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Objective Daniel appears slightly tired, and has been coughing throughout the exam Vital signs stable Spirometer: FEV1: 3.15L FVC 3.91L/ 80.5% Head: Cervical lymph nodes enlarged and tender on right side; Sinus: no tenderness on frontal or maxillary eyes: pink in color, no discharge Ears: right ear redness and inflammed: no d/c nose: clear watery […]

Focused Exam: Cough Results | Turned In Advanced Physical Assessment – March 2020, advanced_physical_assessment__td8__031720__sect1 Return to Assignment (/assignments/313480/) Documentation / Electronic Health Record Document: Provider Notes Student Documentation Model Documentation Subjective Dany is a 8 year old hispanic boy, brought into clinic by his grandmother. He is able to answer the questions independently and maintains

Focused Exam: Abdominal Pain Results | Turned In Advanced Physical Assessment – March 2020, advanced_physical_assessment__td8__031720__sect1 Return to Assignment (/assignments/313482/) Education & Empathy : 6 of 7 (85.7%) During the patient interview, there are a number of opportunities to provide patient education and empathy. The opportunities listed below ar those identified by nursing experts to be

Document: Vitals Document: Provider Notes   Student Documentation Model Documentation Objective Alert and oriented x3: Some discomfort due to abdominal pain HEENT: moist mucus mambrane, normal skin turgor, no tenting Heart: S1 and S2 with no abnormal heart sounds Lungs; CTA Liver: 1cm below Rt costal margin: nontender Abdomen: BS present at all quads, normoactive,

Focused Exam: Abdominal Pain Results | Turned In Advanced Physical Assessment – March 2020, advanced_physical_assessment__td8__031720__sect1 Return to Assignment (/assignments/313482/) Documentation / Electronic Health Record Document: Provider Notes Student Documentation Model Documentation Subjective Miss Park is a pleasant Korean 78 year old woman who presents to the clinic with complaints of abdominal pain for the past

Student Documentation Model Documentation Objective Brian is a 58 year old Caucasian male appears to be well-groomed, is pleasant and answers questions clearly and appropriately. He maintains eye contact throughout the exam. He appears in no distress VSS: Bp 146/90 Skin warm to touch, dry, pink and intact. no tenting Heart: S1, s2, s3 and

Document: Vitals Document: Provider Notes 1 Symptoms Followed Up 2 Medications Followed Up 3 Diet Followed Up 4 Activity Level Not Followed Up 5 Medical History Followed Up 6 Sexual Activity Followed Up 7 Family and Support Followed Up

Focused Exam: Chest Pain Results | Turned In Advanced Physical Assessment – March 2020, advanced_physical_assessment__td8__031720__sect1 Return to Assignment (/assignments/313481/) (/site_notice_dismissals?from_flash=true&site_noticBecome a paid student tester for Shadow Health! Click here for more information (https://www.surveymonkey.com/r/TN9CMB5) (/site_notice_dismissals?from_flash=true&site_noticShadow Health will be performing planned maintenance this Friday, from 7:00am until 7:30am Eastern. During this time assignment attempts will be disabled.

Do you have a family history of back pain? No, I don’t think so. Do you have any family medical history My mom has some issues, and I think some of my grandparents did, too. What is your mother’s medical history Mom has high cholesterol and blood pressure, I think. She seems to be doing

Did you have this problem before No, nothing like this has ever happened to me. . . my back is usually totally fine. Question 04/15/20 4:51 PM MD Question 04/15/20 4:51 PM MD Question 04/15/20 4:51 PM MD Question 04/15/20 4:51 PM MD Question 04/15/20 4:52 PM MD Question 04/15/20 4:52 PM MD Question 04/15/20