Description
NR509 Week 6 iHuman: Bebe BabbitÂ

Key patient history questions

Physical assessment activities

Blood pressure

Pulse

Auscultate lungs

EHR

Diagnosis

History Feedback
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Ask relevant problem-focused questions to create an accurate initial differential diagnosis list. Various questions may yield the same information. Examples of high-yield questions for this case include: • Performed X Missed |
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Pivotal Concept Addressed |
Category |
Question |
Response |
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HPI |
How can I help you today? |
I’ve been having these really bad headaches over the last few months. I don’t have one now, and haven’t had one in about a week, but I thought l’d have it checked out anyway. |
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HPI |
Do you have any other symptoms or concerns we should discuss? |
Just the symptoms that I always have had with these headaches, like nausea and vomiting. There’s nothing else I can think of off the top of my head. |
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HPI |
When did your headache start? |
They have gotten worse over the last few months. |
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HPI |
What are the events surrounding the start of your headache? |
In the past, they were much less frequent and they felt more like I had the hat from hell strapped to my head. These ones feel bad but a little different than that. They might correlate with stress. I have had a lot going on lately. |
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HPI |
How long does your headache last? |
It’s not always the same, but they can last the whole day, like 15 hours. |
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HPI |
Does your headache come and go? |
Yeah, I’m super glad they’re not constant. |
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Symptom |
Do you have new headaches that you have not experienced previously? |
Maybe? I don’t know. There’s definitely some cross over. I have been having these headaches every 1-2 months for the past ten years, but the past few months they’re happening more frequently, like every 1-2 weeks, which is why I’m here. The pain is also worse. |
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HPI |
Any change in your headache since it began? |
Only in terms of how often I get it. |
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