Intermediate Patient Case Results
Edward Carter ShadowHealth
Chief Complaint
Finding:
Established chief complaint
Finding:
Reports pain
()
Pro Tip: Beginning your conversation with your patient by asking an open-ended question
about their hospital visit is a best practice for gauging your patient's general condition.
Example Question:
What brings you to the hospital?
Finding:
Reports blood in urine
()
Pro Tip: Beginning your conversation with your patient by asking an open-ended question
about their symptoms is a best practice for gauging your patient's general condition.
Example Question:
What are your symptoms?
Finding:
Reports increased frequency of urination
()
Pro Tip: A patient with flank pain and blood in urine may have kidney stones, a bladder
infection, or another serious complaint that may affect urinary patterns.
Example Question:
Have you had urinary symptoms?
Orientation
,Finding:
Asked about orientation
Finding:
Oriented to own person
(Available)
Pro Tip: You should ask patients, especially geriatric ones or those on a potentially
mind-altering medication, to state their name so you can determine their cognitive
functioning.
Example Question:
Can you tell me who you are?
Finding:
Oriented to place
(Available)
Pro Tip: You should ask patients, especially geriatric ones or those on a potentially
mind-altering medication, to identify where they are so you can determine their cognitive
functioning.
Example Question:
Do you know where you are right now?
Finding:
Oriented to situation
()
Pro Tip: You should ask patients, especially geriatric ones or those on a potentially
mind-altering medication, to identify their reason for being here so you can determine their
cognitive functioning.
Example Question:
Do you know why you are here today?
Finding:
Oriented to time
(Available)
Pro Tip: You should ask patients, especially geriatric ones or those on a potentially
mind-altering medication, to identify the date and year so you can determine their cognitive
functioning.
Example Question:
, What is the date and year?
History of Present Illness
Finding:
Asked about onset and duration of symptoms
Finding:
Reports pain began 3 days ago
()
Pro Tip: Discovering how long ago the pain began is the first step in understanding whether
the pain is chronic or acute.
Example Question:
When did your pain begin?
Finding:
Reports pain has gradually increased since onset
(Available)
Pro Tip: The way that pain changes over time can help you understand its causes and how
to treat it.
Example Question:
Has your pain changed since the onset?
Finding:
Reports increased urinary frequency began 3 days ago
(Available)
Pro Tip: Polyuria and increased urinary urgency can be symptoms of several diseases,
including kidney stones, bladder infections, or even uncontrolled diabetes.
Example Question:
How long have you had to urinate more?
Finding:
Reports pinkish urine starting early this morning
(Available)
Pro Tip: Asking about the onset of the blood in the patient's urine helps you understand its
development as an emerging health problem.
Example Question:
Edward Carter ShadowHealth
Chief Complaint
Finding:
Established chief complaint
Finding:
Reports pain
()
Pro Tip: Beginning your conversation with your patient by asking an open-ended question
about their hospital visit is a best practice for gauging your patient's general condition.
Example Question:
What brings you to the hospital?
Finding:
Reports blood in urine
()
Pro Tip: Beginning your conversation with your patient by asking an open-ended question
about their symptoms is a best practice for gauging your patient's general condition.
Example Question:
What are your symptoms?
Finding:
Reports increased frequency of urination
()
Pro Tip: A patient with flank pain and blood in urine may have kidney stones, a bladder
infection, or another serious complaint that may affect urinary patterns.
Example Question:
Have you had urinary symptoms?
Orientation
,Finding:
Asked about orientation
Finding:
Oriented to own person
(Available)
Pro Tip: You should ask patients, especially geriatric ones or those on a potentially
mind-altering medication, to state their name so you can determine their cognitive
functioning.
Example Question:
Can you tell me who you are?
Finding:
Oriented to place
(Available)
Pro Tip: You should ask patients, especially geriatric ones or those on a potentially
mind-altering medication, to identify where they are so you can determine their cognitive
functioning.
Example Question:
Do you know where you are right now?
Finding:
Oriented to situation
()
Pro Tip: You should ask patients, especially geriatric ones or those on a potentially
mind-altering medication, to identify their reason for being here so you can determine their
cognitive functioning.
Example Question:
Do you know why you are here today?
Finding:
Oriented to time
(Available)
Pro Tip: You should ask patients, especially geriatric ones or those on a potentially
mind-altering medication, to identify the date and year so you can determine their cognitive
functioning.
Example Question:
, What is the date and year?
History of Present Illness
Finding:
Asked about onset and duration of symptoms
Finding:
Reports pain began 3 days ago
()
Pro Tip: Discovering how long ago the pain began is the first step in understanding whether
the pain is chronic or acute.
Example Question:
When did your pain begin?
Finding:
Reports pain has gradually increased since onset
(Available)
Pro Tip: The way that pain changes over time can help you understand its causes and how
to treat it.
Example Question:
Has your pain changed since the onset?
Finding:
Reports increased urinary frequency began 3 days ago
(Available)
Pro Tip: Polyuria and increased urinary urgency can be symptoms of several diseases,
including kidney stones, bladder infections, or even uncontrolled diabetes.
Example Question:
How long have you had to urinate more?
Finding:
Reports pinkish urine starting early this morning
(Available)
Pro Tip: Asking about the onset of the blood in the patient's urine helps you understand its
development as an emerging health problem.
Example Question:
