ASSESSMENT AND MANAGEMENT OF BACK PAIN: THE CASE OF BETTY BURNS | WITH COMPLETE SOLUTIONS
Betty Burns
53 y/o
11
5' 6 (168 cm)
165.0 lb (75.0 kg)
Reason for encounter
Back pain
Proceed
Case authored by: Jah-Won Koo, MD
,· 1story Categorizations Assessment Diagnosis Plat
This case has a limit of 100 interactions. You have used 34.
Choose a category_· Or, ask a question. Complete questions work best.
Interview Opening
._ HPI: Constitutional Complaints
How can I help you today? (prevfously asked)
._ HPI: Other Complaints (A - H}
What has been happening since your last visit?
._ HPI: Other Complaints (I - Z)
Do you have any other symptoms or concerns we should discuss?
._ HPI: Pain Complaints (A - H) (previously asked)
Do you have pain anywhere? If so, where?
._ HPI: Pain Complaints (I - Z)
What symptom is the most distressing for you?
._ HPI: Psychological Complaints
Has anyone else you know developed these symptoms?
._ HPI: Sensation & Movement
Complaints Tell me how that makes you feel.
,Visit: [ Current Visit v
History Physical EJ<am Assessment Plan
Name Betty Burns
Age: 53 y/o
Sex: F
History of Present Illness
Reason for Encounter: !Terrible back pain
, History Physical Exam Assessment
Name: Betty Burns
Age: 53 y/o
Sex: F
Height: 66"
Weight: 1651b
BMI: 26_6
Cognitive status: A and Ox 4
Temp: 37_0 c (98.6 "F) (oral)
Pulse: 88 bpm, rhythm: regular, strength: normal
BP: left: 142/80, right: 144/82, assessment: elevated, pulse pressure: normal
Respiration: 14 bpm, rhythm: regular, effort: unlabored
Sp02.: 98%
Betty Burns
53 y/o
11
5' 6 (168 cm)
165.0 lb (75.0 kg)
Reason for encounter
Back pain
Proceed
Case authored by: Jah-Won Koo, MD
,· 1story Categorizations Assessment Diagnosis Plat
This case has a limit of 100 interactions. You have used 34.
Choose a category_· Or, ask a question. Complete questions work best.
Interview Opening
._ HPI: Constitutional Complaints
How can I help you today? (prevfously asked)
._ HPI: Other Complaints (A - H}
What has been happening since your last visit?
._ HPI: Other Complaints (I - Z)
Do you have any other symptoms or concerns we should discuss?
._ HPI: Pain Complaints (A - H) (previously asked)
Do you have pain anywhere? If so, where?
._ HPI: Pain Complaints (I - Z)
What symptom is the most distressing for you?
._ HPI: Psychological Complaints
Has anyone else you know developed these symptoms?
._ HPI: Sensation & Movement
Complaints Tell me how that makes you feel.
,Visit: [ Current Visit v
History Physical EJ<am Assessment Plan
Name Betty Burns
Age: 53 y/o
Sex: F
History of Present Illness
Reason for Encounter: !Terrible back pain
, History Physical Exam Assessment
Name: Betty Burns
Age: 53 y/o
Sex: F
Height: 66"
Weight: 1651b
BMI: 26_6
Cognitive status: A and Ox 4
Temp: 37_0 c (98.6 "F) (oral)
Pulse: 88 bpm, rhythm: regular, strength: normal
BP: left: 142/80, right: 144/82, assessment: elevated, pulse pressure: normal
Respiration: 14 bpm, rhythm: regular, effort: unlabored
Sp02.: 98%
