Subjective Data Collection: 21 of 28 (75.0%) 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 Patient • Finding: Established chief complaint • Finding: Reports hitting head (Found) Pro Tip: A pediatric 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 remember details of the accident? • Finding: Reports falling off skateboard (Found) Pro Tip: A pediatric 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: What made you come here today? • Finding: Reports scalp hematoma (Available) Pro Tip: A pediatric 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: Where did you hurt when you fell? • Finding: Reports headache (Found) Pro Tip: A pediatric 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: What are your symptoms? • Finding: Reports confusion (Available) Pro Tip: A pediatric 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: Were you confused when you woke up? • Finding: Reports dizziness (Available) Pro Tip: A pediatric 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: Have you felt lightheaded or dizzy? • Finding: Reports light sensitivity (Found) Pro Tip: A pediatric 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: Have you been sensitive to light? History of Present Illness Patient • Finding: Asked patient about additional symptoms • Finding: Reports also vomiting (Found) Pro Tip: Asking a pediatric patient about the duration and onset 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 noticed other symptoms? • Finding: Reports also losing consciousness (Found) Pro Tip: Asking a pediatric patient about the duration and onset 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 other health concerns? • Finding: Denies noticing other injuries (Found)
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