SOLVED||SHADOW HEALTH FOCUSED EXAM: PEDIATRIC TRAUMATIC BRAIN INJURY QUESTIONS (DAMIEN BROOKS

SOLVED||SHADOW HEALTH FOCUSED
EXAM: PEDIATRIC TRAUMATIC BRAIN
INJURY QUESTIONS (DAMIEN BROOKS)
establish chief complain - Correct Answer reports hitting head

reports falling off skateboard

reports scalp hematoma

reports headache

reports confusion

reports dizziness

reports light sensitivity



asked pt about addt'l sx - Correct Answer reports also vomiting

reports also losing consciousness

denies noticing other injuries



asked pt onset and duration - Correct Answer reports headache started when he fell

reports confusion started when he fell

reports dizziness started when he fell

reports light sensitivity since he fell

reports vomiting once after getting home

denies knowing duration of LOC



asked pt about mechanism of injury - Correct Answer denies wearing helmet

denies knowing how he fell

, denies knowing how far he fell



asked pt about hx of present illness - Correct Answer reports going to skate park after school

reports being with his friend when he fell

reports walking home with his friend after he fell

reports being driven to ED by his step father



asked pt about characteristics of pain - Correct Answer reports dull pain from headache

report pain is steady



asked pt about aggravating factors - Correct Answer reports loud noise aggravates headache

reports touching hematoma aggravates pain



asked pt about relieving factors - Correct Answer reports staying still relieves headache

reports dim light and darkness relieve light sensitivity

denies ice pack relieving pain

denies taking meds for sx



asked pt about severity - Correct Answer reports pain 5/10



asked pt about past medical hx - Correct Answer reports falling off skateboard previously

reports being UTD on all vaccinations

denies past surgery

denies previous hospitalization

denies previous head injury