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Key Findings DDx
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Evaluated sire:
= inappropria
Related: Productive cough with
sputum
Result Question Type Details
MSAP.: Difficult breathing for a few How can | help you today? ef complaint (CC)
days with exertion
Related: Diaphoretic, pale Any other symptoms or concems we should discuss? omplaint (CC)
Related: Palpitations when climbing
.Do you have pain anywhere? If so, where? cc
.Sx ‘ompiaint (¢
general/constitutional
parvesas siyBis
stairs
Related: Smoker since 16 years old 2 What is your name? Sx
Chief complaint (CC), SH -
Background, ROS neurological
packs a day
Chief complaint (CC)
Related: Decreased appetite neurological
Unknown: Blood pressure elevation What time is it? Sx Chief complaint (CC), ROS
neurological
without HTN history
Do you have any of thef ilowing problems: fatigue, difficulty sleeping, | pag ROS general/constitutional
Related: Expiratory wheezing at rest unintentional weight loss gain, fevers, nights ats?? ~
Do you have any p ith: headaches thatdon't go away with
aspirin or Ty ninophen), double or blurred vision, difficulty ROS ROS neurological, ROS HEENT
vith night hearing, ear pain, sinus problems, chronic
throats
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ory Physical Exam Assessment Tests Diagnosis Plan Summary Ma
Expert Feedback
Sie anggtie rece
Do you experience: shortness of breath
Key Findings DDx ROS
your breath, chronic cough. sputum produc
a
Do you have problems with: nausea, vomiting
Evaluated coffee grounds in your vomit, dark tarry sto R inal
bowel movements, early satiety, bloating?
Related: Productive cough with
When you urinate. have you notice pain, burning, blood. difficulty
sputum
ing or stopping, dribbling, incon ce, urgency during day
ight frequency?
MSAP: Difficult breathing for a few
Do you ems with: muse! ling.
days with exertion
muscle cr stiffness, joint sv
Related: Diaphoretic, pale =r pain. hip pain?
8 any br 9, bleeding g én natnioaic
= Related: Palpitations when climbing ble S hematologic
$2 Do you have any of the following: heat or cold intolerance, increased ROS endocrine
9 eet Stroker since 16 yeorwold2 thirst, increased sweating, frequent urination, change in appetite? US encoctine
2 Pee cay Do you have any of the following: dizziness, fainting, spinning room. | pos | ROS neurological
Related: Decreased appatite ures, weakness, numbness. tingling
Do you have any problem:
Jnknown: Blood pressure elevation S, OF ROS
without HTN history
Related: Expiratory wheezing at rest Do you skin changes, moles ROS. | ROS skin/hair/nails
thinning hair, bri
k alcohol? If so, whatdo you drink and how many drinks SH- Habis
ational drug what? SH SH - Habits
Show Clini edback
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