Sick Visit: Management of Endocrine Conditions Shadow health Subjective Data Collection

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

&nbspSubjective Action&nbspPro 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.&nbspExample Question: "What brings you in today?"” data-html=”true” data-title=”Reports hair loss (Found)” data-original-title=””>
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?

&nbspSubjective Action&nbspPro 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.&nbspExample Question: "What brings you in today?"” data-html=”true” data-title=”Reports fatigue (Found)” data-original-title=””>
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

&nbspSubjective Action&nbspPro 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.&nbspExample Question: "Can you tell me your name?"” data-html=”true” data-title=”Oriented to person (Found)” data-original-title=””>
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?

&nbspSubjective Action&nbspPro 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.&nbspExample Question: "Can you tell me today’s date?"” data-html=”true” data-title=”Oriented to time (Available)” data-original-title=””>
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?

&nbspSubjective Action&nbspPro 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.&nbspExample Question: "Can you tell me where you are right now?"” data-html=”true” data-title=”Oriented to place (Available)” data-original-title=””>
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?

&nbspSubjective Action&nbspPro 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.&nbspExample Question: "Do you know why you are here today?"” data-html=”true” data-title=”Oriented to situation (Found)” data-original-title=””>
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

&nbspSubjective Action&nbspPro 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.&nbspExample Question: "When did your fatigue start?"” data-html=”true” data-title=”Reports fatigue began 1 month ago (Found)” data-original-title=””>
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

&nbspSubjective Action&nbspPro 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.&nbspExample Question: "How often do you feel fatigued?"” data-html=”true” data-title=”Reports fatigue lasts all day (Found)” data-original-title=””>
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

&nbspSubjective Action&nbspPro 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.&nbspExample Question: "Does anything make your fatigue worse?"” data-html=”true” data-title=”Denies aggravating factors for fatigue (Found)” data-original-title=””>
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

&nbspSubjective Action&nbspPro 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.&nbspExample Question: "Does anything make you less fatigued?"” data-html=”true” data-title=”Denies relieving factors for fatigue (Found)” data-original-title=””>
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

&nbspSubjective Action&nbspPro 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.&nbspExample Question: "Can you perform your activities of daily living?"” data-html=”true” data-title=”Denies difficulty performing activities of daily living (Found)” data-original-title=””>
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

&nbspSubjective Action&nbspPro 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.&nbspExample Question: "When did your hair loss begin?"” data-html=”true” data-title=”Reports hair loss began 3 weeks ago (Found)” data-original-title=””>
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

&nbspSubjective Action&nbspPro 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.&nbspExample Question: "Do you have any existing health conditions?"” data-html=”true” data-title=”Reports diagnosis of hypothyroidism (Found)” data-original-title=””>
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?

&nbspSubjective Action&nbspPro 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.&nbspExample Question: "Do you have any existing health conditions?"” data-html=”true” data-title=”Reports diagnosis of osteopenia (Found)” data-original-title=””>
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

&nbspSubjective Action&nbspPro 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.&nbspExample Question: "When were you diagnosed with hypothyroidism?"” data-html=”true” data-title=”Reports being diagnosed with hypothyroidism 15 years ago (Found)” data-original-title=””>
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?

&nbspSubjective Action&nbspPro 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.&nbspExample Question: "When were you diagnosed with osteopenia?"” data-html=”true” data-title=”Reports being diagnosed with osteopenia 4 years ago (Found)” data-original-title=””>
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

&nbspSubjective Action&nbspPro 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.&nbspExample Question: "Does your hypothyroidism cause any symptoms?"” data-html=”true” data-title=”Denies any known symptoms of hypothyroidism (Found)” data-original-title=””>
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

&nbspSubjective Action&nbspPro 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.&nbspExample Question: "Does your osteopenia cause any symptoms?"” data-html=”true” data-title=”Denies any known symptoms of osteopenia (Available)” data-original-title=””>
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