HEENT shadow health assessment – tina jones Subjective Data

HEENT shadow health assessment – tina jones Subjective Data

HEENT shadow health assessment – tina jones Subjective Data

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

  • &nbspSubjective Action&nbspPro 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.&nbspExample Question: “is your throat sore?”” data-html=”true” data-title=”Reports sore throat (Found)” data-original-title=””>

    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?

  • &nbspSubjective Action&nbspPro 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.&nbspExample Question: “is your throat itchy?”” data-html=”true” data-title=”Reports itchy throat (Found)” data-original-title=””>

    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?

  • &nbspSubjective Action&nbspPro 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.&nbspExample Question: “are your eyes itchy?”” data-html=”true” data-title=”Reports itchy eyes (Found)” data-original-title=””>

    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:

     

  • &nbspSubjective Action&nbspPro 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.&nbspExample Question: “do you have a runny nose?”” data-html=”true” data-title=”Reports runny nose (Found)” data-original-title=””>

    Finding:

    (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

  • &nbspSubjective Action&nbspPro 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.&nbspExample Question: “how long has your throat been sore?”” data-html=”true” data-title=”Reports sore throat began 1 week ago (Found)” data-original-title=””>

    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?

  • &nbspSubjective Action&nbspPro 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.&nbspExample Question: “when did your nose start running?”” data-html=”true” data-title=”Reports runny nose began 1 week ago (Found)” data-original-title=””>

    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:

     

  • &nbspSubjective Action&nbspPro 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.&nbspExample Question: “when did your eyes start itching?”” data-html=”true” data-title=”Reports itchy eyes began 1 week ago (Found)” data-original-title=””>

    Finding:

    (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:

     

 

  • Finding:

  • &nbspSubjective Action&nbspPro 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.&nbspExample Question: “is the throat pain constant?”” data-html=”true” data-title=”Reports throat pain is constant (Found)” data-original-title=””>

    Finding:

    (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:

     

  • &nbspSubjective Action&nbspPro 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.&nbspExample Question: “when does your sore throat feel the worst?”” data-html=”true” data-title=”Reports throat pain is worse in the morning (Found)” data-original-title=””>

    Finding:

    (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 does your sore throat feel the worst?

  • &nbspSubjective Action&nbspPro 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.&nbspExample Question: “does it hurt when you swallow?”” data-html=”true” data-title=”Reports some soreness with swallowing (Available)” data-original-title=””>

    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

  • &nbspSubjective Action&nbspPro 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.&nbspExample Question: “can you rate your sore throat on a scale of 0 to 10?”” data-html=”true” data-title=”Reports sore throat discomfort as mild to moderate (Found)” data-original-title=””>

    Finding:

    Reports sore throat discomfort as mild to moderate

    (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 your sore throat on a scale of 0 to 10?

 

  • Finding:

    Asked about frequency and duration of runny nose

  • &nbspSubjective Action&nbspPro 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.&nbspExample Question: “how often does your nose run?”” data-html=”true” data-title=”Reports runny nose is constant (Found)” data-original-title=””>

    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.

  • &nbspSubjective Action&nbspPro 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.&nbspExample Question: “does your nose itch?”” data-html=”true” data-title=”Denies itchy nose (Available)” data-original-title=””>

    (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?

  • &nbspSubjective Action&nbspPro 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.&nbspExample Question: “do you feel any sinus pain?”” data-html=”true” data-title=”Denies sinus pain (Available)” data-original-title=””>

    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?

  • &nbspSubjective Action&nbspPro 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.&nbspExample Question: “do you feel any sinus pressure?”” data-html=”true” data-title=”Denies sinus pressure (Available)” data-original-title=””>

    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?

  • &nbspSubjective Action&nbspPro 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.&nbspExample Question: “have you been sneezing?”” data-html=”true” data-title=”Denies sneezing (Available)” data-original-title=””>

    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

  • &nbspSubjective Action&nbspPro 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.&nbspExample Question: “what color is your mucus?”” data-html=”true” data-title=”Reports clear discharge (Found)” data-original-title=””>

    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.

  • &nbspSubjective Action&nbspPro 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.&nbspExample Question: “is the mucus thick?”” data-html=”true” data-title=”Reports thin discharge (Found)” data-original-title=””>

    (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 mucus thick?

  • &nbspSubjective Action&nbspPro 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.&nbspExample Question: “does your mucus have pus in it?”” data-html=”true” data-title=”Denies pus (Available)” data-original-title=””>

    Finding:

    Denies pus

    (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 mucus have pus in it?

 

  •  
  • &nbspSubjective Action&nbspPro 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.&nbspExample Question: “do your eyes constantly itch?”” data-html=”true” data-title=”Reports eye itching is constant (Available)” data-original-title=””>

    (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?

  • &nbspSubjective Action&nbspPro 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.&nbspExample Question: “are your eyes red?”” data-html=”true” data-title=”Reports eye redness (Found)” data-original-title=””>

    Finding:

    Reports eye redness

    (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:

    Are your eyes red?

 

  • Finding:

    Asked related respiratory symptoms

  • &nbspSubjective Action&nbspPro 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.&nbspExample Question: “have you had any changes in your breathing?”” data-html=”true” data-title=”Reports breathing isn’t affected (Found)” data-original-title=””>

    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?

  • &nbspSubjective Action&nbspPro 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.&nbspExample Question: “do you have a cough?”” data-html=”true” data-title=”Denies cough (Available)” data-original-title=””>

    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?

  • &nbspSubjective Action&nbspPro 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.&nbspExample Question: “does your chest feel tight?”” data-html=”true” data-title=”Denies chest tightness (Available)” data-original-title=””>

    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

  • &nbspSubjective Action&nbspPro 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.&nbspExample Question: “have you been wheezing?”” data-html=”true” data-title=”Denies recent wheezing (Found)” data-original-title=””>

    Finding:

    Denies recent wheezing

    (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 been wheezing?

  • &nbspSubjective Action&nbspPro 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.&nbspExample Question: “has your asthma been worse lately?”” data-html=”true” data-title=”Denies increase in recent asthma symptoms (Found)” data-original-title=””>

    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

  • &nbspSubjective Action&nbspPro 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.&nbspExample Question: “do you know what’s causing your symptoms?”” data-html=”true” data-title=”Reports symptoms are similar to allergies (Found)” data-original-title=””>

    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?

  • &nbspSubjective Action&nbspPro 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.&nbspExample Question: “do you think have a cold?”” data-html =true data-title=”Reports symptoms don’t seem like a common cold (Found)” data-original-title=””>

    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?

  • &nbspSubjective Action&nbspPro 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.&nbspExample Question: “do you think are having an allergic reaction?”” data-html =true data-title=”Reports similarity to her sister’s hay fever symptoms (Found)” data-original-title=””>

    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.

 

  •  
  • &nbspSubjective Action&nbspPro 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.&nbspExample Question: “have you treated your eyes with anything?”” data-html=”true” data-title=”Denies treatment for itchy eyes (Found)” data-original-title=””>

    (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?

  • &nbspSubjective Action&nbspPro 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.&nbspExample Question: “have you done anything for your runny nose?”” data-html=”true” data-title=”Denies treatment for nasal symptoms (Available)” data-original-title=””>

    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?

  • &nbspSubjective Action&nbspPro 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.&nbspExample Question: “have you taken any antihistamines?”” data-html=”true” data-title=”Denies taking antihistamine (Available)” data-original-title=””>

    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?

  • &nbspSubjective Action&nbspPro 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.&nbspExample Question: “have you taken any decongestants?”” data-html=”true” data-title=”Denies taking decongestant (Available)” data-original-title=””>

    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

  • &nbspSubjective Action&nbspPro 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.&nbspExample Question: “have you taken anything for your sore throat?”” data-html=”true” data-title=”Reports lozenges as treatment (Found)” data-original-title=””>

    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?

  • &nbspSubjective Action&nbspPro 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.&nbspExample Question: “do the lozenges help?”” data-html=”true” data-title=”Reports lozenges reduce symptoms (Available)” data-original-title=””>

    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?

  • &nbspSubjective Action&nbspPro 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.&nbspExample Question: “how often do you have a lozenge?”” data-html=”true” data-title=”Reports ingesting lozenges every few hours (Available)” data-original-title=””>

    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?

  • &nbspSubjective Action&nbspPro 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.&nbspExample Question: “does drinking water help?”” data-html=”true” data-title=”Reports drinking water reduces symptoms (Found)” data-original-title=””>

    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

  • &nbspSubjective Action&nbspPro 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.&nbspExample Question: “have you started taking any new medications?”” data-html=”true” data-title=”Reports no new medications (Found)” data-original-title=””>

    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

  • &nbspSubjective Action&nbspPro 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.&nbspExample Question: “do you use an inhaler for your asthma?”” data-html=”true” data-title=”Reports using an inhaler to treat asthma symptoms (Found)” data-original-title=””>

    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.

  • &nbspSubjective Action&nbspPro 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.&nbspExample Question: “what is the name of inhaler you are currently using?”” data-html =true data-title=”Reports inhaler is albuterol (Proventil) (Found)” data-original-title=””>

    (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 name of the inhaler you are currently using?

  • &nbspSubjective Action&nbspPro 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.&nbspExample Question: “when did you last use your inhaler?”” data-html=”true” data-title=”Reports last use of inhaler was 1 week ago (Available)” data-original-title=””>

    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?

  • &nbspSubjective Action&nbspPro 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.&nbspExample Question: “how often do you use your inhaler?”” data-html=”true” data-title=”Reports typical inhaler use is 2 – 3 times a week (Found)” data-original-title=””>

    Finding:

    Reports typical inhaler use is 2 – 3 times a week

    (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 often do you use your inhaler?

  • &nbspSubjective Action&nbspPro 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.&nbspExample Question: “how many puffs of your inhaler do you use?”” data-html=”true” data-title=”Reports using 2 – 3 puffs of inhaler when used (Available)” data-original-title=””>

    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?

  • &nbspSubjective Action&nbspPro 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.&nbspExample Question: “how many puffs of your inhaler are you supposed to do?”” data-html=”true” data-title=”Reports prescribed dosage is 2 puffs (Available)” data-original-title=””>

    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

  • &nbspSubjective Action&nbspPro 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.&nbspExample Question: “have you been recently exposed to any allergens?”” data-html=”true” data-title=”Denies exposure to cats (Found)” data-original-title=””>

    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?

  • &nbspSubjective Action&nbspPro 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.&nbspExample Question: “do you have mold in your house?”” data-html=”true” data-title=”Denies exposure to mold or mildew (Available)” data-original-title=””>

    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?

  • &nbspSubjective Action&nbspPro 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.&nbspExample Question: “do you have dust in your house?”” data-html=”true” data-title=”Denies exposure to dust (Found)” data-original-title=””>

    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?

  • &nbspSubjective Action&nbspPro 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.&nbspExample Question: “are you allergic to anything at work?”” data-html=”true” data-title=”Denies exposure to irritants in work environment (Found)” data-original-title=””>

    Finding:

    Denies exposure to irritants in work environment

    (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:

    Are you allergic to anything at work?

  • &nbspSubjective Action&nbspPro 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.&nbspExample Question: “how often do you change your bedding?”” data-html=”true” data-title=”Reports changing bedding once a week (Available)” data-original-title=””>

    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?

  • &nbspSubjective Action&nbspPro 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.&nbspExample Question: “have you smoked cigarettes recently?”” data-html=”true” data-title=”Denies history of cigarette smoking (Found)” data-original-title=””>

    Finding:

    Denies history of cigarette smoking

    (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 smoked cigarettes recently?

  • &nbspSubjective Action&nbspPro 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.&nbspExample Question: “have you been exposed to secondhand smoke recently?”” data-html=”true” data-title=”Denies recent exposure to secondhand smoke (Available)” data-original-title=””>

    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

  • &nbspSubjective Action&nbspPro 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.&nbspExample Question: “when was your last vision test?”” data-html=”true” data-title=”Reports last vision exam was in childhood (Found)” data-original-title=””>

    Finding:

    Reports last vision exam was in childhood

    (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:

    When was your last vision test?

  • &nbspSubjective Action&nbspPro 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.&nbspExample Question: “when was your last hearing test?”” data-html=”true” data-title=”Reports last hearing test was in childhood (Available)” data-original-title=””>

    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?

  • &nbspSubjective Action&nbspPro 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.&nbspExample Question: “when did you last see the dentist?”” data-html=”true” data-title=”Reports dental visit within the last 2 years (Available)” data-original-title=””>

    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?

  • &nbspSubjective Action&nbspPro 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.&nbspExample Question: “how often did you see the dentist when were a child?”” data-html =true data-title=”Reports regular dental visits in childhood (Available)” data-original-title=””>

    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?

  • &nbspSubjective Action&nbspPro 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.&nbspExample Question: “do you have vision insurance?”” data-html=”true” data-title=”Denies vision insurance (Available)” data-original-title=””>

    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?

  • &nbspSubjective Action&nbspPro 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.&nbspExample Question: “do you have dental insurance?”” data-html=”true” data-title=”Denies dental insurance (Available)” data-original-title=””>

    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

  • &nbspSubjective Action&nbspPro 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.&nbspExample Question: “can you confirm that you’re allergic to cats?”” data-html=”true” data-title=”Reports known allergy to cats (Found)” data-original-title=””>

    Finding:

    Reports known 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:

    Can you confirm that you’re allergic to cats?

  • &nbspSubjective Action&nbspPro 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.&nbspExample Question: “are you allergic to dust?”” data-html=”true” data-title=”Reports known allergy to dust (Found)” data-original-title=””>

    Finding:

    Reports known allergy 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:

    Are you allergic to dust?

  • &nbspSubjective Action&nbspPro 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.&nbspExample Question: “do you have seasonal allergies?”” data-html=”true” data-title=”Denies seasonal allergies (Found)” data-original-title=””>

    Finding:

    Denies seasonal 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 seasonal allergies?

Review of Systems

 

  • Finding:

    Asked about constitutional health

  • &nbspSubjective Action&nbspPro 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.&nbspExample Question: “have you been sick recently?”” data-html=”true” data-title=”Denies recent or frequent illnesses (Available)” data-original-title=””>

    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?

  • &nbspSubjective Action&nbspPro 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.&nbspExample Question: “have you had any chills?”” data-html=”true” data-title=”Denies chills (Available)” data-original-title=””>

    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?

  • &nbspSubjective Action&nbspPro 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.&nbspExample Question: “have you had a fever?”” data-html=”true” data-title=”Denies fever (Found)” data-original-title=””>

    Finding:

    Denies fever

    (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 fever?

  • &nbspSubjective Action&nbspPro 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.&nbspExample Question: “have you felt fatigued?”” data-html=”true” data-title=”Reports low energy level (Available)” data-original-title=””>

    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?

  • &nbspSubjective Action&nbspPro 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.&nbspExample Question: “have you felt nauseous?”” data-html=”true” data-title=”Denies nausea or vomiting (Available)” data-original-title=””>

    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

  • &nbspSubjective Action&nbspPro 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.&nbspExample Question: “do you ever get headaches?”” data-html=”true” data-title=”Reports occasional headaches (Found)” data-original-title=””>

    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?

  • &nbspSubjective Action&nbspPro 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.&nbspExample Question: “do you have a headache currently?”” data-html=”true” data-title=”Denies current headache (Available)” data-original-title=””>

    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?

  • &nbspSubjective Action&nbspPro 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.&nbspExample Question: “have you ever had a head injury?”” data-html=”true” data-title=”Denies history of head injury (Available)” data-original-title=””>

    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?

  • &nbspSubjective Action&nbspPro 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.&nbspExample Question: “do you ever get lightheaded?”” data-html=”true” data-title=”Denies lightheadedness (Found)” data-original-title=””>

    Finding:

    Denies lightheadedness

    (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 lightheaded?

 

  • Finding:

    Followed up on headaches

  • &nbspSubjective Action&nbspPro 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.&nbspExample Question: “how often do you get headaches?”” data-html=”true” data-title=”Reports headaches occur once a week (Found)” data-original-title=””>

    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?

  • &nbspSubjective Action&nbspPro 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.&nbspExample Question: “how long do your headaches last?”” data-html=”true” data-title=”Reports headaches last a few hours (Available)” data-original-title=””>

    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?

  • &nbspSubjective Action&nbspPro 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.&nbspExample Question: “how would you describe your headaches?”” data-html=”true” data-title=”Reports headaches feel tight and throbbing (Available)” data-original-title=””>

    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?

  • &nbspSubjective Action&nbspPro 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.&nbspExample Question: “where do you feel your headaches?”” data-html=”true” data-title=”Reports headache location is behind her forehead (Available)” data-original-title=””>

    Finding:

    Reports headache location is behind her forehead

    (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:

    Where do you feel your headaches?

  • &nbspSubjective Action&nbspPro 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.&nbspExample Question: “how would you rate your headache pain on a scale of 0 to 10?”” data-html=”true” data-title=”Reports headache pain as a 3 or 4 (Found)” data-original-title=””>

    Finding:

    Reports headache pain as a 3 or 4

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

  • &nbspSubjective Action&nbspPro 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.&nbspExample Question: “how do you treat your headaches?”” data-html=”true” data-title=”Reports treating headaches with acetaminophen (Tylenol) (Found)” data-original-title=””>

    Finding:

    Reports treating headaches with acetaminophen (Tylenol)

    (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 do you treat your headaches?

  • &nbspSubjective Action&nbspPro 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.&nbspExample Question: “what seems to cause your headaches?”” data-html=”true” data-title=”Reports reading and studying seem to cause headaches (Found)” data-original-title=””>

    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

  • &nbspSubjective Action&nbspPro 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.&nbspExample Question: “do you have blurry vision?”” data-html=”true” data-title=”Reports occasional blurry vision (Found)” data-original-title=””>

    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?

  • &nbspSubjective Action&nbspPro 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.&nbspExample Question: “has your vision gotten worse?”” data-html=”true” data-title=”Reports worsening vision (Found)” data-original-title=””>

    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?

  • &nbspSubjective Action&nbspPro 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.&nbspExample Question: “have you had eye pain?”” data-html=”true” data-title=”Denies eye pain (Available)” data-original-title=””>

    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?

  • &nbspSubjective Action&nbspPro 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.&nbspExample Question: “have you had dry eyes?”” data-html=”true” data-title=”Denies dry eyes (Available)” data-original-title=””>

    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?

  • &nbspSubjective Action&nbspPro 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.&nbspExample Question: “do you have glasses or contacts?”” data-html=”true” data-title=”Denies corrective lenses (Available)” data-original-title=””>

    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

  • &nbspSubjective Action&nbspPro 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.&nbspExample Question: “can you describe your blurry vision?”” data-html=”true” data-title=”Reports blurry vision as fuzzy letters (Available)” data-original-title=””>

    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?

  • &nbspSubjective Action&nbspPro 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.&nbspExample Question: “when do you get blurry vision?”” data-html=”true” data-title=”Reports blurry vision occurs when reading for long periods (Found)” data-original-title=””>

    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?

  • &nbspSubjective Action&nbspPro 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.&nbspExample Question: “how long have you been reading when your vision gets blurry?”” data-html=”true” data-title=”Reports blurry vision occurs after 2+ hours of reading (Available)” data-original-title=””>

    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?

  • &nbspSubjective Action&nbspPro 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.&nbspExample Question: “do you get headaches when have blurry vision?”” data-html =true data-title=”Reports that blurry vision and headaches often coincide (Available)” data-original-title=””>

    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

  • &nbspSubjective Action&nbspPro 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.&nbspExample Question: “have you had ear problems?”” data-html=”true” data-title=”Denies general ear problems (Found)” data-original-title=””>

    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?

  • &nbspSubjective Action&nbspPro 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.&nbspExample Question: “have you had any changes in your hearing?”” data-html=”true” data-title=”Denies change in hearing (Available)” data-original-title=””>

    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?

  • &nbspSubjective Action&nbspPro 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.&nbspExample Question: “have you had ear pain?”” data-html=”true” data-title=”Denies ear pain (Available)” data-original-title=””>

    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.

  • &nbspSubjective Action&nbspPro 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.&nbspExample Question: “have you noticed ear discharge?”” data-html=”true” data-title=”Denies ear discharge (Available)” data-original-title=””>

     

    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

  • &nbspSubjective Action&nbspPro 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.&nbspExample Question: “have you had any changes in your sense of smell?”” data-html=”true” data-title=”Denies change in sense of smell (Available)” data-original-title=””>

    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?

  • &nbspSubjective Action&nbspPro 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.&nbspExample Question: “have you ever had a nasal surgery?”” data-html=”true” data-title=”Denies nasal or sinus surgeries (Available)” data-original-title=””>

    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?

  • &nbspSubjective Action&nbspPro 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.&nbspExample Question: “do you ever get nosebleeds?”” data-html=”true” data-title=”Denies nosebleeds (Available)” data-original-title=””>

    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

  • &nbspSubjective Action&nbspPro 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.&nbspExample Question: “have you ever had problems with your mouth?”” data-html=”true” data-title=”Denies general mouth problems (Found)” data-original-title=””>

    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?

  • &nbspSubjective Action&nbspPro 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.&nbspExample Question: “has your sense of taste changed?”” data-html=”true” data-title=”Denies change in sense of taste (Available)” data-original-title=””>

    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?

  • &nbspSubjective Action&nbspPro 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.&nbspExample Question: “have you had dry mouth recently?”” data-html=”true” data-title=”Denies dry mouth (Available)” data-original-title=””>

    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?

  • &nbspSubjective Action&nbspPro 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.&nbspExample Question: “have you ever had oral surgery?”” data-html=”true” data-title=”Denies history of oral surgery (Available)” data-original-title=””>

    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?

  • &nbspSubjective Action&nbspPro 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.&nbspExample Question: “do you have mouth pain?”” data-html=”true” data-title=”Denies mouth pain (Available)” data-original-title=””>

    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?

  • &nbspSubjective Action&nbspPro 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.&nbspExample Question: “do you have any mouth sores?”” data-html=”true” data-title=”Denies mouth sores (Available)” data-original-title=””>

    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?

  • &nbspSubjective Action&nbspPro 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.&nbspExample Question: “do you have any problems with your gums?”” data-html=”true” data-title=”Denies gum problems (Available)” data-original-title=””>

    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?

  • &nbspSubjective Action&nbspPro 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.&nbspExample Question: “do you have any problems with your tongue?”” data-html=”true” data-title=”Denies tongue problems (Available)” data-original-title=””>

    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?

  • &nbspSubjective Action&nbspPro 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.&nbspExample Question: “do you have any problems with your jaw?”” data-html=”true” data-title=”Denies jaw problems (Available)” data-original-title=””>

    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:

    Do you have any problems with your jaw?

 

  • Finding:

    Asked about review of systems for dentation

  • &nbspSubjective Action&nbspPro 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.&nbspExample Question: “do you have any current dental problems?”” data-html=”true” data-title=”Denies current dental problems (Found)” data-original-title=””>

    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?

  • &nbspSubjective Action&nbspPro 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.&nbspExample Question: “what dental problems have you had?”” data-html=”true” data-title=”Reports a few cavities in childhood (Available)” data-original-title=””>

    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

  • &nbspSubjective Action&nbspPro 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.&nbspExample Question: “do you get strep throat often?”” data-html=”true” data-title=”Denies history of recurrent strep throat (Available)” data-original-title=””>

    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?

  • &nbspSubjective Action&nbspPro 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.&nbspExample Question: “do you have any problems with your lymph nodes?”” data-html=”true” data-title=”Denies lymph node problems (Available)” data-original-title=””>

    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?

  • &nbspSubjective Action&nbspPro 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.&nbspExample Question: “do you have a history of throat problems?”” data-html=”true” data-title=”Denies history of general throat problems (Available)” data-original-title=””>

    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?

  • &nbspSubjective Action&nbspPro 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.&nbspExample Question: “have you noticed any changes to your voice?”” data-html=”true” data-title=”Denies voice changes (Available)” data-original-title=””>

    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?

  • &nbspSubjective Action&nbspPro 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.&nbspExample Question: “do you have any history of tonsil problems?”” data-html=”true” data-title=”Denies history of tonsil problems (Available)” data-original-title=””>

    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?

  • &nbspSubjective Action&nbspPro 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.&nbspExample Question: “do you have neck pain?”” data-html=”true” data-title=”Denies general neck pain (Available)” data-original-title=””>

    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

  • &nbspSubjective Action&nbspPro 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.&nbspExample Question: “do you have any family members with allergies?”” data-html=”true” data-title=”Reports sister with hay fever (Found)” data-original-title=””>

    Finding:

    Reports sister with hay fever

    (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.

  • &nbspSubjective Action&nbspPro 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.&nbspExample Question: “do vision problems run in your family?”” data-html=”true” data-title=”Denies family history of vision problems (Available)” data-original-title=””>

     

    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?

  • &nbspSubjective Action&nbspPro 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.&nbspExample Question: “do sinus problems run in your family?”” data-html=”true” data-title=”Denies family history of sinus problems (Available)” data-original-title=””>

    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?

  • &nbspSubjective Action&nbspPro 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.&nbspExample Question: “do hearing problems run in your family?”” data-html=”true” data-title=”Denies family history of ear or hearing problems (Available)” data-original-title=””>

    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?

  • &nbspSubjective Action&nbspPro 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.&nbspExample Question: “do you have any family history of throat problems?”” data-html=”true” data-title=”Denies family history of mouth, throat, or gland problems (Found)” data-original-title=””>

    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?

  • &nbspSubjective Action&nbspPro 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.&nbspExample Question: “do you have any family history of migraines?”” data-html=”true” data-title=”Denies family history of headache or migraine (Available)” data-original-title=””>

    Finding:

    Denies family history of headache or migraine

 

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