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HEENT Results | Turned In
Advanced Health Assessment - Clinical Replacement, NURS 520
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Results
Overview
Transcript
Transcript
Started: Mar 27, 2020 | Total Time: 82 min
Subjective Data
Collection Objective
Data Collection
1/17
,4/4/202 HEENT | Completed | Shadow
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All Lines (203) Interview Questions (119) Statements (12) Exam Actions (72)
Education & Hello Miss Jones I'm Amor, an NP student. I will be interviewing you and Gree
examining you today. Is that ok 03/27/20 7:31 PM
Empathy ED
Documentation
Hey.
Questio
What brings you in
03/27/20 7:31 PM ED
today
My throat has been sore... and itchy. And my nose won't stop running. These
symptoms are driving me nuts.
I'm sorry to hear that you are not feeling well today. Let us see what we can do Empathiz
to help these symptoms improve 03/27/20 7:32 PM ED
Thanks for saying that.
Questio
Miss Jones what is your birth date (Clarified to What is the date of
03/27/20 7:33 PM ED
your birth?.)
February 17th. (Clarified to what is my birth date.)
Questio
How old are you
03/27/20 7:33 PM ED
I'm 28.
Questio
How long have you had these
03/27/20 7:34 PM ED
symptoms
My itchy eyes, runny nose, and sore throat all started a week ago. [AUDIO
COMING SOON]
Questio
Have you had this problem before (Clarified to Have you had these
03/27/20 7:34 PM ED
symptoms before?.)
Well, no. I mean, I never had allergies to pollen or anything outdoors like that. . .
But my nose
is acting just like my sister's right now, and she's always had hay fever. I'm
starting to think that this is allergies. (Clarified to if I have had these symptoms
Questio
How severe is your sore
03/27/20 7:35 PM ED
throat
2/17
, 4/4/202 HEENT | Completed | Shadow
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It's not... terrible. I mean, it hurts a little. Like, mild to moderate. The main thing is that it won't go away.
Questio
On a scale of 1 to 10 how severe is the sore throat 03/27/20 7:35 PM ED
Like, if zero is no itch and ten is 'I can't stand it,' I'd say it's a 5.
Have you ever had this problem before (Clarified to Have you had these symptoms before?.) Questio
03/27/20 7:36 PM ED
Well, no. I mean, I never had allergies to pollen or anything outdoors like that. . . But my nose
is acting just like my sister's right now, and she's always had hay fever. I'm starting to think that this is allergies.
Is too sore throat pain constant Questio
03/27/20 7:36 PM ED
Yeah, it's sore pretty much all the time.
Can you describe the sore throat pain (Clarified to What is your throat pain like?.) Questio
03/27/20 7:37 PM ED
I don't know how I would describe it, other than "sore." (Clarified to what my throat pain is like.)
On a scale of 1 to 10 how would you rate the sore throat pain (Clarified to How would you rate your sore throat o
Questio
03/27/20 7:37 PM ED
Like, if zero is no itch and ten is 'I can't stand it,' I'd say it's a 5. (Clarified to to rate my sore throat.)
Does the pain radiate Questio
03/27/20 7:37 PM ED
No, it's just in my throat.
Questio
Does anything make your sore throat feel better 03/27/20 7:37 PM ED
All I've done is suck on some throat drops. And I've been drinking more water, which helps.
That is very good, Drinking water prevents throat dryness Educat
03/27/20 7:38 PM ED
OK, I understand.
Does anything make the throat pain worse Questio
03/27/20 7:38 PM ED
Well, my throat's usually worse in the mornings, and swallowing can make it sore, too. [AUDIO COMING SOON]
Do you have any other symptoms associated with sore throat (Clarified to Do you have any other symptoms?.)
Questio
03/27/20 7:39 PM ED
Let's see... I have alot going on so here's the laundry list: sore and itchy throat, runny nose, itchy eyes. (Clarified
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