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Shadow Health – Tina Jones, HealthHistoryHealth History Tips & Tricks:(Ans- TJ Health InterviewStudent: Hello!(Ans- Diana Shadow: Hi. I’m Preceptor Diana. I will explain the details ofthis assignment and your objectives, just as a preceptor would in real life.Pay close attention to this information as it will help guide your exam. At theend of this prebrief, […]

Shadow Health Tina Jones -CardiovascularAssessmentAsked about heart problems(Ans – Denies heart problemsAsked about heartbeat(Ans – Asked about blue skin(Ans – Denies blue skinAsked about cardiac tests(Ans –

Shadow Health- Tina Jones- Hair, Skin,NailsAsked about foot wound(Ansreports swelling has improvedreports wound warmth has improvedreports wound discharge has improvedreports wound is still a little redAsked about history of slow healing wounds(Ans- denies history of slow healing woundAsked current wound healing time(Ans- reports wound had been getting worse over the past weekreports wound has improved

Shadow Health HEENT Tina JonesIs your throat sore?(Ans- Reports sore throatIs your throat itchy?(Ans- Reports itchy throatAre your eyes itchy?(Ans- Reports itchy eyesDo you have a runny nose?(Ans- Reports runny noseHow long has your throat been sore?(Ans- began 1 week agoWhen did your nose start running?(Ans- began 1 week agoWhen did your eyes start itching?(Ans-

Shadow Health Gastrointestinal TinaJonesWhat brings you in today?(Ans- reports frequently occurring stomach painhow long have you had stomach pain(Ans- noticing pain for at least a monthdid the pain start suddenly(Ans- pain increased graduallydo you have stomach pain every day(Ans- reports pain dailyhow many times a week does your stomach hurt(Ans- reports 3-4 episodes a week

Shadow Health Musculoskeletal TinaJoneschief complaint(Ans–reports low back pain-describes injury as a “tweak to back”onset of pain(Ans–original injury occurred 3 days ago-sudden onset-happed when lifting heavy boxlocation of pain(Ans–located in low back and butt-does not radiate or migrate-denies neck pain-denies pain between shoulder blades-reports pain is same on both sides of backfrequency and duration of pain(Ans–pain

Shadow Health Mental Health Tina Joneswhat brings you in today(Ans- Reports difficulty sleeping and “feeling nervous”Why did you decide to seek treatment?(Ans- Reports seeking treatment because she has an upcoming exam andfeels “too foggy to study”how do you feel just before bed(Ans- reports excessive worry and racing thoughts before bed“I’m sorry to hear about your

Shadow Health – HEENT Tina JonesInspect head and face(Ansskull symmetry: symmetricfacial feature symmetry: symmetricappearance: Papules, pustules, or comedonesInspect eyes and orbital area(Ansorbital area: No visible abnormal findingssclera: Whiteconjunctiva: Moist and pinkconjunctival discharge: No dischargeInspect nasal cavities(Anscolor: Pinkdischarge: No discharge turbinate patency: Patentobservations: No additional visible abnormal findingsInspect ears(Ansright auditory canal color: Pinkright tympanic membrane color:

Shadow Health Abdominal Pain EstherPark focused examchief complaint(Ans–reports abdominal pain-reports difficulty with bowel movementasked about orientation(Ans asked about pain rating on scale(Ans–reports 6/10 painasked about characteristics of pain(Ans–describes pain a dull and cramping-pain fluctuates in severityasked about non-pharmacological relieving factors(Ans–denies taking pain medication-denies taking laxativesasked about aggravating factors(Ans–reports pain is aggravated by eating-aggravated by physical

Shadow Health-Focused Exam: AbdominalPain – Esther ParkAsked review of systems for genitourinary(AnsDenies….-hx of bladder problems-painful urination-burning with urination-urinary incontinence-hx of UTIs-holding urine unneccessarily-gynecological problems-vaginal bleeding-vaginal discharge-hx of kidney problemsReports….-onset of menopause, was age 54Establish cheif complaint(Ans–Reports abdominal pain-Reports difficulty with bowel movementsAsked about orientation(AnsOriented to…-own person-place-situation-timeAsked about the onset of pain(Ans- Reports… -discomfort for the