healthcare > EXAM > IHUMAN WEEK-6 NR-579 BASILIA BARCO 53 Y/O WHITE FEMALE 5’6’’ 165 LB (All)
IHUMAN WEEK-6 NR-579 BASILIA BARCO 53 Y/O WHITE FEMALE 5’6’’ 165 LB
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IHUMAN WEEK-6 NR-579 BASILIA BARCO 53 Y/O WHITE FEMALE 5’6’’ 165 LB Reason for encounter: Back pain Good: • How can I help you today? o I’m having terrible back pain. I must have... thrown my back out. • Do you have any other symptoms or concerns we should discuss? o Right now, you mean? All I can think about is my back. • Where more precisely is the pain in your back? o It seems to be in my lower back. • When did the pain in your back start? o Three days ago. • What are the events surrounding the start of your back pain? o It hit me as I was lifting a heavy laundry basket full of wet clothes. Wham! Out of nowhere. • Does anything make the pain in your back better or worse? o It just won’t go away. I can’t seem to do anything to make it better. It is definitely worse when I move. • What does the pain in your back feel like? o It is really sharp, stabbing, gnawing… • Does the pain in your back radiate someplace else? Where? o Yeah, I can feel it in my right leg and sometimes all the way to my foot. It’s not in my foot or anything, but mostly in my thigh. • How severe (1-10 scale) is the pain in your back? o It is really excruciating—10/10 at times. • Do you have any tingling and/or numbness anywhere? o My right leg feels a little numb and tingling on the outside of my thigh. • Are you taking any over-the-counter or herbal medications? o Yes, I’ve been taking ibuprofen, but it’s not strong enough for this pain. • ROS: o Fatigue, difficulty sleeping, unintentional weight loss or gain, fevers, or night sweats? ▪ Yes, a bunch of that. What do you want to know about? o Do you have any problems with an itchy scalp, skin changes, moles, thinning hair, or brittle nails? ▪ Nope. [Show More]
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