Shadow Health Assignments
Noah Caputo School Age Sick Visit Dermatology Shadow Health Subjective Data
Patient’s Caretaker Relationship:
– Asked about the relationship to the patient.
– Caretaker is patient’s uncle and godfather.
– Patient is caretaker’s nephew and godson.
Chief Complaint:
– Asked about the reason for the visit.
– Caretaker reports babysitting the patient over the weekend.
– Caretaker noticed a rash on the patient.
– Patient reports being itchy.
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History of Present Illness:
– Asked about the onset of the rash.
– Caretaker noticed the rash yesterday.
– Patient has been itchy since last weekend.
– Caretaker concerned that the patient’s parents did not notice the rash.
– Asked about the location of the rash.
– Patient reports rash on feet, ankles, and lower legs.
– Asked about the duration.
– Caretaker reports the patient scratching consistently this weekend.
– Asked about the characteristics of the rash.
– Patient reports red bumps.
– Patient denies painful rash, drainage, bleeding, and blisters.
Bathing Routine:
– Asked about the typical bathing routine.
– Patient reports showering once a week or less.
– Patient uses hot water.
– Patient denies anyone helping him shower, being told to bathe, and using soap regularly.
Exposure to Animals:
– Asked about exposure to animals.
– Patient denies pets at home.
– Patient spends time with neighbors’ dog.
– Patient denies knowing if the dog has fleas.
Aggravating Factors:
– Asked about factors that aggravate the rash.
– Patient reports scratching makes the itching worse.
– Patient reports showering makes the itching worse.
Relieving Factors:
– Asked about factors that relieve the rash.
– Caretaker denies using topical treatments.
– Caretaker gave patient cold compresses to put on ankles.
– Patient reports cold compress relieved itching temporarily.
– Asked about pharmacological relieving factors.
– Caretaker gave patient children’s diphenhydramine.
– Caretaker gave recommended dosage.
– Caretaker reports diphenhydramine relieved itching.
– Patient reports diphenhydramine made him sleepy.
Family and Friends with Rash:
– Asked about family and friends having a rash.
– Patient reports not knowing if neighbors have a rash.
– Caretaker reports other family members do not have a rash.
Past Medical History:
– Asked about past medical issues.
– Patient denies past medical problems.
Home Medications:
– Asked about medications.
– Patient denies taking any medications.
Subjective Data Collection
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Hover over the Patient Data items below to reveal important information, including Pro Tips and Example Questions.
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Available:
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Felipe Barbosa Sick Visit Shadow Health Subjective Data Collection
Category
Scored Items
Experts selected these topics as essential components of a strong, thorough interview with this patient Noah Caputo school age sick visit dermatology shadow health Subjective data.
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.
Caretaker’s Relationship
Finding:
Asked about relationship to patient
Finding:
Caretaker reports being patient’s uncle and godfather
(Found)
Pro Tip: Confirming the patient’s relationship with their guardian ensures that you’re observing legal and ethical protections for patient privacy and that you’re speaking with someone who has access to their information.Example Question:
What is your relationship to the patient?
Finding:
Patient reports being caretaker’s nephew and godson
(Found)
Pro Tip: Confirming the patient’s relationship with their guardian ensures that you’re observing legal and ethical protections for patient privacy and that you’re speaking with someone who has access to their information.Example Question:
Who brought you in today?
Chief Complaint
- Finding:Asked about chief complaint
- Finding:Caretaker reports babysitting nephew over the weekend
(Found)
Pro Tip: A patient’s chief complaint establishes any illnesses or concerns that they are presenting with. In the case of a pediatric patient, an approved guardian may provide this information Noah Caputo school age sick visit dermatology shadow health Subjective data. Understanding the chief complaint will help you ask relevant questions, rule out potential diagnoses, and ultimately inform your recommendations for next steps.Example Question:
What brings you in today?
Finding:
Caretaker reports noticing a rash on nephew
(Found)
Pro Tip: A patient’s chief complaint establishes any illnesses or concerns that they are presenting with. In the case of a pediatric patient, an approved guardian may provide this information. Understanding the chief complaint will help you ask relevant questions, rule out potential diagnoses, and ultimately inform your recommendations for next steps.Example Question:
What brings you in today?
Finding:
Patient reports being itchy
(Found)
Pro Tip: A patient’s chief complaint establishes any illnesses or concerns that they are presenting with. In the case of a pediatric patient, an approved guardian may provide this information. Noah Caputo school age sick visit dermatology shadow health Subjective data Understanding the chief complaint will help you ask relevant questions, rule out potential diagnoses, and ultimately inform your recommendations for next steps.Example Question:
What brings you in today?
History of Present Illness
Finding:
Asked about onset of rash
Finding:
Caretaker reports noticing the rash yesterday
(Found)
Pro Tip: Asking about the history of presenting illness will allow you to better understand the patient’s condition and symptoms. The subjective data you gather around this line of questioning will help you identify appropriate interventions.Example Question:
When did you notice your nephew’s rash?
Finding:
Patient reports being itchy since last weekend
(Found)
Pro Tip: Asking about the history of presenting illness will allow you to better understand the patient’s condition and symptoms. The subjective data you gather around this line of questioning will help you identify appropriate interventions Noah Caputo school age sick visit dermatology shadow health Subjective data.Example Question:
How long have you had this rash?
Finding:
Caretaker denies knowing when rash started
(Available)
Pro Tip: Asking about the history of presenting illness will allow you to better understand the patient’s condition and symptoms. The subjective data you gather around this line of questioning will help you identify appropriate interventions.Example Question:
When did your nephew’s rash start?
Finding:
Caretaker reports concern that patient’s parents did not notice the rash
(Found)
Pro Tip: Asking about the history of presenting illness will allow you to better understand the patient’s condition and symptoms. The subjective data you gather around this line of questioning will help you identify appropriate interventions.Example Question:
Did your nephew’s parents know he had a rash?
- Finding:Asked about location of rash
- Finding:Patient reports rash on feet and ankles
(Found)
Pro Tip: Asking about the history of presenting illness will allow you to better understand the patient’s condition and symptoms. The subjective data you gather around this line of questioning will help you identify appropriate interventions.Example Question:
Where is the rash?
Finding:
Patient reports rash on lower legs
(Found)
Pro Tip: Asking about the history of presenting illness will allow you to better understand the patient’s condition and symptoms. The subjective data you gather around this line of questioning will help you identify appropriate interventions.Example Question:
Where is the rash?
Finding:
Asked about duration
Finding:
Caretaker reports Noah scratching consistently this weekend
(Found)
Pro Tip: Asking about the history of presenting illness will allow you to better understand the patient’s condition and symptoms. The subjective data you gather around this line of questioning will help you identify appropriate interventions.Example Question:
How long has your nephew been scratching for?
Finding:
Asked about characteristics of rash
Finding:
Patient reports red bumps
(Found)
Pro Tip: Asking about the history of presenting illness will allow you to better understand the patient’s condition and symptoms Noah Caputo school age sick visit dermatology shadow health Subjective data. The subjective data you gather around this line of questioning will help you identify appropriate interventions.Example Question:
How does the rash look?
Finding:
Patient denies painful rash
(Found)
Pro Tip: Asking about the history of presenting illness will allow you to better understand the patient’s condition and symptoms. The subjective data you gather around this line of questioning will help you identify appropriate interventions.Example Question:
Does the rash hurt?
Finding:
Patient denies drainage
(Found)
Pro Tip: Asking about the history of presenting illness will allow you to better understand the patient’s condition and symptoms. The subjective data you gather around this line of questioning will help you identify appropriate interventions.Example Question:
Does your rash have drainage?
Finding:
Patient denies bleeding
(Found)
Pro Tip: Asking about the history of presenting illness will allow you to better understand the patient’s condition and symptoms. The subjective data you gather around this line of questioning will help you identify appropriate interventions.Example Question:
Is the rash bleeding?
Finding:
Patient denies blisters
(Available)
Pro Tip: Asking about the history of presenting illness will allow you to better understand the patient’s condition and symptoms. The subjective data you gather around this line of questioning will help you identify appropriate interventions.Example Question:
Does the rash have blisters?
- Finding:Asked about typical bathing routine
- Finding:Patient reports showering once a week or less
(Found)
Pro Tip: Asking about the history of presenting illness will allow you to better understand the patient’s condition and symptoms. The subjective data you gather around this line of questioning will help you identify appropriate interventions.Example Question:
What is your bathing routine? - Finding:Patient reports using hot water
(Available)
Pro Tip: Asking about the history of presenting illness will allow you to better understand the patient’s condition and symptoms. The subjective data you gather around this line of questioning will help you identify appropriate interventions.Example Question:
Do you use hot water?
Finding:
Patient denies anyone helping him shower
(Available)
Pro Tip: Asking about the history of presenting illness will allow you to better understand the patient’s condition and symptoms. The subjective data you gather around this line of questioning will help you identify appropriate interventions.Example Question:
Does anyone help you bathe?
Finding:
Patient denies being told to bathe
(Available)
Pro Tip: Asking about the history of presenting illness will allow you to better understand the patient’s condition and symptoms. The subjective data you gather around this line of questioning will help you identify appropriate interventions.Example Question:
Do you need to be reminded to bathe?
Finding:
Patient denies using soap regularly
(Available)
Pro Tip: Asking about the history of presenting illness will allow you to better understand the patient’s condition and symptoms. The subjective data you gather around this line of questioning will help you identify appropriate interventions.Example Question:
Do you use soap?
- Finding:Asked about exposure to animals
- Finding:Patient denies pets at home
(Found)
Pro Tip: Asking about the history of presenting illness will allow you to better understand the patient’s condition and symptoms. The subjective data you gather around this line of questioning will help you identify appropriate interventions.Example Question:
Do you have pets at home?
Finding:
Patient reports spending a lot of time with neighbors’ dog
(Found)
Pro Tip: Asking about the history of presenting illness will allow you to better understand the patient’s condition and symptoms Noah Caputo school age sick visit dermatology shadow health Subjective data. The subjective data you gather around this line of questioning will help you identify appropriate interventions.Example Question:
Do you come into contact with animals?
Finding:
Patient denies knowing if dog has fleas
(Available)
Pro Tip: Asking about the history of presenting illness will allow you to better understand the patient’s condition and symptoms. The subjective data you gather around this line of questioning will help you identify appropriate interventions.Example Question:
Does the dog have fleas?
- Finding:Asked about aggravating factors
- Finding:Patient reports scratching makes the itching worse
(Found)
Pro Tip: Asking about the history of presenting illness will allow you to better understand the patient’s condition and symptoms. The subjective data you gather around this line of questioning will help you identify appropriate interventions.Example Question:
What aggravates your rash? - Finding:Patient reports showering makes the itching worse
(Found)
Pro Tip: Asking about the history of presenting illness will allow you to better understand the patient’s condition and symptoms. The subjective data you gather around this line of questioning will help you identify appropriate interventions.Example Question:
What aggravates your rash?
- Finding:Asked about relieving factors
- Finding:Caretaker denies using topical treatments
(Found)
Pro Tip: Asking about the history of presenting illness will allow you to better understand the patient’s condition and symptoms. The subjective data you gather around this line of questioning will help you identify appropriate interventions.Example Question:
Did you put anything on the rash? -
Finding:
Caretaker reports giving patient cold compresses to put on ankles last night
(Found)
Pro Tip: Asking about the history of presenting illness will allow you to better understand the patient’s condition and symptoms. The subjective data you gather around this line of questioning will help you identify appropriate interventions.Example Question:
Did you put anything on the rash? - Finding:Patient reports cold compress relieved itching temporarily
(Found)
Pro Tip: Asking about the history of presenting illness will allow you to better understand the patient’s condition and symptoms. The subjective data you gather around this line of questioning will help you identify appropriate interventions.Example Question:
Does anything make the itching better?
- Finding:Asked about pharmacological relieving factors
- Finding:Caretaker reports giving patient children’s diphenhydramine last night
(Found)
Pro Tip: Asking about the history of presenting illness will allow you to better understand the patient’s condition and symptoms. The subjective data you gather around this line of questioning will help you identify appropriate interventions.Example Question:
Did you give your nephew any medication for the rash?
Finding:
Caretaker reports giving recommended dosage on package
(Found)
Pro Tip: Asking about the history of presenting illness will allow you to better understand the patient’s condition and symptoms. The subjective data you gather around this line of questioning will help you identify appropriate interventions.Example Question:
Did you give your nephew any medication for the rash?
Finding:
Caretaker reports diphenhydramine relieved itching
(Found)
Pro Tip: Asking about the history of presenting illness will allow you to better understand the patient’s condition and symptoms. The subjective data you gather around this line of questioning will help you identify appropriate interventions.Example Question:
Did you give your nephew anything for the itching?
Finding:
Patient reports diphenhydramine made him sleepy
(Found)
Pro Tip: Asking about the history of presenting illness will allow you to better understand the patient’s condition and symptoms. The subjective data you gather around this line of questioning will help you identify appropriate interventions.Example Question:
Did you give your nephew anything for the itching?
- Finding:Asked about family and friends having rash
- Finding:Patient reports not knowing whether or not his neighbors have rash
(Available)
Pro Tip: Asking about the history of presenting illness will allow you to better understand the patient’s condition and symptoms. The subjective data you gather around this line of questioning will help you identify appropriate interventions.Example Question:
Does anyone you know have a rash?
Finding:
Caretaker reports that other family members do not have rash
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(Available)
Pro Tip: Asking about the history of presenting illness will allow you to better understand the patient’s condition and symptoms. The subjective data you gather around this line of questioning will help you identify appropriate interventions.Example Question:
Does anyone in the household have a rash?
- Finding:Asked about past medical history
- Finding:Patient denies past medical issues
(Available)
Pro Tip: Asking about the history of presenting illness will allow you to better understand the patient’s condition and symptoms. The subjective data you gather around this line of questioning will help you identify appropriate interventions.Example Question:
Has your nephew had any medical problems?
Home Medications
- Finding:Asked about medications
- Finding:Patient denies taking medications
- Noah Caputo school age sick visit dermatology shadow health Subjective data