Sick Visit: Management of Endocrine Conditions Shadow health Subjective Data Collection
Subjective Data Collection: 40 of 43 (93.0%)
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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. Sick Visit: Management of Endocrine Conditions Shadow health Subjective Data Collection
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
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Finding:
Asked about chief complaint
Finding:
Reports hair loss
(Found)
Pro Tip: Asking your patient in open terms about the reason for their visit allows them to explain their concerns in their own words, providing a foundation for your interview.
Example Question:
What brings you in today?
Finding:
Reports fatigue
(Found)
Pro Tip: Asking your patient in open terms about the reason for their visit allows them to explain their concerns in their own words, providing a foundation for your interview.
Example Question:
What brings you in today?
Orientation
Finding:
Established orientation
Finding:
Oriented to person
(Found)
Pro Tip: Determining a patient’s orientation to the time, place, situation, and their own person allows you to assess their cognitive function, especially when it may be affected by a patient’s health condition.
Example Question:
Can you tell me your name?
Finding:
Oriented to time
(Available)
Pro Tip: Determining a patient’s orientation to the time, place, situation, and their own person allows you to assess their cognitive function, especially when it may be affected by a patient’s health condition.
Example Question:
Can you tell me today’s date?
Finding:
Oriented to place
(Available)
Pro Tip: Determining a patient’s orientation to the time, place, situation, and their own person allows you to assess their cognitive function, especially when it may be affected by a patient’s health condition. Sick Visit: Management of Endocrine Conditions Shadow health Subjective Data Collection
Example Question:
Can you tell me where you are right now?
Finding:
Oriented to situation
(Found)
Pro Tip: Determining a patient’s orientation to the time, place, situation, and their own person allows you to assess their cognitive function, especially when it may be affected by a patient’s health condition.
Example Question:
Do you know why you are here today?
History of Present Illness
Finding:
Asked about onset of fatigue
Finding:
Reports fatigue began 1 month ago
(Found)
Pro Tip: If a patient reveals a medical condition or symptoms they have, it is important to ask a wide variety of follow-up questions about the history of the present illness. This can help providers better understand the nature of the disorder, especially through questions about timing, severity, and types of symptoms.
Example Question:
When did your fatigue start?
Finding:
Asked about timing of fatigue
Finding:
Reports fatigue lasts all day
(Found)
Pro Tip: If a patient reveals a medical condition or symptoms they have, it is important to ask a wide variety of follow-up questions about the history of the present illness. This can help providers better understand the nature of the disorder, especially through questions about timing, severity, and types of symptoms.
Example Question:
How often do you feel fatigued?
Finding:
Asked about aggravating factors for fatigue
Finding:
Denies aggravating factors for fatigue
(Found)
Pro Tip: If a patient reveals a medical condition or symptoms they have, it is important to ask a wide variety of follow-up questions about the history of the present illness. This can help providers better understand the nature of the disorder, especially through questions about timing, severity, and types of symptoms.
Example Question:
Does anything make your fatigue worse?
Finding:
Asked about relieving factors for fatigue
Finding:
Denies relieving factors for fatigue
(Found)
Pro Tip: If a patient reveals a medical condition or symptoms they have, it is important to ask a wide variety of follow-up questions about the history of the present illness. This can help providers better understand the nature of the disorder, especially through questions about timing, severity, and types of symptoms.
Example Question:
Does anything make you less fatigued?
Finding:
Asked about activities of daily living
Finding:
Denies difficulty performing activities of daily living
(Found)
Pro Tip: If a patient reveals a medical condition or symptoms they have, it is important to ask a wide variety of follow-up questions about the history of the present illness. This can help providers better understand the nature of the disorder, especially through questions about timing, severity, and types of symptoms.
Example Question:
Can you perform your activities of daily living?
Finding:
Asked about onset of hair loss
Finding:
Reports hair loss began 3 weeks ago
(Found)
Pro Tip: If a patient reveals a medical condition or symptoms they have, it is important to ask a wide variety of follow-up questions about the history of the present illness. This can help providers better understand the nature of the disorder, especially through questions about timing, severity, and types of symptoms.
Example Question:
When did your hair loss begin?
Past Medical History
Finding:
Asked about existing health conditions
Finding:
Reports diagnosis of hypothyroidism
(Found)
Pro Tip: A patient’s past medical history includes their health conditions, what preventative and maintenance treatments they have received, and any previous medical interventions they have received. Asking about a patient’s medical history helps you contextualize their current health for proper assessment.
Example Question:
Do you have any existing health conditions?
Finding:
Reports diagnosis of osteopenia
(Found)
Pro Tip: A patient’s past medical history includes their health conditions, what preventative and maintenance treatments they have received, and any previous medical interventions they have received. Asking about a patient’s medical history helps you contextualize their current health for proper assessment.
Example Question:
Do you have any existing health conditions? Sick Visit: Management of Endocrine Conditions Shadow health Subjective Data Collection
Finding:
Asked about onset of existing conditions
Finding:
Reports being diagnosed with hypothyroidism 15 years ago
(Found)
Pro Tip: A patient’s past medical history includes their health conditions, what preventative and maintenance treatments they have received, and any previous medical interventions they have received. Asking about a patient’s medical history helps you contextualize their current health for proper assessment.
Example Question:
When were you diagnosed with hypothyroidism?
Finding:
Reports being diagnosed with osteopenia 4 years ago
(Found)
Pro Tip: A patient’s past medical history includes their health conditions, what preventative and maintenance treatments they have received, and any previous medical interventions they have received. Asking about a patient’s medical history helps you contextualize their current health for proper assessment.
Example Question:
When were you diagnosed with osteopenia?
Finding:
Asked about hypothyroidism symptoms
Finding:
Denies any known symptoms of hypothyroidism
(Found)
Pro Tip: A patient’s past medical history includes their health conditions, what preventative and maintenance treatments they have received, and any previous medical interventions they have received. Asking about a patient’s medical history helps you contextualize their current health for proper assessment.
Example Question:
Does your hypothyroidism cause any symptoms?
Finding:
Asked about osteopenia symptoms
Finding:
Denies any known symptoms of osteopenia
(Available)
Pro Tip: A patient’s past medical history includes their health conditions, what preventative and maintenance treatments they have received, and any previous medical interventions they have received. Asking about a patient’s medical history helps you contextualize their current health for proper assessment Sick Visit: Management of Endocrine Conditions Shadow health Subjective Data Collection.
Example Question:
Does your osteopenia cause any symptoms?
Finding:
Asked about allergies
Finding:
Denies food allergies
(Found)
Pro Tip: A patient’s past medical history includes their health conditions, what preventative and maintenance treatments they have received, and any previous medical interventions they have received. Asking about a patient’s medical history helps you contextualize their current health for proper assessment.
Example Question:
Do you have any food allergies?
Finding:
Denies medication allergies
(Found)
Pro Tip: A patient’s past medical history includes their health conditions, what preventative and maintenance treatments they have received, and any previous medical interventions they have received. Asking about a patient’s medical history helps you contextualize their current health for proper assessment.
Example Question:
Do you have any medication allergies?
Finding:
Denies latex allergy
(Available)
Pro Tip: A patient’s past medical history includes their health conditions, what preventative and maintenance treatments they have received, and any previous medical interventions they have received. Asking about a patient’s medical history helps you contextualize their current health for proper assessment.
Example Question:
Do you have a latex allergy?
Finding:
Denies environmental allergies
(Found)
Pro Tip: A patient’s past medical history includes their health conditions, what preventative and maintenance treatments they have received, and any previous medical interventions they have received. Asking about a patient’s medical history helps you contextualize their current health for proper assessment.
Example Question:
Do you have any environmental allergies?
Finding:
Asked about previous surgeries
Finding:
Denies previous surgeries
(Found)
Pro Tip: A patient’s past medical history includes their health conditions, what preventative and maintenance treatments they have received, and any previous medical interventions they have received. Asking about a patient’s medical history helps you contextualize their current health for proper assessment.
Example Question:
Have you ever had surgery?
Finding:
Asked about previous hospitalizations
Finding:
Reports hospitalizations for childbirth
(Found)
Pro Tip: A patient’s past medical history includes their health conditions, what preventative and maintenance treatments they have received, and any previous medical interventions they have received. Asking about a patient’s medical history helps you contextualize their current health for proper assessment.
Example Question:
Have you ever been hospitalized?
Home Medications
Finding:
Asked about vitamins and supplements
Sick Visit: Management of Endocrine Conditions Shadow health Subjective Data Collection
Finding:
Reports taking a supplement for
