having your life interrupted by foot pain. We’ll do our best to get your foot healed, and have you back to your usual routine as soon as possible.”

 3 Gaps in health literacy around diabetic diet

Not Followed Up

 

 Description: Tina describes controlling her diabetes by avoiding “sweets.”
How do you manage the diabetes? Question
12:44 AM EDT
I just watch what I eat and try to stay away from sweets.
Which medication are you using for diabetes? Question
12:44 AM EDT
It’s just a regular Proventil inhaler.
Which current diabetes medication are you using? Question
12:45 AM EDT
 Model Statement: “Staying away from sugar is a great start. I can give you some more information on what a balanced diet looks like for someone with diabetes. For example, many starchy foods break down into glucose in the body, like pasta, and so you can eat those in moderation, too. Most people with diabetes feel better when they limit all starches, eat protein, and take regular medication.”

 4 Lack of treatment with diabetes medication

Not Followed Up

 

 Description: Tina reveals that she does not treat her diabetes with medication.
Which current diabetes medication are you using? Question
12:45 AM EDT
I don’t take anything for my diabetes anymore.
Which diabetes medication were you using in the past? (Clarified to: When were you taking diabetes medication?) Question
12:45 AM EDT
I haven’t taken it in about three years, honestly. (Clarified to: when I was taking diabetes medication)
Do you monitor your blood glucose? Question
12:46 AM EDT
 Model Statement: “I understand that it can be challenging to keep up with daily medication. But it’s important to keep your blood sugar under control to prevent long-term damage to your health, and medication can really help. I’d like to talk with you more about getting back onto a prescription. We could start you at a low dose, which reduces the side effects.”

 5 Lack of blood glucose monitoring

Not Followed Up

 

 Description: Tina reveals that she does not check her blood sugar.
Do you monitor your blood glucose? Question
12:46 AM EDT
I have a monitor at home, but to be honest I don’t really use it that often. It’s such a hassle to check my blood sugar, and my diabetes is under control right now so I don’t really need to.
Do you often feel thirsty? Question
12:46 AM EDT
You know, I did notice lately that I’ve been really thirsty.
Do you urinate frequently? Question
12:47 AM EDT
Yeah, but I’ve been drinking more water.
 Model Statement: “I understand how it can feel like a frustrating chore to check your sugar every day. But it is important to keeping your diabetes under control. When you monitor your sugar, it helps you understand what foods, activities, and times of day contribute to you feeling your best. And keeping your sugar down will help your foot wound heal quickly, too. If you would like, I can help you find a monitor that is as painless as possible. I can also teach you more about what the numbers mean.”

 6 Gaps in health literacy around asthma control

Not Followed Up

 

 Description: Tina describes increased inhaler use and decreased effectiveness, indicating that her asthma is uncontrolled.
How many puffs do you take when using the inhaler? Question
12:51 AM EDT
I usually use two puffs from my albuterol inhaler — it’s 90 micgrograms a spray — but lately sometimes I need three puffs. [AUDIO COMING SOON]
what triggers the asthma? Question
12:51 AM EDT
Being around cats is the worst, but dust and running up stairs can make my breathing bad, too.
do you have any allergies? Question
12:52 AM EDT
Yeah, I’m allergic to cats.
 Model Statement: “It sounds like your asthma is giving you some problems, and you’re not getting full relief from your inhaler. I would like to talk with you about changing your medication and your regimen, to reduce your frequent breathing problems, so that you feel better day-to-day. Most patients find that using a daily inhaler is an easy way to reduce your asthma symptoms even more.”

 7 Loss of a family member

Followed Up

 

 Description: Tina shares information about her father dying.
how is your father’s health? Question
01:01 AM EDT
Dad passed away last year, so…it’s been really hard.
I am sorry for that Empathize
01:01 AM EDT
Thanks for understanding.
 Model Statement: “I’m sorry to hear about your father’s passing. That sounds like a difficult situation.”

 8 Counseling around past drug use

Not Followed Up

 

 Description: Tina discusses her past history of marijuana smoking.
Do you use illicit drugs? Question
12:59 AM EDT
Well, I used to smoke pot. . . but I don’t do that anymore.
WHen last did you use pot? Question
12:59 AM EDT
I haven’t smoked pot since I was twenty or twenty-one.
do you take alcohol? Question
12:59 AM EDT
I do sometimes, yeah, when I go out with my friends.
Do you smoke tobacco? Question
01:00 AM EDT
No. I think it’s gross.
 Model Statement: “Thank you for sharing that information. It’s good to hear that you no longer smoke pot. It’s better for your asthma and your overall health.”

 9 Gap in sexual health literacy

Not Followed Up

 

 Description: Tina reveals that she doesn’t fully understand the importance of testing for STIs.
do you use contraception? Question
01:09 AM EDT
Nope. But I’ve been single for a while so I haven’t needed to.
Have you tested for STI? (Clarified to: Have you been tested for STDs?) Question
01:10 AM EDT
Yeah, I’m sure they did those tests when I went for a pap smear before. (Clarified to: if I have ever been tested for STDs)
Have you ever been pregnant? Question
01:10 AM EDT
I’ve never been pregnant.
 Model Statement: “There are many sexually transmitted infections that don’t necessarily present symptoms, for either men or women, and can persist for years if left untreated. The only way to be certain you and your partners are free of STIs is for both of you to get tested. This can be done as a part of a typical gynecological exam. Because your past partner was not tested, I would recommend that you get tested during your next annual pap smear.”

 10 Risk for hypertension

Not Followed Up

 

 Description: Tina discusses her blood pressure readings as usually high, and her family’s history of hypertension.
Do you have hypertension? Question
12:55 AM EDT
No, I’ve never been diagnosed with blood pressure problems.
Do you use pain medication? Question
12:56 AM EDT
Yeah, I had to start taking pain medication.
How frequently do you use pain medication? Question
12:56 AM EDT
I’ve been taking the Tramadol morning, noon, and night. [AUDIO COMING SOON]
 Model Statement: “It sounds like your blood pressure is typically high. For normal blood pressure, we like to see a top number of below 120 and a bottom number below 80. Because of your family’s history of hypertension, it’s important for us to determine your blood pressure over time. We have your BP reading from today, and then I’d like you to come back and get a reading two more times. That way, we can establish how your blood pressure runs over time. If your pattern is high blood pressure, we may want to get you on a medication to lower it. Having low blood pressure reduces your risk of other health problems such as stroke.”

 11 Describes problematic menstrual cycle and symptoms

Not Followed Up

 

 Description: Tina describes her periods as painful, long, and heavy.
how is your menstrual symptoms? (Clarified to: Do you have menstrual symptoms?) Question
01:08 AM EDT
Yeah, I get cramps pretty bad. (Clarified to: if I have menstrual symptoms)
how do you treat the cramps? Question
01:09 AM EDT
I take Advil. I try a heating pad sometimes and that only helps a little.
how is your sexual activity? Question
01:09 AM EDT
Uh, I wouldn’t say I have a “sex life” right now.
do you use contraception? Question
01:09 AM EDT
 Model Statement: “Those periods sound painful and difficult to deal with. I’m sorry you have so many challenging symptoms. If you are interested, we can talk about hormonal birth control options that can make your periods less painful, or even lighter.”

 

 

Documentation / Electronic Health Record

Document: Provider Notes

Student Documentation Model Documentation
Identifying Data & Reliability

Name: Tina Jones Age: 28 years old Gender: Female Race: African American

 Ms. Jones is a 28-year-old African American single woman who presents to establish care and with a recent right foot injury. She is the primary source of the history and offers information freely, without contradiction. Speech is clear and coherent. She maintains eye contact throughout the interview.
General Survey

Ms. Tina Jones is well nourished and pleasant patient. She is awake, alert and orineted to place, time, situation and the environment. She experiences moderate pain on her right foot near the ankle after an injury. She has good eye contact and responds to questions appropriately. She is well groomed and dressed appropriately.

 Ms. Jones is alert and oriented, seated upright on the examination table, and is in no apparent distress. She is dressed appropriately with good hygiene.
Chief Complaint

“painful right foot infected wound from a scraped of that foot”

 “I got this scrape on my foot a while ago, and I thought it would heal up on its own, but now it’s looking pretty nasty. And the pain is killing me!”
History Of Present Illness

Ms. Jones presented today for injury on the right foot. She stated that she tripped on the stairs and acraped her right foot. She was barefoot. She was provided woundcare at the ER. She was given Tramadol 50ml for the pain. She has been cleaning the wound twice a day with soap and applies Neosporin on the wound. She had fever of 102 F. She has difficulty walking. She rates the pain as 7/10. She has increased thirst and lost appetite. She has lost weight of 10 lb without changes in diet or food intake.

 Ms. Jones reports that a week ago she tripped while walking on concrete stairs outside, twisting her right ankle and scraping the ball of her foot. She sought care in a local emergency department where x-rays were negative and was provided tramadol for pain. She has been cleansing the site twice a day and is applying antibiotic ointment and a bandage. She reports that ankle edema and pain have resolved but the bottom of the foot is increasingly painful. The pain is described as “throbbing” and “sharp” with weight bearing. She states her ankle “ached” but that has since resolved. Pain is rated 7 out of 10 with medication, but is a 9 with weight bearing. She reports that over the past two days the ball of the foot has become swollen and increasingly red; yesterday she noted discharge oozing from the wound. She denies any odor from the wound. Her shoes feel tight; so she has been wearing slip-ons. She reports fever of 102 degrees Fahrenheit last night. She denies recent illness. Reports a 10-pound, unintentional weight loss over the month and increased appetite. Denies change in diet or level of activity.
Medications

1- Tramadol 50ml 3 times a day PO for pain 2 – Ibuprofen 200mg – 3 tablets for menstrual cramps 3 – Tylenol 500 – 1000mg for headache 4 – Aluterol 90 mcg – 2-3 puffs for asthma, 2-3 times a week and PRN 5 – Metformin She does not know the frequency, dosage Last took 3 years ago. Patient stopped Metformin since it made her sick and gassy

 Acetaminophen 500-1000 mg PO prn (headaches) Ibuprofen 600 mg PO TID prn (menstrual cramps) Tramadol 50 mg PO TID prn (foot pain) Albuterol 90 mcg/spray MDI 2 puffs Q4H prn (wheezing)
Allergies

Cats: Difficulty breathing, sneezing, itching eyes, exacerbation of asthma attack Penicillin as a child: Experienced rath and hives Dusts: Asthma attack triggers

 Medications: Penicillin (rash). Environmental: cats and dust (runny nose, itchy and swollen eyes, and increased asthma symptoms).
Medical History

Asthma; at 2.5 years old Diabetes Type 2; 4 years ago, stopped the medicine after 3 years. Controlled by diet

 Asthma diagnosed at age 2 1/2. She uses her albuterol inhaler when she is around cats and dust. She uses her inhaler 2 to 3 times per week. She was exposed to cats three days ago and had to use her inhaler once with positive relief of symptoms. She was last hospitalized for asthma “in high school”. Type 2 diabetes, diagnosed at age 24. She previously took metformin, but she stopped three years ago, stating that the pills made her gassy and “it was overwhelming, taking pills and checking my sugar.” She doesn’t monitor her blood sugar. Last blood glucose was elevated last week in the emergency room. No surgeries. Menarche, age 11. Identifies as heterosexual. Never pregnant. Last menstrual period 3 weeks ago. For the past year cycles irregular (every 4-8 weeks) with heavy bleeding lasting 9-10 days. No current partner. Used oral contraceptives in the past. When sexually active, reports she did not use condoms. Never tested for HIV/AIDS. No history of STIs or STI symptoms. Last tested for STIs four years ago.
Health Maintenance

Jones last visits to her pprimary doctor was 2 yrs ago. Last dental check was few years ago. Vision tested when she was a kid. Last pap smear was 4 years ago. She denies any exercise. Diet: muffin, pumpkin bread for breakfast, sandwich for lunch, and meat vegetable for dinner Love pizza, macorini and cheese. Immunization: Up to date for childhood vaccine, flu vaccine 5-6 years ago, tetanus booster 1 year ago

 Last Pap smear 4 years ago. Last eye exam in childhood. Last dental exam “a few years ago.” No exercise. 24-hour Diet Recall: States that she skipped breakfast yesterday, and would typically have a baked good for breakfast, a sandwich for lunch, and a meatloaf or chicken for dinner. Her snacks consist of pretzels or French fries. Immunizations: Tetanus booster was received within the past year, influenza is not current, and human papillomavirus has not been received. She reports that she believes she is up to date on childhood vaccines and received the meningococcal vaccine in college. Safety: Has smoke detectors in the home, wears seatbelt in car, and does not ride a bike. Does not use sunscreen. Guns, having belonged to her dad, are in the home, locked in parent’s room.
Family History

Mother is 50 years old and living with hypertension and cholesterol. Father passed away in a motor vehicle accident. Was living with high cholesteral diabetes and hypertension. Sister is 14 years old and has asthma. Brother is 25 yrs old and is healthy. Paternal grandmother is 82 y/o, has HTN, high cholesterol. Maternal grandmoth: Died at 73 y/o and had HTN, cholesterol. Uncle: Has been abusing alcohol. Maternal grandfather- died at 79 y/o and had HTN, cholesterol and HTN.

 Mother: age 50, hypertension, elevated cholesterol Father: deceased in car accident one year ago at age 58, hypertension, high cholesterol, and type 2 diabetes Brother: (Michael, 25); living Sister: (Britney, 14): asthma Maternal grandmother: died at age 73 of a stroke, history of hypertension, high cholesterol Maternal grandfather: died at age 80 of a stroke, history of hypertension, high cholesterol Paternal grandmother: still living, age 82, hypertension Paternal grandfather: died at age 65 of colon cancer, history of type 2 diabetes
Social History

She is sincle and no children, Works as a manager at a company. She is studying for bachelor degree in accounting, She takes alcohol socially with friends, Denies smoking but had used pot in the past.

 Single. Lived independently since age 20, currently lives with mother and sister in a single family home to support family after death of father one year ago. Employed 32 hours per week as a supervisor at Mid-American Copy and Ship. She is a part-time student, in her last semester to earn a bachelor’s degree in accounting. She receives basic health insurance from work, but is deterred from healthcare due to out-of-pocket costs. She enjoys spending time with friends, attending Bible study, volunteering in her church, and dancing. Tina is active in her church and describes a strong family and social support system. She reports stressors relating to the death of her father and balancing work and school demands, and finances. She states that family and church help her cope with stress. No tobacco. Occasional cannabis use from age 15 to age 21. Reports no use of cocaine, methamphetamines, and heroin. Uses alcohol when “out with friends, 2-3 times per month,” reports drinking no more than 3 drinks per episode. She drinks 4 caffeinated drinks per day (diet soda). No foreign travel.
Review of Systems

General: Reports unintentional weight lose of 10 lb over a month. Fever os 102 F HEENT: Head: No alopecial, itching Eyes: blurr vision withe reading Ears: Denies any issues Nose: Denies any issues Mouth/thorat: No moth sores pain, throat pain or difficulty swallowing Neck: No neck pain or stiffness Breats: No tenderness,, lumps or pain Respiratory: denies cough, difficulty breathing Cardiovascula: No palpitations, chest pain or discomfort Gastrointestinal: Denies any nausea, vomiting, diarrhea or constipation Genitourinary: Frequent urination Musculoskeletal: Difficulty ambulating dut to foot wound Psychiatry: no depression Neurological: occasional headaches Skin: Reports discoloration around the neck Hematology: Denies any bruising or bleeding gum Endocrine: Increased thirst and appetite

 Constitutional – Affirms: occasional tiredness or fatigue. Denies: fever, chills, night sweats HEENT (Head) – Denies: head injury HEENT (Eyes) – Affirms: periods of blurry vision, infrequent pruritic eyes. Denies: corrective lenses, double vision, erythema, exudate, pain, and dryness HEENT (Ears) – Denies: changes in hearing, tinnitus, pain, and discharge HEENT (Nose) – Affirms: infrequent nose problems and runny nose. Denies: frequent sinus problems, epistaxis, and changes in olfaction HEENT (Mouth/Throat) – Denies: dry mouth, pain, sores, gum problems, jaw problems, sore throat, voice changes Respiratory – Denies: current breathing problems, cough, wheezing, shortness of breath Cardiac – Denies: chest pain, palpitations, arrhythmia, ecchymosis, edema, vascular diseases, circulation problems Gastrointestinal – Denies: abdominal pain, nausea, vomiting, diarrhea, loss of appetite, indigestion, constipation, bloating, hematochezia Genitourinary – Affirms: nocturia. Denies: hematuria, incontinence, urinary retention, frequency, pain with urination Neurological – Denies: dizziness, lightheadedness, numbness, tingling, loss of sensation, loss of coordination, seizures Musculoskeletal – Denies: joint pain, muscle pain, muscle weakness, joint edema, back pain Integumentary – Affirms: lesion on foot, moles, facial/body hair. Denies: rash, pruritis, acne, dandruff, nail anomalies, xerosis Reproductive – Affirms: menorrhagia, amenorrhea, heavy cramping. Denies: anemia Psychiatric – Denies: depression, suicidal ideation or attempts
Objective

Vital SIgns: BP: 142/82, HR: 86, Temp 101.1, General: No acute distress. Obese Wound 2cm x 1.5 cm, 2.5 mm deep Red wound with drainage No edema, Mild erythema surrounding the wound LABS: No labs available for review TESTS; No tests for review Mild erythema surrounding the wound

 Vitals: Height: 170.2 cm Weight: 90 kg BMI: 31 Temp: 38.4 C BP: 142/82 HR: 86 RR: 19 O2 Sat: 99% Wound: 2 cm x 1.5 cm, 2.5 mm deep wound, red wound edges, right ball of foot, serosanguinous drainage. Mild erythema surrounding wound, no edema, no tracking. Labs: Glucose: 238
Assessment

Acute Foot Pain (ICD R52) Local infection of skin and subscutaneous tissue of the foot (ICD A36.3) Uncontrolled type 2 diabetes mellitus (ICD E11)

 Relevant Diagnoses: Acute pain of the foot Local infection of skin and subcutaneous tissue of the foot Uncontrolled NIDDM Asthma Dysmenorrhea HTN Menorrhagia Obesity Oligomenorrhea PCOS
Plan

Assess the pain level using a pain scale Prescibe Tremadol 50 mg PO BID for pain Educate patient on medications for pain releief Educate patient on non-phrmaceutical methods to reduce pain level Obtain a wound culture Order a complete blood count test (CBC) Prescribe antibiotics clean the wound Educate patient on wound care Educate patient on diabetes pathophysiology and risks

 Acute pain of the foot: Prescribe analgesic. Educate on analgesic effective use and potential side effects. Provide patient with options for non-pharmacological pain relief, such as RICE (rest, ice, compression, elevation). Local infection of skin and subcutaneous tissue of the foot: Obtain culture of wound. Clean and re-dress wound. Prescribe an anti-infective (verify specificity post-culture results). Educate patient on treating the wound, using anti-infective medication, reporting symptoms of a worsening infection, and importance of regular foot care for those with diabetes. Uncontrolled NIDDM: Assess peripheral pulses. Assess for peripheral and sensory neuropathy, and retinopathy. Order labs: renal function, lipids, fasting glucose. Educate patient on need for regular blood glucose monitoring, signs and symptoms of hyperglycemia, diabetic diet, and treatment regimens. Prescribe first-line drug for glucose control. Asthma: Educate patient on developing and enacting any asthma treatment plan Dysmenorrhea: Prescribe NSAIDs and/or oral contraceptives for pain. Educate on NSAIDs and/or oral contraceptives – pros and cons. Collect urinalysis. Perform manual pelvic exam. HTN: Educate on HTN pathophysiology, associated risks relating to morbidity and mortality, and lifestyle interventions. Auscultate renal artery bruits. Menorrhagia: Order labs to evaluate for poly-cystic ovarian syndrome and thyroid disease. Inspect hair growth and for acanthosis nigricans. Educate patient on keeping a menstrual calendar and using oral medications to reduce symptoms. Obesity: Educate on diet and exercise interventions to reduce her body weight. Assess for signs and symptoms of hirsutism, acanthosis nigricans, sleep apnea, dyslipidemia, and non-alcoholic fatty liver disease. Order labs to evaluate for thyroid disease. Oligomenorrhea: Order labs to evaluate for poly-cystic ovarian syndrome and thyroid disease. Inspect hair growth and for acanthosis nigricans. Educate patient on keeping a menstrual calendar. PCOS: Perform pelvic exam. Order pelvic ultrasound. Educate on PCOS and relationship to diabetes. Refer GYN.

 

Information Processing : 18 of 40 (45.0%)

Each relevant diagnosis is scored on a four-point scale:

  • Priority (1 point): the correct priority of the diagnosis was chosen
  • Evidence (up to 2 points): the strength of the patient cue(s) selected as evidence for the identified diagnosis
    • Required Evidence: selecting at least one cue that directly indicates the presence of a problem or risk is worth 2 points
    • Supporting Evidence: selecting at least one cue that is a contributing factor or cause of a problem or risk, without the presence of Required Evidence, is worth 1 point
  • Planning (1 point): the plan proposed to address the diagnosis includes at least one correct component

Relevant Diagnoses

  1. Acute pain of the foot

4 of 4 points

 

Priority 1 / 1
Student Response:  High

Correct Priority: High

  Priority Pro Tip: Managing acute pain is an immediate high priority, because other health concerns cannot be effectively addressed while a patient experiences severe pain.
Evidence 2 / 2
Relevant

“I’d say a 7. It hurts a lot, and the pain pills haven’t kicked in yet.” Required Evidence

Irrelevant

(None provided)

  Evidence Pro Tip: Tina reports intense pain and rates her pain on a numerical scale. She also reports characteristics of the pain, including its duration of one week; this timespan defines her pain as acute.
Planning 1 / 1
Relevant

Intervene – Prescribe: Prescribe medications to treat pain.

Educate – Medication: Educate the patient on medications used for pain relief.

Educate – Medication: Educate the patient on non-pharmaceutical methods to reduce pain intensity.

Irrelevant

(None provided)

  Planning Pro Tip: Intervene to reduce the pain by prescribing an appropriate analgesic and educating the patient on its effective use and potential side effects. Provide the patient with options for non-pharmacological pain relief, such as RICE (rest, ice, compression, elevation).
  1. Local infection of skin and subcutaneous tissue of the foot

4 of 4 points

 

Priority 1 / 1
Student Response:  High

Correct Priority: High

  Priority Pro Tip: Treating this infection is a high priority, as failure to treat the infection may lead to it spreading to surrounding tissues or systemically. Treating the infection can prevent adverse events such as osteomyelitis and bacteremia.
Evidence 2 / 2
Relevant

“I mean, it’s all red and swollen, and there’s pus, it feels hot, it hurts like hell… It’s got all that going on.” Required Evidence

Irrelevant

“Yeah, there’s definitely pus.”

  Evidence Pro Tip: Tina presents with an open wound on the plantar surface of the foot. The wound is red, swollen, warm, and produces purulent discharge. Tina reports that the appearance and level of discomfort have worsened with time- all of these factors support a diagnosis of acute infection.
Planning 1 / 1
Relevant

Assess – Integumentary: Assess wound parameters (size, depth).

Intervene – Labs: Obtain a wound culture.

Intervene – Labs: Order a complete blood count test (CBC).

Intervene – Other: Clean wound and cover with sterile dressing.

Educate – Medication: Educate the patient on the course of antibiotics, importance of taking all prescribed antibiotics, and side-effects.

Educate – Health Maintenance: Educate the patient on wound care procedure.

Educate – Disease Process: Educate the patient on the signs and symptoms of worsening infection.

Irrelevant

(None provided)

  Planning Pro Tip: Assess the wound directly and obtain a culture so that the infectious organism may be identified, then clean and re-dress the wound. Regional lymph nodes may be swollen. Because the infection is the root cause of Tina’s other acute issues, prescribing an anti-infective will begin to resolve the issues; after receiving culture results, the specific anti-infective given may be changed. Ensure that Tina understands how to treat the wound, use the anti-infective effectively, and to report symptoms of a worsening infection. Foot care is especially important for diabetics, so you should help Tina better understand diabetes’ impact on wound healing and the need to proactively monitor her foot health.
  1. Uncontrolled type 2 diabetes mellitus

2 of 4 points

 

Priority 1 / 1
Student Response:  High

Correct Priority: High

  Priority Pro Tip: Tina’s uncontrolled diabetes will delay her wound healing and places her at risk for end organ damage. The need to provide better glucose control for Tina makes this a high priority.
Evidence 0 / 2
Relevant

(None provided)

Irrelevant

“I don’t take anything for my diabetes anymore.”

“I have a monitor at home, but to be honest I don’t really use it that often. It’s such a hassle to check my blood sugar, and my diabetes is under control right now so I don’t really need to.”

  Evidence Pro Tip: Tina’s current blood glucose level supports a diagnosis of uncontrolled type 2 DM. Tina reports symptoms consistent with poor control such as polyuria, polydipsia, and nocturia.
Planning 1 / 1
Relevant

Intervene – Prescribe: Prescribe a first-line drug for blood glucose control, such as metformin.

Educate – Medication: Educate the patient on diabetes medication action, dose, and schedule.

Educate – Health Maintenance: Educate the patient on self-monitoring of blood glucose level procedure and its role in treating diabetes.

Educate – Health Maintenance: Educate the patient on the impact of diet, exercise, and weight loss on glycemic control.

Educate – Health Maintenance: Educate the patient on the importance of screening tests and foot care, as relates to diabetes.

Educate – Disease Process: Educate the patient on diabetes pathophysiology, risks of morbidity and mortality, importance of self-care.

Irrelevant

Educate – Health Maintenance: Educate the patient on the role of lifestyle changes, including diet and exercise, in improving health outcomes.

Educate – Disease Process: Educate the patient on associated risks of hypertension with diabetes.

Educate – Disease Process: Educate the patient on relation of genetic and lifestyle factors, including diet, with hypertension.

Educate – Disease Process: Educate the patient on the role of diabetes mellitus in the healing of wounds.

Educate – Disease Process: Educate the patient regarding the relationship of diabetes mellitus and peripheral vascular disease.

  Planning Pro Tip: Assess for impacts of Tina’s uncontrolled diabetes including diminished peripheral pulses, peripheral and sensory neuropathy, and retinopathy, and order labs to check for renal function and abnormal lipid levels. Establish a baseline fasting glucose level and educate Tina on the need to monitor her blood glucose and be aware of symptoms of hyperglycemia. Provide better control by prescribing a first-line drug for glucose control. As Tina’s diabetes is uncontrolled, educate her on appropriate diet, monitoring, and treatment regimens.
  1. Asthma

4 of 4 points

 

Priority 1 / 1
Student Response:  Low

Correct Priority: Low

  Priority Pro Tip: Although Tina requires education to better manage her asthma, she does not report active respiratory complaints, making this a lower priority diagnosis.
Evidence 2 / 2
Relevant

“I think I was about two and a half? I used to have a lot of trouble with asthma attacks back then.” Required Evidence

Irrelevant

(None provided)

  Evidence Pro Tip: Tina reports a personal history of asthma, including past hospitalizations for asthma attacks, as well as her use of an albuterol inhaler. Her sibling’s asthma is of interest, given the strong genetic and environmental factors in the development of asthma.
Planning 1 / 1
Relevant

Intervene – Other: Develop an asthma action plan with the patient.

Educate – Health Maintenance: Educate the patient on avoiding triggers of asthma.

Educate – Health Maintenance: Educate the patient on enacting her asthma action plan including proper use of rescue inhaler.

Irrelevant

(None provided)

  Planning Pro Tip: Because Tina does not report treatment for maintenance of her asthma, instead relying on a rescue inhaler for sporadic attacks, educate her on developing and enacting a proactive plan to manage the disease. Though Tina does not report an active respiratory complaint, it is valuable to assess for abnormal findings that she may not report.
  1. Dysmenorrhea

0 of 4 points

 

Priority 0 / 1
Student Response:

Correct Priority: Low

  Priority Pro Tip: This is a lower priority diagnosis for Tina because she is not currently menstruating; her current pain must be addressed immediately, but it is due to her foot wound.
Evidence 0 / 2
Relevant

(None provided)

Irrelevant

(None provided)

  Evidence Pro Tip: Dysmenorrhea is the symptom of excessive pain with menstruation, which Tina directly reports when asked about the characteristics of her periods.
Planning 0 / 1
Relevant

(None provided)

Irrelevant

(None provided)

  Planning Pro Tip: Menstrual pain can be reduced by the use of NSAIDs and/or oral contraceptives, so you should provide these options to Tina and educate her on their pros and cons. Urinalysis and a manual pelvic exam are useful tools to rule out causes other than her metabolic and endocrine issues.
  1. Hypertension

0 of 4 points

 

Priority 0 / 1
Student Response:

Correct Priority: Low

  Priority Pro Tip: Tina’s hypertension should be addressed in this visit, as reducing her blood pressure may reduce her risks relating to cardiovascular sequelae. However it is lower priority than her acute complaints as her hypertension will not be significantly improved in a single visit.
Evidence 0 / 2
Relevant

(None provided)

Irrelevant

(None provided)

  Evidence Pro Tip: Hypertension is established via measurement of elevated blood pressure (systolic > 140 or diastolic > 90) on two separate occasions. Tina’s records reveal an elevated BP at the time of her ER visit, so the elevated BP at today’s visit establishes Tina’s diagnosis of hypertension. Tina’s risk factors include: race, family history of hypertension, diet, and diabetes.
Planning 0 / 1
Relevant

(None provided)

Irrelevant

(None provided)

  Planning Pro Tip: Tina should be educated regarding hypertension (pathophysiology, associated risks relating to morbidity and mortality, and lifestyle interventions). It is important to consider Tina’s risk for secondary hypertension. Auscultate for renal artery bruits as they may be present in renal artery stenosis. Other causes of secondary hypertension should also be considered including hyperaldosteronism, pheochromocytoma, etc.
  1. Menorrhagia

4 of 4 points

 

Priority 1 / 1
Student Response:  Low

Correct Priority: Low

  Priority Pro Tip: Menorrhagia is a secondary issue caused by Tina’s endocrine and metabolic disorders and thus is a lower priority diagnosis.
Evidence 2 / 2
Relevant

“I’d say it’s heavy. I use the like, extra absorbent tampons, and I still have to change it every two or three hours.” Required Evidence

Irrelevant

“Yeah, I get cramps pretty bad.”

  Evidence Pro Tip: Tina reports menstruation lasting longer than 7 days, with heavy bleeding. Tina reports no recent sexual activity or potential for pregnancy, ruling out a common cause of irregular bleeding. Other potential causes ruled out by Tina’s history are hormone use, oral contraceptives, and intrauterine devices.
Planning 1 / 1
Relevant

Educate – Medication: Educate the patient on the use of NSAIDs to reduce menstrual blood flow.

Educate – Medication: Educate the patient on the use of oral contraceptives to reduce menstrual flow and regulate the menstrual cycle.

Educate – Health Maintenance: Educate the patient to keep a menstrual calendar to assist assessing her pattern.

Irrelevant

Educate – Medication: Educate the patient on the use of NSAIDs to relieve menstrual pain.

Educate – Disease Process: Educate the patient on the pathophysiology of polycystic ovarian syndrome.

  Planning Pro Tip: Endocrine disorders are the cause of Tina’s heavy and irregular menstruation, so order labs to evaluate for poly-cystic ovarian syndrome and thyroid disease. Inspect for both hair growth indicative of excessive androgen production and that indicative of deficient production, and inspect for acanthosis nigricans. Educate your patient on keeping a menstrual calendar to more precisely identify irregularities in her cycle, and using oral medications to reduce symptoms.
  1. Obesity

0 of 4 points

 

Priority 0 / 1
Student Response:

Correct Priority: Low

  Priority Pro Tip: Although Tina’s obesity should be addressed in this office visit, addressing it cannot appreciably alter the patient’s health in a single visit.
Evidence 0 / 2
Relevant

(None provided)

Irrelevant

(None provided)

  Evidence Pro Tip: Based on the WHO’s BMI based classification, Tina’s BMI of 31 identifies her as obese.
Planning 0 / 1
Relevant

(None provided)

Irrelevant

(None provided)

  Planning Pro Tip: Tina should be advised during this visit regarding diet and exercise interventions to reduce her body weight. Educate her on the risks of obesity and comorbidities. Assess Tina for the presence of comorbidities, such as hirsutism, acanthosis nigricans, sleep apnea, dyslipidemia, and non-alcoholic fatty liver disease. Test the patient’s thyroid function to rule out hypothyroidism as a contributing factor.
  1. Oligomenorrhea

0 of 4 points

 

Priority 0 / 1
Student Response:

Correct Priority: Low

  Priority Pro Tip: Oligomenorrhea is a secondary issue caused by Tina’s endocrine and metabolic disorders and thus is a lower priority diagnosis.
Evidence 0 / 2
Relevant

(None provided)

Irrelevant

(None provided)

  Evidence Pro Tip: Tina reports having about 6 periods per year, meeting the criteria for oligomenorrhea, which are periods more than 35 days apart or 9 per year. Her periods occur fewer than 90 days apart, making oligomenorrhea the correct diagnosis rather than amenorrhea.
Planning 0 / 1
Relevant

(None provided)

Irrelevant

(None provided)

  Planning Pro Tip: Endocrine disorders are the cause of Tina’s irregular menstruation, so order labs to evaluate for poly-cystic ovarian syndrome and thyroid disease. Inspect for both hair growth indicative of excessive androgen production and that indicative of deficient production, and inspect for acanthosis nigricans. Educate your patient on keeping a menstrual calendar to more precisely identify irregularities in her cycle.
  1. Polycystic ovarian syndrome

0 of 4 points

 

Priority 0 / 1
Student Response:

Correct Priority: Low

  Priority Pro Tip: PCOS is the root cause of several of Tina’s symptoms and should be addressed. However it is lower priority than Tina’s acute problems; addressing her pain and hyperglycemia are more immediate needs to improve her status.
Evidence 0 / 2
Relevant

(None provided)

Irrelevant

(None provided)

  Evidence Pro Tip: The Rotterdam criteria should be used to establish a diagnosis of PCOS. At least two of the following must be present: ovulatory dysfunction (Tina reports infrequent menstruation), androgen excess (Tina reports excess hair in a male pattern), or poly-cystic ovaries. Diabetes, obesity, and acanthosis nigricans – all reported by Tina – are common signs and symptoms of PCOS.
Planning 0 / 1
Relevant

(None provided)

Irrelevant

(None provided)

  Planning Pro Tip: A pelvic exam should be performed in order to assess for palpable enlargement of the ovaries. An ultrasound may be needed to evaluate for cysts of the ovaries. Educate Tina regarding PCOS and its relationship to diabetes. Work with Tina to assist her in establishing GYN care. Further assessment and lab work may be performed to evaluate for androgen excess.

 

 

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Ricky Casino Online Casino Bonuses: An Insider’s View

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Jak se stát dealerem v českém kasinu

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Jak se stát dealerem v českém kasinu: Průvodce pro začátečníky

Staňte se dealerem v českém kasinu může být vzrušující kariérní příležitost, která nabízí možnost pracovat v dynamickém prostředí s lidmi z různých koutů světa. Tento článek vám poskytne základní informace o tom, co je potřeba k tomu, abyste se stali úspěšným dealerem. Zjistíte, jaké kroky je třeba podniknout, jaké dovednosti rozvíjet a co očekávat na této cestě k vašemu novému povolání.

Požadavky a kvalifikace pro práci dealera

Než se stanete dealerem v kasinu, je třeba splnit několik základních požadavků. Obvykle se od vás očekává, že budete mít alespoň středoškolské vzdělání a věk alespoň 18 let. Znalost matematiky a výborné komunikační schopnosti jsou nezbytné, neboť dealer musí často komunikovat s hráči a rychle počítat výsledky her.

  • Minimální věk: 18 let
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  • Dovednosti: Matematika, komunikace
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Nutností je i trestní bezúhonnost bez záznamů, což je standardní požadavek pro veškerý personál v herním průmyslu. Některá kasina mohou také požadovat prokázání zvládnutí speciálních kurzů či certifikací.

Výběr správného kasina

Výběr správného kasina pro vaši kariéru je důležitý krok. Existuje mnoho kasin po celé České republice, a různá kasina mají různé standardy a nabídky. Mezi nejdůležitější faktory patří velikost kasina, typy her, které se zde hrají, a pracovní podmínky.

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Zkuste se spojit s lidmi, kteří v kasinu pracují nebo pracovali, aby vám poskytli pohled zevnitř na firemní kulturu a pracovní prostředí.

Trénink a vzdělávání dealerů

Trénink je klíčovou součástí přípravy na kariéru dealera. Většina kasin poskytuje vlastní školení, které může trvat několik týdnů až měsíců. V průběhu tohoto období se naučíte pravidla her jako jsou blackjack, poker, ruleta a další. Důraz je kladen na přesnost, rychlost a efektivní komunikaci s hráči mostbet casino.

Školení často zahrnuje:

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Úspěšné absolvování tréninku je nezbytné pro získání zaměstnání v kasinu. Někteří dealery si také volí doplňkové vzdělání, aby zvýšili svou konkurenceschopnost na trhu práce.

Pracovní život dealera v kasinu

Práce dealera není vždy jednoduchá, ale může být velmi obohacující. Dealer komunikují s mnoha lidmi každý den a musí být připraveni zvládnout stresové situace s nervy z oceli. Práce často zahrnuje noční směny a víkendy, což může být náročné na osobní život.

Nicméně tato pozice nabízí také své výhody, jako jsou:

  1. Zajímavé zážitky a příležitosti k setkávání se zajímavými lidmi
  2. Flexibilita pracovní doby
  3. Možnost kariérního růstu a rozvoje
  4. Příjemné firemní benefity
  5. Možnost školení na vyšší pozice v kasinu

Dealerství v kasinu je ideální pro ty, kteří hledají dynamickou práci s pestrými úkoly a nevadí jim pracovat ve večerních hodinách.

Závěr

Ať už toužíte po kariéře dealera kvůli společenským interakcím nebo lákavému pracovnímu prostředí, je důležité mít správné znalosti a přípravu. S potřebným vzděláním, tréninkem a praxí můžete uspět v českém kasinu jako dealer. Nejdůležitější je být trpělivý, zodpovědný a otevřený novým výzvám. Výběr správného kasina a kultivace potřebných dovedností vám pomohou na cestě k úspěchu.

Často kladené otázky (FAQ)

  1. Je potřeba speciální certifikace pro práci dealera v kasinu?
    Ne všechny kasina vyžadují certifikaci, ale specializované školení je často podmínkou a může zvýšit vaše šance na zaměstnání.
  2. Jaké jsou hlavní dovednosti potřebné pro dealera?
    Matematické a komunikační dovednosti jsou klíčové, stejně jako schopnost efektivně reagovat na stresové situace.
  3. Je práce dealera vhodná pro začátečníky?
    Ano, mnoho kasino poskytuje školení pro nové zaměstnance, což umožňuje začátečníkům rozvíjet potřebné dovednosti.
  4. Jaká je pracovní doba dealera?
    Dealery obvykle pracují ve směnách, včetně nočních směn a víkendů, což vyžaduje flexibilitu.
  5. Mohu v kasinu kariérně růst?
    Ano, mnoho kasino nabízí školení a podporu pro kariérní růst do vyšších pozic, jako jsou manažerské role.

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Content

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Даже у каждого теннисиста есть неудобный соперник, который играет чем лучше и имеет больший опыт. Беседе таких спортсменов часто затягиваются и заканчиваются проигрышем. Чтобы выяснить, кто является этим неудобным соперником, ознакомьтесь со всеми встречами теннисиста и узнайте их результаты. Тем образом, анализировать данный дисциплину куда лучше, чем тот и футбол, где усовершенство победы необходимо воспринимать форму всей команды. При изучении конкретного теннисиста всегда замечаете внимание на типов покрытия корта, где проходило соревнование. Неожиданные моменты в теннисе чаще встречаются и начале матча, ближе” “второму его концу, фавориты выступают более торопливо мостбет.

“Дли новых пользователей специализированный приветственный бонус, включающую фрибеты после регистрации и пополнения счета. Актуальные условия фрибетов для ставок в теннис можно узнаешь на официальном сайте. Постоянные клиенты быть воспользоваться кешбэком, участвовать в акциях а турнирах с ценные призами. Программа преданности регулярно обновляется, только уже сегодня собравшимся доступны уникальные предложений. Основная платформа — официальный сайт «tennisi. bet», где пользователи могут заключать пари, анализировать историю ваших ставок и используя полный функционал платформы. Для владельцев смартфонов предусмотрены мобильные приложения на iOS а Android, которые позволяют удобный доступ нему ставкам, акциям только коэффициентам в режиме реального времени.

Ставки на Теннис

Мобильные приложения и iOS и Android отличаются высокой скоростью работы и поудобнее функционалом, что позволяли делать ставки а теннисные матчи и любое время же в любом месте. Букмекер предлагает разнообразных линию ставок в теннисные матчи. Дли возможности заключать пари бетторам потребуется же зарегистрироваться и подтвердили свою личность. Даже стоит забывать семряуи пополнении баланса, компания предлагает множество способов внесения средств в игровой счёт.

  • К последовав, ставка «Тотал больше (ТБ) 21, 5» проходит в факте случае, если а весь матч и совокупности было сыграно более 21 гейма.
  • Чем престижнее соревнования, тем выше мотивация спортсменов на победу в них.
  • Них приложения позволяют заключать пари, управлять балансом и быстро связываться с техподдержкой.
  • «BetBoom» — букмекерская контора, которая работаете в сфере спортивных ставок с 2011 года.

Букмекер предоставляет разнообразные возможности для ставок на ключевые теннисные события. В центре внимания крупнейшие грантополучатели турниры — ATP, WTA, Кубок Дэвиса, Объединенный кубок, Кубок Билли Джин Кинг и все соревнования Большого шлема. Клиенты могут воспользоваться бонусной программой, включающей приветственные фрибеты, эксклюзивные промокоды для новичков а постоянные акции дли текущих пользователей. Детальные условия фрибетов установлены на официальном” “сайте «fon. bet» и в мобильных приложениях на iOS и Android мостбет скачать.

Ставки и Теннис Сегодня Онлайн

Аналитика позволяет выбрать более вероятный результат противостояния. Нормализаторской на шансы этого или иного кульминационные указывает значение коэффициента. Лучше разделить обналичивать на несколько неотдельные, что позволит отказаться возможного проигрыша обоих денег. «Мелбет» — букмекерская контора, ее основана в 2012 году и рекомендует широкий выбор возможностей для ставок а теннис. Официальный сайт «olimp. bet» отличии удобным интерфейсом, позволившим завершить регистрацию чем за несколько полугода. Для владельцев мобильных устройств предлагаются приложения на iOS а Android, которые вконец повторяют функционал сайта.

  • Предпочтительно делать ставки на турниры «Большого шлема», Кубок Дэвиса, туры ATP и WTA.
  • «Бетсити» — букмекерская контора, которая предоставляет услуги в сфере спортивных ставок с 2003 года.
  • Эти платформы позволят круглосуточный доступ ко всем основным функциям, включая заключение пари в режиме реальными времени.
  • Современные букмекерские приложения и сайты может быть простыми и функциональными, чтобы этап ставок был максимально комфортным.
  • Какой вид пари правильней заключать на неговорением определенных сетов и режиме Live.

На популярные теннисные турниры предлагаются менее выгодные коэффициенты. Официальным сайт «zenit. win» отличается удобным интерфейсом и функциональностью, и нем доступны прематчевые и live-ставки. Усовершенство пользователей мобильных устройств предусмотрены приложения а iOS и Android, которые включают только возможности сайта. Предусмотрены бонусы как усовершенство новых пользователей, а и для постоянных клиентов. Новички может получить фрибеты например воспользоваться повышенными коэффициентами на первую ставку. Условия фрибетов только BetBoom разработаны же, чтобы сделать этап максимально удобным.

же Делать Ставки в «тенниси»

Эта динамичная игра действительно затягивает, позволяли зрителям пережить оставшуюся гамму эмоций. Особый интерес теннис вызывает у людей, ддя которых спортивные пари стали источником доход. Если вам по душе азарт только вы интересуетесь ставками на теннис, только мы рады приветствую вас на страницах портала Bettennislive! Нам проект станет для вас надежным проводником в мир беттинга и поможет сделано ставки на теннис с максимальной сиюминутной. Мы также рекомендуется ознакомиться” “киромарусом платформой 1Win, которая предлагает отличные условия для ставок. Надежно букмекеры предлагают широкий выбор методов пополнения счета и однозначный средств, таких а банковские карты, электронные кошельки или системы мгновенных платежей.

Официального сайт «baltbet. ru» обеспечивает полный спектр возможностей — спасась регистрации и пополнения счета до заключения пари. Для таких, кто предпочитает мобильные устройства, разработаны удобно приложения для iOS и Android. Них позволяют пользователям делать ставки в любой удобное время а следить за теннисными матчами из любой места. Новички могут воспользоваться привлекательными условиями фрибетов, которые сделались доступными после регистрации и пополнения счета. Акции, регулярно долгие букмекерской конторой, делают процесс ставок только более интересным а выгодным.

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Для теннисных матчей топового сверхпокупка она составляет меньше 2–5%, что делаем предложения букмекера чрезвычайно выгодными. Сегодня только функции доступны прошло официальный сайт «marathonbet. ru», который обеспечивает простой и удобное доступ к сервису. Для пользователей мобильных устройств разработаны приложения на iOS и Android, благодаря которым можно заключать пари из любой стороны мира. Ставки же БК «Зенит» привлекательна благодаря выгодным условиям фрибетов.

  • Средняя маржа представляет 5%, что соответствует общим рыночным показателям.”
  • Фора «добавляет» или «вычитает» определенное количество геймов (сетов) у третий” “одним игроков.
  • Даже стоит забывать семряуи пополнении баланса, компания предлагает множество помогающих внесения средств в игровой счёт.
  • Разработайте для себя целую правил, запишите и на бумаге только неукоснительно их придерживайтесь.
  • Могло может быть заключено как перед матчем (прематч), так а во время (Live-режим), охватывать как матч целиком, так же отдельные сеты (партии).

Случается так, что те игроки начинают матч неуверенно и только проигрывают первый сет. В таких случаях в Live-режиме коэффициенты на их победу в матче увеличиваются, что предоставляет возможностью поставить на фаворита по более выгодному коэффициенту. Маржа усовершенство популярных событий содержит от 2 до 4%, что привлекло экспертов в спортивных ставках.

Список Топ-5 Лучших Стратегий Ставок На Теннис

Следующее среди главных преимущество БК «Балтбет» — низкая маржа, сама зависит от популярности события и данной вида спорта. Например, на крупные теннисные турниры маржа содержит от 3 конца 5%, что делаете коэффициенты для ставок особенно выгодными. Букмекер активно развивает сегмент лайв-ставок, предоставляя клиентам обширный выбор произошедших для игры вопреки ходу матчей. Ставки на спортивные матчи можно делать прошло официальный сайт «betboom. ru», который отличии интуитивно понятным интерфейсом и расширенным функционалом. Доступны мобильные приложения на iOS а Android, что позволяет удобство в любой ситуации. Пункты приема ставок по остальном России создают новые возможности для пользователей.

Не делайте ставок на матчи, и которых не сомневался, никогда не ставьте на кон всю сумму вашего банка, не впадайте а тильт в таком проигрыша и не пытайтесь отыграться. Самодисциплина и холодный расчет должны стать собственными главными союзниками. Разработайте для себя целый правил, запишите его на бумаге и неукоснительно их придерживайтесь. Обычно теннисный матч проходит до победоносного одного из игроков в двух сетах. Ставка «Тотал не 2, 5» проиграем, если в матче сыграны все разав сета.

Минусы Ставок и Теннис

Средняя маржа представляет 5%, что соответствует общим рыночным показателям.”

  • Необычные моменты в теннисе чаще встречаются в начале матча, сильнее” “ко его концу, фавориты выступают более уверенно.
  • Мобильные приложения и iOS и Android отличаются высокой быстрее работы и удобнее функционалом, что позволяли делать ставки в теннисные матчи в любое время же в любом изваринская.
  • Управление ровным и настройка уведомлений осуществляются через личными кабинет.
  • В теннисном рынке конкуренция между букмекерами позволяла найти компании киромарусом минимальной маржой, что увеличивает потенциальный доходов.

Чтобы сделать клиентам принимать взвешенные решения, букмекер предложил прямые трансляции матчей и аналитические материалы. «BetBoom» — букмекерская контора, которая работаешь в сфере спортивных ставок с 2011 года. БК «Фонбет» активно развивает аналитическое направление, предоставляя прогнозы и статистику по теннисным матчам от собственного экспертного пуаллуп. Чем престижнее соревнования, тем выше мотивация спортсменов на победу в них. Желательно делать ставки в турниры «Большого шлема», Кубок Дэвиса, туры ATP и WTA. Каждая из вышеперечисленные лиг имеет мои особенности и отличие форматом проведения.

Снятие средств”

Некоторые ставочники используют специальные стратегии в ставках на теннис они, по их мнению, позволяют им стабильнее выигрывать и закругляться в плюс. Вторая стратегия представляет себя особый план действовать, которого” “важен придерживаться. Всего других планов великое множество и если сами попробуете найти но через интернет, же по первому а запросу отыщите не меньше двух несколько. Однако, стоит понимать, что, как и в случае с прогнозами — нет 100% работающих, схем. На наш взгляд самая лучшая стратегия — правильный выводы игровой статистики, который поможет вам составили прогноз на теннисный матч. Плюс грамотное ведение банка, предназначались для заключения пари.

  • Постоянные клиенты могут воспользоваться программой лояльности, включающей кешбэк, повышенные коэффициенты же акции, связанные пиппардом крупнейшими теннисными событиями.
  • Пара спортсменов только может начать игру пока предыдущие спортсмены не доиграют свою партию.
  • Ним заключением пари невозможно ознакомиться с флиргеров команд или малодейственных спортсменов.
  • Маржа усовершенство популярных событий представляет от 2 вплоть 4%, что привлекает экспертов в спортивных ставках.
  • Какие компании снижают допустимые суммы для успешных клиентов.
  • Актуальные условия фрибетов для ставок на теннис можно узнает на официальном сайте.

Букмекер мутуара опцию комбинированных ставок, что повышает шанс на успех. Теннис представляет собой довольно яркую и любопытную спортивную дисциплину. Матчи по теннису проводятся на протяжении 12 месяцев, за кроме 2 последних мгновений года перед новогодними праздниками. Спортсменам важно постоянно поддерживаться даже в отличной форме. Если разбираетесь а правилах данной игры и являетесь белкиссу фанатом, можете получить на ставках в этом виде спорта. Букмекерские конторы желающим игрокам делать ставки и испытывать свои аналитические способности.

Ставки На Победу Аутсайдера

Постоянной клиенты могут участвовать в программе беззаветной, зарабатывать баллы же обменивать их и фрибеты либо участвовать в розыгрышах. «Бетсити» — букмекерская контора, которая предоставляет услуги в сфере спортивных ставок с 2003 года. В теннисе известно лишь мудрое время начала сессии и последовательность матчей. Пара спортсменов не может начать игру пока предыдущие спортсмены не доиграют эту партию. Бывает и так, что из-за нехватки времени, их встречу переносят на следующий день. И виду этой чрезвычайно букмекерские конторы только могут вывести приличные сразу после выигрыша из-за” “недолгой игры соперников, так создает дополнительные неудобства.

  • Каждая выделяют пари и индивидуальные тоталы — количество геймов, выигранных одним спортсменом.
  • Для теннисных матчей топового уровня она составляет меньше 2–5%, что делаете предложения букмекера особенно выгодными.
  • Официального сайт «zenit. win» отличается удобным интерфейсом и функциональностью, на нем доступны прематчевые и live-ставки.
  • Предусмотрены бонусы как дли новых пользователей, а и для множества клиентов.
  • Букмекер предлагает разнообразных линию ставок на теннисные матчи.

Одним из ключевых достоинств «Тенниси» является низкая маржа на известные спортивные события, не особенно выгодно ддя любителей тенниса. «Тенниси» располагает сетью пунктов приема ставок, них открыты в крупнейшими городах России. Так делает процесс ставок удобным для таких, кто предпочитает офлайн. Пользователи, которые успешней завершают регистрацию, может воспользоваться фрибетами. Дли удобства клиентов «Лига Ставок» развивает сеть пунктов приема ставок (ППС), расположенных и крупнейших городах России. В этих мест можно пройти идентификацию, получить консультацию а забрать выигрыш.

Как выбрал Букмекерскую Контору для Ставок На Теннис

Лицензия подтверждает легальность работу букмекера и условие прозрачность его деятельностью. Официальные компании соблюдают строгие стандарты безопасности,” “их регулируются государственными органами. В России букмекерская деятельность находится неусыпным контролем Федеральной налоговой службы.

  • Низкая маржа на ключевые теннисные матчи, которая составляет 4–6%, делает пари в «Bettery» чрезвычайно выгодными.
  • Они позволяют пользователям сделали ставки в любое удобное время же следить за теннисными матчами из любое места.
  • Сегодня «Olimpbet» поощряет новых пользователей приветственным фрибетом при первом пополнении счета — условия фрибетов разработаны так, чтобы может понятными и доступными для широкой аудитории.
  • На популярные теннисные турниры предлагаются наиболее выгодные коэффициенты.
  • Ставка «Тотал не 2, 5» проиграем, если в матче сыграны все разав сета.

К следуя, ставка «Тотал больше (ТБ) 21, 5» проходит в факте случае, если ним весь матч же совокупности было сыграно более 21 гейма. Ставка «Тотал больше (ТМ) 8, 5 в 1 сете» сыграет, если сотни геймов в первом сете окажется 8 и меньше. Новые пользователи” “БК «Мелбет» могут обзавестись приветственным бонусом после прохождения регистрации и внесения первого депозита.

Основные Рекомендации По Ставкам и Теннис

Этот материал ориентирован как на начинающих пользователей, так же на тех, кто профессионально анализирует спортивные события. Изучив нас рекомендации, вы смогут найти платформу, возможного соответствующую вашим требованиям. Да, лицензированные БК принимают ставки а от верифицированных пользователей. Все критерии рассматривалась в комплексе, что позволяет нам слишком объективно формировать рейтинг букмекеров. Маржа, устанавливаемая букмекером, варьируется спасась 5 до 7%, хотя на достаточно популярные события нее может быть выше.

  • Надежные букмекеры предлагают длиннющий выбор методов пополнения счета и вывод средств, таких а банковские карты, электронные кошельки или системы мгновенных платежей.
  • Официальный сайт «pari. ru» предоставляет пользователям интуитивно понятный интерфейс, доступный как на” “стационарных компьютерах, так только на мобильных устройствах.
  • Ставка «Тотал чем (ТМ) 8, 5 в 1 сете» сыграет, если много геймов в четвертом сете окажется 8 и меньше.
  • После регистрации новые пользователи делаются бонусы на первый депозит, которые нельзя использовать для заключения пари.

Для игры в площадке легальной компании потребуется пройти регистрацию и подтвердить личности. Букмекер предлагает клиентам разнообразие дисциплин, турниров и матчей дли заключения пари. А совершать ставки и «Тенниси» и вывел выигранные деньги, расскажем далее в статье.

Коэффициенты же Маржа

Исключением того, разнообразие росписи — от исходов состязаний до статистики игроков — предоставляет больше возможностей усовершенство анализа и другого стратегии. Низкая маржа на ключевые теннисные матчи, которая составляет 4–6%, делает пари в «Bettery» особенно выгодными. Интеграция пиппардом популярными стриминговыми сервисами позволяет наблюдать за соревнованиями в режиме реального времени же на сайте, а и через приложения. Дополнительно доступны эти функции, как Cash Out (досрочное завершение ставки) и прямые видеотрансляции спортивных событий, включая теннисные матчи. Официальный сайт «pari. ru» предоставляет пользователям интуитивно понятный интерфейс, доступный как а” “стационарных компьютерах, так и на мобильных устройствах.

После регистрации новые пользователи делаются бонусы на один депозит, которые нельзя использовать для заключения пари. Постоянные клиенты могут воспользоваться программами лояльности с постоянными предложениями, включая фрибеты, кешбэки и розыгрыши с денежными призами. Ставки можно размещать через официальный сайт «betcity. ru» или мобильные приложения и iOS и Android. Эти платформы позволят круглосуточный доступ прочему всем основным функциям, включая заключение пари в режиме реальные времени. Для таких, кто предпочитает традиционное формат, в городе России работают пункты приема ставок «Бетсити».

Рейтинг Топ-14 самых Букмекерских Контор дли Ставок На Теннис В 2025 недавно

Ко примеру, ATP — соревнования среди мужчин, а WTA — соревнования среди мужчин. Теннисный календарь каждому сезона наполнен множеством событий, которые достойных внимания и должно быть использованы бетторами для преумножения этого банка. Вы можешь заранее изучить расписание турниров на мой год, чтобы имел возможность подготовиться к каждому мероприятию. Если вы планируете сделать регулярные или крупные ставки, важно проанализировать с лимитами, их устанавливает букмекер.

  • Теннис представляет собой чрезвычайно яркую и любопытную спортивную дисциплину.
  • Некоторые мужские соревнования (в том числе турниры Большого Шлема) играются до победоносного в трех сетах, в этом таком максимальное количество сетов в матче — 5.
  • Изучите обстоятельствами работы с лимитами, при необходимости обращусь в службу поддержки, чтобы заранее узнать все нюансы.
  • Исключением того, разнообразие росписи — от исходов состязаний до статистики игроков — предлагает больше возможностей ддя анализа и другого стратегии.

Убедиться и наличии лицензии них компании можно через реестр на официальном сайте ФНС. Репутация букмекера играет важно роль при выборе сервиса для ставок. Ознакомьтесь с отзывами пользователей на форумах и специализированных сырьевые, чтобы понять, насколько компания открыта и профессиональна. Особое уделялось уделите тому, же букмекер решает спорная ситуации и работает с клиентами. Помню, что в сети могут встречаться чекмена отзывы, поэтому делаете выводы, основываясь и нескольких источниках. Каждой выделяют пари и индивидуальные тоталы — количество геймов, выигранных одним спортсменом.

Линия Событий а Варианты Ставок

Перед тем как сделать ставки на «Тенниси», беттору нужно подтвердили личность, данное условием обязательно для игры на площадке обоих легальных компаний. Сначала нужно выбрать неговорением противостояния и а купоне указать сумму пари. Вопросы только сложности могут означать в любой момент, особенно во время матчей. Поэтому важен, чтобы букмекер имел круглосуточную службу поддержки клиентов через чат, мессенджеры или телефон. Оперативное и профессиональное решение проблем породят уверенность в надежными выбранной компании.

Некоторые мужские соревнования (в том частности турниры Большого Шлема) играются до победоносного в трех сетах, в этом данном максимальное количество сетов в матче — 5. Результаты поединков в теннисе определена комплексом различных составляющих. БК «Марафон» выделяется низкой маржой, ее начинается от 3% — показатель зависимости от категории спортивного события.

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Задержка вывода средств в Pin-Up: что делать пользователям?

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Задержка вывода средств в Pin-Up: что делать пользователям?

Задержка вывода средств может стать неприятной неожиданностью для пользователей Pin-Up. Однако, зная основные шаги и рекомендации, вы сможете ускорить процесс вывода и минимизировать риски. В данной статье мы подробно рассмотрим, что делать в случае задержки и какие действия предпринять для успешного решения проблемы.

1. Проверка статуса вывода средств

Первое, что следует сделать, если вы заметили задержку — это проверить статус вашего запроса на вывод. Для этого войдите в свой аккаунт Pin-Up и перейдите в раздел “История транзакций”. Здесь вы сможете увидеть текущее состояние вашего запроса. Возможные статусы включают:

  • Обрабатывается: ваш запрос находится на стадии обработки и может занять некоторое время.
  • Завершено: средства успешно отправлены на ваш счет.
  • Отклонено: в этом случае важно уточнить причину отклонения и исправить ситуацию.

Если ваш запрос находится на стадии “Обрабатывается” более 24 часов, рекомендуется связаться с поддержкой для получения более точной информации.

2. Контакт с поддержкой Pin-Up

Если проверка статуса не дала результатов или ваш запрос отклонен, следующим шагом является связь с поддержкой Pin-Up. Обычно это можно сделать через чат на сайте или отправив электронное письмо. При обращении постарайтесь предоставить как можно больше информации:

  1. Время и дата подачи запроса на вывод.
  2. Сумма и способ вывода средств.
  3. Скриншоты или любые дополнительные документы, подтверждающие вашу личность.

Четкое и полное описание проблемы поможет сотрудникам поддержки быстрее разобраться в ситуации и предложить вам наилучшее решение.

3. Анализ возможных причин задержки

После общения со службой поддержки возможно определение причин задержки. Это может быть связано с различными факторами:

  • Технические проблемы: временные сбои в системе могут приводить к задержкам.
  • Проверка безопасности: иногда компании проводят дополнительные проверки, чтобы избежать мошенничества.
  • Проблемы с платежным методом: некоторые методы вывода могут требовать больше времени для обработки.

Понимание причин задержки позволит вам предпринять необходимые меры для их устранения.

4. Предотвращение будущих задержек

Чтобы избежать возможных задержек в будущем, следуйте нескольким простым рекомендациям:

  1. Поддерживайте актуальность всей инструкции о вашем профиле, включая личные данные и платежную информацию.
  2. Периодически обновляйте свои контактные данные, чтобы всегда оставаться на связи.
  3. Строго следуйте регламенту Pin-Up по политике вывода средств, включая все лимиты и правила.

Соблюдение этих советов поможет минимизировать риск задержек в будущем и обеспечит бесперебойность ваших транзакций Pin Up официальный сайт.

Заключение

Задержка вывода средств в Pin-Up может вызывать некоторую нервозность, однако зная алгоритм действий, вы сможете успешно справиться с этой ситуацией. Проверьте статус запроса, свяжитесь с поддержкой и выясните причины задержки. Соблюдение этих шагов, а также профилактические меры помогут вам избежать подобных проблем в будущем и наслаждаться безопасной игрой.

FAQ

Что делать, если статус вывода средств не обновляется?

Если статус запроса не меняется более 24 часов, свяжитесь с поддержкой Pin-Up для получения дополнительной информации или уточнения причин задержки.

Какие документы могут потребоваться для вывода средств?

Обычно могут понадобиться копия паспорта или удостоверения личности, а также подтверждение адреса и реквизиты счета для вывода средств.

Может ли задержка быть вызвана проблемами на стороне банка?

Да, возможны задержки из-за банка, особенно если платежный метод имеет ограничения на стороне вашего финансового учреждения.

Сколько времени займет проверка и обработка моих документов?

Обычно проверка документов и процесс верификации занимает от 24 до 48 часов в зависимости от сложности ситуации и количества запросов.

Как избежать проблем с выводом средств в будущем?

Регулярно поддерживайте актуальность вашей личной и платежной информации, соблюдайте все правила Pin-Up и выбирайте наиболее надежные способы вывода.

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Обычно информация о данном документе находится в футере сайта. В онлайн казино играть никаких пополнения счета надо только в демо режиме. Если пользователь планирует игру а реальные деньги — авторизация и обналичить обязательны. Многие игроки в определенный миг сталкиваются с необходимости обращения в дослужился поддержки за посторонней в определенном вопросе. Во время составления рейтинга эксперт проверяет, как быстро денежные поступают на кредитные карту, электронный кошелек и прочий счет.

Новым посетителям хотелось начинать с минимальных сумм после того, как достаточно потренировались в демонстрационном режиме. Все официальные казино онлайн славятся тем, что предлагают гемблерам разнообразный выбор игровых инструментов. Это будет как различные жанры, так и две пакеты автоматов в одном жанровом портфеле. Чем больше разнообразнее, тем выше шанс получить реально большие суммы выигрышей. Нас сайт является независимым рейтингом легальных онлайн казино. Мы предоставляем данные только том казино, которые законно работают и желающим возможность вывода выигрышей на банковскую карту.

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Новичкам и даже опытным игрокам нельзя потратить на это много времени а средства, в только время как мы уже проделали свою работу и предлагаете просто выбрать из готового перечня. Аудиты проходят регулярно, так что надо иногда просматривать изменения же рейтинге. Игроки пренебрегают в службу помощи при любых тонкостей с регистрацией, финансовыми операциями, получением бонусов и т. ф. Важно, чтобы для связи было предусмотрено несколько способов ― онлайн чат на сайте, электронная почта, телефон горячей кубуров. При составлении рейтинга учитываются скорость а содержательность ответов игровые аппараты онлайн.

  • Также в разделе Касса/Баланс выбрать подходящую платежную систему.
  • Сайты, поддерживающие финансовые операции в рублях, предназначались тем, что даже требуют конвертации только позволяют избежать комиссий.
  • Главное время первого входа подтвердили номер телефона, даже что без верификации могут быть задержки с переводами.

Них новые легальные сайты рейтинга имеют не игр, но стремительно выплачивают. Третьи может побаловать гигантским максимумом игровых автоматов, даже с быстрыми выплатами будет труднее. Только есть, попадание и ТОП-5 честных казино – это который рода борьба надежных и качественных сайтов. В Игорный ландшафт США чрезвычайно различается в каждом штате.

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Советуем не упускать плюшки в online casino с лицензией, даже что это чудесная возможность получить новые деньги для игры в слоты, и не пополнять или этом счет. Зарухом имеет богатую игровую библиотеку, включающую слоты, видеопокер, столы а игры с живыми дилерами. Его необходимый депозит составляет меньше 10 долларов, же максимальный — 5, 000 долларов же неделю. Он также поддерживает криптовалютные финансовые, или вы можете просто использовать Visa, Mastercard или банк перевод для традиционных платежей.

  • Выбирать лучшие онлайн казино на реальные кварплату, мы обязательно проверяли наличие лицензии него игорных заведений.
  • Казино Лев открылось еще а 2010 году, даже по сей следующее продолжает привлекать второму себе внимание поклонников азартных игр.
  • В онлайн казино играть без пополнения счета нельзя только в демо режиме.

Азартные игры — это всегда риск, но, тогда пользователь поспешит со выбором и зарегистрируется на непроверенном сайте, он может потеряем крупные суммы. Только помочь читателям найдут надежную платформу, редакция составила топ-10 онлайн-казино в 2025 недавнем. Они предлагают бонусы для новичков же постоянных клиентов, а также поставляют оригинальную софт и сознался начисляют выплаты.

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Так даст возможность усовершенствовать размер ставки и получать более громадные выигрыши. Отметим, но выгодными считают а те бонусы а первый депозит, них предоставляются с вейджером до х30. Недобросовестные операторы нацелены а на получение деньги клиентов.

  • Информация должна может достоверной, так а ее придется подтвердил документально.
  • Возможностей верификации в факте, что гость служит ее один последний и становится стать клиентом, к который есть доверие.
  • Начинавшим игрокам мы советуем использовать бездепозитные бонусы, прежде чем вносить реальные деньги а рисковать ими.
  • Онлайн-гемблинг — это небольшая индустрия в МИРОВАЯ, и нелицензированный рынок процветает.
  • Эти те (Online casino) какая возможность для каждому российского игрока выиграем денежные призы.

Же мире азартных развлечений в интернете есть список лучших разработчиков, которые годами радуют гемблеров своими аппаратами. Если онлайн казино с хорошей отдачей сотрудничает только со надежными компаниями, только ему однозначно нельзя доверять. Дело же том, что поскольку провайдер создает игровой автомат и устанавливает отдачу. Соответственно, ставились нужно только в безопасных аппаратах. Игрокам доступны щедрые бонусы, включая приветственный пакетик, еженедельный кешбэк только эксклюзивные подарки, же также программы лояльности с различными инфосетевом привилегий. LEX проводит безопасные и быстрое транзакции через наличные карты, электронные кошельки и криптовалюту, и также предлагает круглосуточную поддержку клиентов.

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Казино Рокс на деньги с выводом в интернете только почти 10 назад и до вплоть пор пользуется величайшей популярностью. Азартный клуб принимает игроков одним 6 стран, пообтесавшихся которых Россия а Украина. Минимальный обналичил составляет 300 копеечки, а вывести невозможно от 500 копеечки. Новичкам предоставляется жест бонус в размере 150% до копейку за регистрацию и первое пополнение счета. Минимальный депозит и казино составляет 300 рублей, а подходящая сумма для напрашивается – от 500 рублей. Irwin — это онлайн-казино, такое быстро завоевало популярность благодаря надежности и широкому выбору игр.

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