Felipe Barbosa Sick Visit Shadow Health Subjective Data Collection
Subjective Data Collection: 36 of 37 (97.3%)
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Hover over the Patient Data items below to reveal important information, including Pro Tips and Example Questions.
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Found:
Indicates an item that you found.
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Available:
Indicates an item that is available to be found.
- Felipe Barbosa Sick Visit Shadow Health Subjective Data Collection
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:
Asked about chief complaint
Finding:
Reports rash
(Found)
Pro Tip: Asking your patient in open terms about the reason for their visit allows them to explain their concerns in their own words, providing a foundation for your interview.Example Question:
What brings you in today?
Finding:
Reports pain
(Found)
Pro Tip: Asking your patient in open terms about the reason for their visit allows them to explain their concerns in their own words, providing a foundation for your interview.Example Question:
What brings you in today?
History of Present Illness
Finding:
Asked about onset of symptoms
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ORDER HERE
Finding:
Reports tingling in area of rash four days ago
(Found)
Pro Tip: If a patient reveals a medical condition or symptoms they have, it is important to ask a wide variety of follow-up questions about the history of the present illness. This can help providers better understand the nature of the disorder, especially through questions about timing, severity, and types of symptoms.Example Question:
Have you felt tingling anywhere?
Finding:
Reports rash broke out two days ago
(Found)
Pro Tip: If a patient reveals a medical condition or symptoms they have, it is important to ask a wide variety of follow-up questions about the history of the present illness. This can help providers better understand the nature of the disorder, especially through questions about timing, severity, and types of symptoms.Example Question:
How long have you had this rash?
Finding:
Reports pain began two days ago
(Found)
Pro Tip: If a patient reveals a medical condition or symptoms they have, it is important to ask a wide variety of follow-up questions about the history of the present illness. This can help providers better understand the nature of the disorder, especially through questions about timing, severity, and types of symptoms.Example Question:
When did the pain start?
Finding:
Asked about location of symptoms
Finding:
Reports rash is on right lower back
(Found)
Pro Tip: If a patient reveals a medical condition or symptoms they have, it is important to ask a wide variety of follow-up questions about the history of the present illness. This can help providers better understand the nature of the disorder, especially through questions about timing, severity, and types of symptoms.Example Question:
What part of your back is the rash on?
Finding:
Reports pain is on right lower back
(Found)
Pro Tip: If a patient reveals a medical condition or symptoms they have, it is important to ask a wide variety of follow-up questions about the history of the present illness. This can help providers better understand the nature of the disorder, especially through questions about timing, severity, and types of symptoms.Example Question:
Where is the pain on your back?
Finding:
Denies pain radiating
(Found)
Pro Tip: If a patient reveals a medical condition or symptoms they have, it is important to ask a wide variety of follow-up questions about the history of the present illness. This can help providers better understand the nature of the disorder, especially through questions about timing, severity, and types of symptoms.Example Question:
Does the pain from your rash travel?
Finding:
Asked about characteristics of symptoms
Finding:
Reports rash is red
(Found)
Pro Tip: If a patient reveals a medical condition or symptoms they have, it is important to ask a wide variety of follow-up questions about the history of the present illness. This can help providers better understand the nature of the disorder, especially through questions about timing, severity, and types of symptoms.Example Question:
Is your rash red?
Finding:
Reports rash is made up of small blisters
(Found)
Pro Tip: If a patient reveals a medical condition or symptoms they have, it is important to ask a wide variety of follow-up questions about the history of the present illness. This can help providers better understand the nature of the disorder, especially through questions about timing, severity, and types of symptoms.Example Question:
Is the rash made up of blisters?
Finding:
Reports pain is burning
(Found)
Pro Tip: If a patient reveals a medical condition or symptoms they have, it is important to ask a wide variety of follow-up questions about the history of the present illness. This can help providers better understand the nature of the disorder, especially through questions about timing, severity, and types of symptoms.Example Question:
Is anywhere burning? Felipe Barbosa Sick Visit Shadow Health Subjective Data Collection
Finding:
Asked about aggravating factors
Finding:
Reports pain is worse when he is sweating or hot
(Found)
Pro Tip: If a patient reveals a medical condition or symptoms they have, it is important to ask a wide variety of follow-up questions about the history of the present illness. This can help providers better understand the nature of the disorder, especially through questions about timing, severity, and types of symptoms. Felipe Barbosa Sick Visit Shadow Health Subjective Data CollectionExample Question:
Does sweating cause rash pain?
Finding:
Asked about relieving factors
Finding:
Reports ice pack was not very effective
(Found)
Pro Tip: If a patient reveals a medical condition or symptoms they have, it is important to ask a wide variety of follow-up questions about the history of the present illness. This can help providers better understand the nature of the disorder, especially through questions about timing, severity, and types of symptoms.Example Question:
Did the ice pack help your pain?
Finding:
Asked about timing of pain
Finding:
Reports pain is constant
(Found)
Pro Tip: If a patient reveals a medical condition or symptoms they have, it is important to ask a wide variety of follow-up questions about the history of the present illness. This can help providers better understand the nature of the disorder, especially through questions about timing, severity, and types of symptoms.Example Question:
Is the pain in your back constant?
Finding:
Asked about severity of pain
Finding:
Reports pain is a 7 out of 10
(Found)
Pro Tip: If a patient reveals a medical condition or symptoms they have, it is important to ask a wide variety of follow-up questions about the history of the present illness. This can help providers better understand the nature of the disorder, especially through questions about timing, severity, and types of symptoms.Example Question:
Can you rate your rash pain on a scale?
Past Medical History
Finding:
Asked about existing medical conditions
Finding:
Denies existing medical conditions
(Found)
Pro Tip: A patient’s past medical history includes their health conditions, what preventative and maintenance treatments they have received, and any previous medical interventions they have received. Asking about a patient’s medical history helps you contextualize their current health for proper assessment.Example Question:
Do you have a history of medical issues?
Finding:
Asked about childhood illness
Finding:
Reports having chickenpox as a child
(Found)
Pro Tip: A patient’s past medical history includes their health conditions, what preventative and maintenance treatments they have received, and any previous medical interventions they have received. Asking about a patient’s medical history helps you contextualize their current health for proper assessment.Example Question:
Have you had chicken pox?
Finding:
Asked about surgeries
Finding:
Denies previous surgeries
(Found)
Pro Tip: A patient’s past medical history includes their health conditions, what preventative and maintenance treatments they have received, and any previous medical interventions they have received. Asking about a patient’s medical history helps you contextualize their current health for proper assessment.Example Question:
What surgeries have you had?
Finding:
Asked about hospitalizations
Finding:
Denies previous hospitalizations
(Found)
Pro Tip: A patient’s past medical history includes their health conditions, what preventative and maintenance treatments they have received, and any previous medical interventions they have received. Asking about a patient’s medical history helps you contextualize their current health for proper assessment.Example Question:
Have you been hospitalized recently?
Finding:
Asked about allergies
Finding:
Denies food allergies
(Found)
Pro Tip: A patient’s past medical history includes their health conditions, what preventative and maintenance treatments they have received, and any previous medical interventions they have received. Asking about a patient’s medical history helps you contextualize their current health for proper assessment.Example Question:
What food allergies do you have?
Finding:
Denies medication allergies
(Available)
Pro Tip: A patient’s past medical history includes their health conditions, what preventative and maintenance treatments they have received, and any previous medical interventions they have received. Asking about a patient’s medical history helps you contextualize their current health for proper assessment.Example Question:
What medication allergies do you have?
Finding:
Denies latex allergy
(Available)
Pro Tip: A patient’s past medical history includes their health conditions, what preventative and maintenance treatments they have received, and any previous medical interventions they have received. Asking about a patient’s medical history helps you contextualize their current health for proper assessment.Example Question:
Do you have a latex allergy?
Finding:
Denies environment allergies