Experience Overview: reviewed
FOCUSED EXAM: COUGH
Patient: Danny Rivera
Digital Clinical Experience Score
100%
Student Performance Index
34 out of 34
Subjective Information Collection
19 out of 19
...
Experience Overview: reviewed
FOCUSED EXAM: COUGH
Patient: Danny Rivera
Digital Clinical Experience Score
100%
Student Performance Index
34 out of 34
Subjective Information Collection
19 out of 19
Objective Information Collection
15 out of 15
Subjective Information Collection: 19 of 19 (100.0%)
A combination of open and closed questions will yield better patient information. The following details are facts of the patient's case.
Chief Complaint
• Outcome:
Established chief complaint
• Outcome: Reports cough (Found)
Pro Tip: Asking a patient broadly about their chief complaint allows them to answer in their own words and confirm information that you may have already received from another source.
Example Question:
Do you have a cough?
History of Presenting Illness
• Outcome:
Asked about onset of cough
• Outcome:
Reports cough started 3 days ago
(Found)
Pro Tip: Whenever you are assessing a symptom or a health condition, in this case the patient's cough, inquiring about onset assesses the severity and the progression of the problem.
Example Question:
How long have you had a cough?
• Outcome:
Asked about characteristics of cough
• Outcome: Reports cough is wet (Available)
Pro Tip: The characteristics of a cough, such as whether it is dry or wet, can indicate key information about the type of illness the patient has.
Example Question:
Is your cough a wet cough?
• Outcome:
Reports clear sputum with cough
(Found)
Pro Tip: The characteristics of a cough, such as whether it is productive, can indicate key information about the type of illness the patient has.
Example Question:
Do you produce any phlegm or sputum with your cough?
• Outcome:
Asked about frequency and duration of cough
• Outcome:
Reports coughing every few minutes
(Found)
Pro Tip: Establishing how frequently Danny coughs will illustrate how long he has been suffering these particular symptoms and might indicate possible triggers.
Example Question:
How frequently are you coughing?
• Outcome:
Reports coughs last a few seconds
..................................continued
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