Subjective Data Collection: 28 of 28 (100.0%)
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
...
Subjective Data Collection: 28 of 28 (100.0%)
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 Patient
Finding:
Established chief complaint
Finding:
Reports hitting head
(Found)
Pro Tip: A pediatric 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 remember details of the accident?
Finding:
Reports falling off skateboard
(Found)
Pro Tip: A pediatric 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 made you come here today?
Finding:
Reports scalp hematoma
(Found)
Pro Tip: A pediatric 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:
Where did you hurt when you fell?
Finding:
Reports headache
(Found)
Pro Tip: A pediatric 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 are your symptoms?
Finding:
Reports confusion
(Found)
Pro Tip: A pediatric 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:
Were you confused when you woke up?
Finding:
Reports dizziness
(Found)
Pro Tip: A pediatric 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:
Have you felt lightheaded or dizzy?
Finding:
Reports light sensitivity
(Found)
Pro Tip: A pediatric 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:
Have you been sensitive to light?
History of Present Illness Patient
Finding:
Asked patient about additional symptoms
Finding:
Reports also vomiting
(Found)
Pro Tip: Asking a pediatric patient about the duration and onset of their current health issues
solicits information relevant to the history of their present illness. Details of their current
complaint will help you follow-up on any present conditions or symptoms, such as the
location of their pain or the amount of pain they may be experiencing.
Example Question:
Have you noticed other symptoms?
Finding:
Reports also losing consciousness
(Found)
Pro Tip: Asking a pediatric patient about the duration and onset of their current health issues
solicits information relevant to the history of their present illness. Details of their current
complaint will help you follow-up on any present conditions or symptoms, such as the
location of their pain or the amount of pain they may be experiencing.
Example Question:
Do you have other health concerns?
Finding:
Denies noticing other injuries
(Available)
Pro Tip: Asking a pediatric patient about the duration and onset of their current health issues
solicits information relevant to the history of their present illness. Details of their current
complaint will help you follow-up on any present conditions or symptoms, such as the
location of their pain or the amount of pain they may be experiencing.
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