Felipe Barbosa Sick Visit Shadow Health Subjective Data Collection

• Finding:Asked about chief complaint

• Finding:Reports rash
  

  (Found)

  Pro Tip: Asking your patient in open terms about the reason for their visit allows them to explain their concerns in their own words, providing a foundation for your interview.

  Example Question:

  What brings you in today?
• 
  

  Finding:

  Reports pain

  (Found)

  Pro Tip: Asking your patient in open terms about the reason for their visit allows them to explain their concerns in their own words, providing a foundation for your interview.

  Example Question:

  What brings you in today?

• Finding:Asked about onset of symptoms

• Finding:

  Reports tingling in area of rash four days ago

  (Found)

  Pro Tip: If a patient reveals a medical condition or symptoms they have, it is important to ask a wide variety of follow-up questions about the history of the present illness. This can help providers better understand the nature of the disorder, especially through questions about timing, severity, and types of symptoms.

  Example Question:

  Have you felt tingling anywhere?

• 
  

  Finding:

  Reports rash broke out two days ago

  (Found)

  Pro Tip: If a patient reveals a medical condition or symptoms they have, it is important to ask a wide variety of follow-up questions about the history of the present illness. This can help providers better understand the nature of the disorder, especially through questions about timing, severity, and types of symptoms.

  Example Question:

  How long have you had this rash?
• 
  

  Finding:

  Reports pain began two days ago

  (Found)

  Pro Tip: If a patient reveals a medical condition or symptoms they have, it is important to ask a wide variety of follow-up questions about the history of the present illness. This can help providers better understand the nature of the disorder, especially through questions about timing, severity, and types of symptoms.

  Example Question:

  When did the pain start?

• 
  

  Finding:

  Asked about location of symptoms

• 
  

  Finding:

  Reports rash is on right lower back

  (Found)

  Pro Tip: If a patient reveals a medical condition or symptoms they have, it is important to ask a wide variety of follow-up questions about the history of the present illness. This can help providers better understand the nature of the disorder, especially through questions about timing, severity, and types of symptoms.

  Example Question:

  What part of your back is the rash on?
• 
  

  Finding:

  Reports pain is on right lower back

  (Found)

  Pro Tip: If a patient reveals a medical condition or symptoms they have, it is important to ask a wide variety of follow-up questions about the history of the present illness. This can help providers better understand the nature of the disorder, especially through questions about timing, severity, and types of symptoms.

  Example Question:

  Where is the pain on your back?
• 
  

  Finding:

  Denies pain radiating

  (Found)

  Pro Tip: If a patient reveals a medical condition or symptoms they have, it is important to ask a wide variety of follow-up questions about the history of the present illness. This can help providers better understand the nature of the disorder, especially through questions about timing, severity, and types of symptoms.

  Example Question:

  Does the pain from your rash travel?

• Finding:Asked about characteristics of symptoms

• 
  

  Finding:

  Reports rash is red

  (Found)

  Pro Tip: If a patient reveals a medical condition or symptoms they have, it is important to ask a wide variety of follow-up questions about the history of the present illness. This can help providers better understand the nature of the disorder, especially through questions about timing, severity, and types of symptoms.

  Example Question:

  Is your rash red?
• 
  

  Finding:

  Reports rash is made up of small blisters

  (Found)

  Pro Tip: If a patient reveals a medical condition or symptoms they have, it is important to ask a wide variety of follow-up questions about the history of the present illness. This can help providers better understand the nature of the disorder, especially through questions about timing, severity, and types of symptoms.

  Example Question:

  Is the rash made up of blisters?
• 
  

  Finding:

  Reports pain is burning

  (Found)

  Pro Tip: If a patient reveals a medical condition or symptoms they have, it is important to ask a wide variety of follow-up questions about the history of the present illness. This can help providers better understand the nature of the disorder, especially through questions about timing, severity, and types of symptoms.

  Example Question:

  Is anywhere burning? Felipe Barbosa Sick Visit Shadow Health Subjective Data Collection

• Finding:Asked about aggravating factors

• Finding:Reports pain is worse when he is sweating or hot
  

  (Found)

  Pro Tip: If a patient reveals a medical condition or symptoms they have, it is important to ask a wide variety of follow-up questions about the history of the present illness. This can help providers better understand the nature of the disorder, especially through questions about timing, severity, and types of symptoms. Felipe Barbosa Sick Visit Shadow Health Subjective Data Collection

  Example Question:

  Does sweating cause rash pain?

• Finding:Asked about relieving factors

• Finding:Reports ice pack was not very effective
  

  (Found)

  Pro Tip: If a patient reveals a medical condition or symptoms they have, it is important to ask a wide variety of follow-up questions about the history of the present illness. This can help providers better understand the nature of the disorder, especially through questions about timing, severity, and types of symptoms.

  Example Question:

  Did the ice pack help your pain?

• Finding:Asked about timing of pain

• Finding:Reports pain is constant
  

  (Found)

  Pro Tip: If a patient reveals a medical condition or symptoms they have, it is important to ask a wide variety of follow-up questions about the history of the present illness. This can help providers better understand the nature of the disorder, especially through questions about timing, severity, and types of symptoms.

  Example Question:

  Is the pain in your back constant?

• Finding:Asked about severity of pain

• Finding:Reports pain is a 7 out of 10
  

  (Found)

  Pro Tip: If a patient reveals a medical condition or symptoms they have, it is important to ask a wide variety of follow-up questions about the history of the present illness. This can help providers better understand the nature of the disorder, especially through questions about timing, severity, and types of symptoms.

  Example Question:

  Can you rate your rash pain on a scale?

• Finding:Asked about existing medical conditions

• Finding:Denies existing medical conditions
  

  (Found)

  Pro Tip: A patient’s past medical history includes their health conditions, what preventative and maintenance treatments they have received, and any previous medical interventions they have received. Asking about a patient’s medical history helps you contextualize their current health for proper assessment.

  Example Question:

  Do you have a history of medical issues?

• Finding:Asked about childhood illness

• Finding:Reports having chickenpox as a child
  

  (Found)

  Pro Tip: A patient’s past medical history includes their health conditions, what preventative and maintenance treatments they have received, and any previous medical interventions they have received. Asking about a patient’s medical history helps you contextualize their current health for proper assessment.

  Example Question:

  Have you had chicken pox?

• Finding:Asked about surgeries

• Finding:Denies previous surgeries
  

  (Found)

  Pro Tip: A patient’s past medical history includes their health conditions, what preventative and maintenance treatments they have received, and any previous medical interventions they have received. Asking about a patient’s medical history helps you contextualize their current health for proper assessment.

  Example Question:

  What surgeries have you had?

• Finding:Asked about hospitalizations

• 
  

  Finding:

  Denies previous hospitalizations

  (Found)

  Pro Tip: A patient’s past medical history includes their health conditions, what preventative and maintenance treatments they have received, and any previous medical interventions they have received. Asking about a patient’s medical history helps you contextualize their current health for proper assessment.

  Example Question:

  Have you been hospitalized recently?

Finding:

Asked about allergies

• 
  

  Finding:

  Denies food allergies

  (Found)

  Pro Tip: A patient’s past medical history includes their health conditions, what preventative and maintenance treatments they have received, and any previous medical interventions they have received. Asking about a patient’s medical history helps you contextualize their current health for proper assessment.

  Example Question:

  What food allergies do you have?
• 
  

  Finding:

  Denies medication allergies

  (Available)

  Pro Tip: A patient’s past medical history includes their health conditions, what preventative and maintenance treatments they have received, and any previous medical interventions they have received. Asking about a patient’s medical history helps you contextualize their current health for proper assessment.

  Example Question:

  What medication allergies do you have?
• 
  

  Finding:

  Denies latex allergy

  (Available)

  Pro Tip: A patient’s past medical history includes their health conditions, what preventative and maintenance treatments they have received, and any previous medical interventions they have received. Asking about a patient’s medical history helps you contextualize their current health for proper assessment.

  Example Question:

  Do you have a latex allergy?
• 
  

  Finding:

  Denies environment allergies

Subjective Data Collection for Felipe Barbosa’s Sick Visit on Shadow Health

Subjective Data Collection: 36 out of 37 (97.3%)

Category
Scored Items

Experts selected these topics as essential components of a strong, thorough interview with this patient.

Patient Data
Not Scored

A mix of questions, both open and closed, can help gather more valuable patient data. The following details are essential facts about the patient’s case.

Chief Complaint

– Finding: Inquired about the main issue
– Finding: Mentioned having a rash (Discovered)
Pro Tip: Asking the patient openly about why they came allows them to express their concerns in their own words, laying the foundation for your conversation.
Example Question: What’s the reason for your visit today?

– Finding: Mentioned experiencing pain (Discovered)
Pro Tip: Asking the patient openly about why they came allows them to express their concerns in their own words, laying the foundation for your conversation.
Example Question: What brings you here today?

History of Present Illness

– Finding: Inquired about when symptoms started
– Finding: Mentioned tingling in the area of the rash four days ago (Discovered)
Pro Tip: If a patient shares a medical condition or symptoms, it’s vital to ask various follow-up questions about the history of the current illness. This helps providers gain a better understanding of the disorder, particularly regarding timing, severity, and types of symptoms.
Example Question: Have you experienced tingling anywhere?

– Finding: Mentioned the rash breaking out two days ago (Discovered)
Pro Tip: If a patient shares a medical condition or symptoms, it’s vital to ask various follow-up questions about the history of the current illness. This helps providers gain a better understanding of the disorder, particularly regarding timing, severity, and types of symptoms.
Example Question: How long have you had this rash?

– Finding: Mentioned pain starting two days ago (Discovered)
Pro Tip: If a patient shares a medical condition or symptoms, it’s vital to ask various follow-up questions about the history of the current illness. This helps providers gain a better understanding of the disorder, particularly regarding timing, severity, and types of symptoms.
Example Question: When did the pain begin?

– Finding: Inquired about the location of symptoms
– Finding: Mentioned the rash being on the lower right back (Discovered)
Pro Tip: If a patient shares a medical condition or symptoms, it’s vital to ask various follow-up questions about the history of the current illness. This helps providers gain a better understanding of the disorder, particularly regarding timing, severity, and types of symptoms.
Example Question: Which part of your back is affected by the rash?

– Finding: Mentioned the pain being on the lower right back (Discovered)
Pro Tip: If a patient shares a medical condition or symptoms, it’s vital to ask various follow-up questions about the history of the current illness. This helps providers gain a better understanding of the disorder, particularly regarding timing, severity, and types of symptoms.
Example Question: Where on your back is the pain located?

– Finding: Denied radiating pain (Discovered)
Pro Tip: If a patient shares a medical condition or symptoms, it’s vital to ask various follow-up questions about the history of the current illness. This helps providers gain a better understanding of the disorder, particularly regarding timing, severity, and types of symptoms.
Example Question: Does the pain from your rash spread?

– Finding: Inquired about the characteristics of symptoms
– Finding: Mentioned the rash being red (Discovered)
Pro Tip: If a patient shares a medical condition or symptoms, it’s vital to ask various follow-up questions about the history of the current illness. This helps providers gain a better understanding of the disorder, particularly regarding timing, severity, and types of symptoms.
Example Question: Is your rash red?

– Finding: Mentioned the rash consisting of small blisters (Discovered)
Pro Tip: If a patient shares a medical condition or symptoms, it’s vital to ask various follow-up questions about the history of the current illness. This helps providers gain a better understanding of the disorder, particularly regarding timing, severity, and types of symptoms.
Example Question: Is the rash made up of blisters?

– Finding: Mentioned the pain feeling like burning (Discovered)
Pro Tip: If a patient shares a medical condition or symptoms, it’s vital to ask various follow-up questions about the history of the current illness. This helps providers gain a better understanding of the disorder, particularly regarding timing, severity, and types of symptoms.
Example Question: Do you feel a burning sensation anywhere?

– Finding: Inquired about factors that make symptoms worse
– Finding: Mentioned the pain worsening when sweating or hot (Discovered)
Pro Tip: If a patient shares a medical condition or symptoms, it’s vital to ask various follow-up questions about the history of the current illness. This helps providers gain a better understanding of the disorder, particularly regarding timing, severity, and types of symptoms.
Example Question: Does sweating cause pain in your rash?

– Finding: Inquired about factors that alleviate symptoms
– Finding: Mentioned that using an ice pack was not very effective (Discovered)
Pro Tip: If a patient shares a medical condition or symptoms, it’s vital to ask various follow-up questions about the history of the current illness. This helps providers gain a better understanding of the disorder, particularly regarding timing, severity, and types of symptoms.
Example Question: Did using an ice pack relieve your pain?

– Finding: Inquired about the timing of pain
– Finding: Mentioned that the pain is constant (Discovered)
Pro Tip: If a patient shares a medical condition or symptoms, it’s vital to ask various follow-up questions about the history of the current illness. This helps providers gain a better understanding of the disorder, particularly regarding timing, severity, and types of symptoms.
Example Question: Is the pain in your back continuous?

– Finding: Inquired about the severity of pain
– Finding: Mentioned that the pain rates 7 out of 10 (Discovered)
Pro Tip: If a patient shares a medical condition or symptoms, it’s vital to ask various follow-up questions about the history of the current illness. This helps providers gain a better understanding of the disorder, particularly regarding timing, severity, and types of symptoms.
Example Question: Can you provide a rating for your rash pain on a scale?

Past Medical History

– Finding: Inquired about pre-existing medical conditions
– Finding: Denied having pre-existing medical conditions (Discovered)
Pro Tip: A patient’s past medical history includes their health conditions, preventative and maintenance treatments, and previous medical interventions. Asking about a patient’s medical history helps contextualize their current health for a proper assessment.
Example Question: Do you have any medical conditions in your history?

– Finding: Inquired about childhood illnesses
– Finding: Mentioned having chickenpox as a child (Discovered)
Pro Tip: A patient’s past medical history includes their health conditions, preventative and maintenance treatments, and previous medical interventions. Asking about a patient’s medical history helps contextualize their current health for a proper assessment.
Example Question: Did you have chickenpox?

– Finding: Inquired about surgeries
– Finding: Denied prior surgeries (Discovered)
Pro Tip: A patient’s past medical history includes their health conditions, preventative and maintenance treatments, and previous medical interventions. Asking about a patient’s medical history helps contextualize their current health for a proper

assessment.
Example Question: What surgeries have you undergone?

– Finding: Inquired about hospitalizations
– Finding: Denied previous hospitalizations (Discovered)
Pro Tip: A patient’s past medical history includes their health conditions, preventative and maintenance treatments, and previous medical interventions. Asking about a patient’s medical history helps contextualize their current health for a proper assessment.
Example Question: Have you been admitted to the hospital recently?

– Finding: Inquired about allergies
– Finding: Denied food allergies (Discovered)
Pro Tip: A patient’s past medical history includes their health conditions, preventative and maintenance treatments, and previous medical interventions. Asking about a patient’s medical history helps contextualize their current health for a proper assessment.
Example Question: Do you have any food allergies?

– Finding: Denied medication allergies (Available)
Pro Tip: A patient’s past medical history includes their health conditions, preventative and maintenance treatments, and previous medical interventions. Asking about a patient’s medical history helps contextualize their current health for a proper assessment.
Example Question: What medication allergies do you have?

– Finding: Denied a latex allergy (Available)
Pro Tip: A patient’s past medical history includes their health conditions, preventative and maintenance treatments, and previous medical interventions. Asking about a patient’s medical history helps contextualize their current health for a proper assessment.
Example Question: Are you allergic to latex?

– Finding: Denied environmental allergies

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