Noah Caputo school age sick visit dermatology shadow health Subjective data Collection

Finding:

Asked about relationship to patient

• Finding:Caretaker reports being patient’s uncle and godfather
  

  (Found)

  Pro Tip: Confirming the patient’s relationship with their guardian ensures that you’re observing legal and ethical protections for patient privacy and that you’re speaking with someone who has access to their information.

  Example Question:

  What is your relationship to the patient?
• Finding:Patient reports being caretaker’s nephew and godson
  

  (Found)

  Pro Tip: Confirming the patient’s relationship with their guardian ensures that you’re observing legal and ethical protections for patient privacy and that you’re speaking with someone who has access to their information.

  Example Question:

  Who brought you in today?

• Finding:Asked about chief complaint

• Finding:Caretaker reports babysitting nephew over the weekend
  

  (Found)

  Pro Tip: A patient’s chief complaint establishes any illnesses or concerns that they are presenting with. In the case of a pediatric patient, an approved guardian may provide this information Noah Caputo school age sick visit dermatology shadow health Subjective data. Understanding the chief complaint will help you ask relevant questions, rule out potential diagnoses, and ultimately inform your recommendations for next steps.

  Example Question:

  What brings you in today?
• Finding:Caretaker reports noticing a rash on nephew
  

  (Found)

  Pro Tip: A patient’s chief complaint establishes any illnesses or concerns that they are presenting with. In the case of a pediatric patient, an approved guardian may provide this information. Understanding the chief complaint will help you ask relevant questions, rule out potential diagnoses, and ultimately inform your recommendations for next steps.

  Example Question:

  What brings you in today?
• 
  

  Finding:

  Patient reports being itchy

  (Found)

  Pro Tip: A patient’s chief complaint establishes any illnesses or concerns that they are presenting with. In the case of a pediatric patient, an approved guardian may provide this information. Noah Caputo school age sick visit dermatology shadow health Subjective data Understanding the chief complaint will help you ask relevant questions, rule out potential diagnoses, and ultimately inform your recommendations for next steps.

  Example Question:

  What brings you in today?

• Finding:Asked about onset of rash

• Finding:Caretaker reports noticing the rash yesterday
  

  (Found)

  Pro Tip: Asking about the history of presenting illness will allow you to better understand the patient’s condition and symptoms. The subjective data you gather around this line of questioning will help you identify appropriate interventions.

  Example Question:

  When did you notice your nephew’s rash?
• Finding:Patient reports being itchy since last weekend
  

  (Found)

  Pro Tip: Asking about the history of presenting illness will allow you to better understand the patient’s condition and symptoms. The subjective data you gather around this line of questioning will help you identify appropriate interventions Noah Caputo school age sick visit dermatology shadow health Subjective data.

  Example Question:

  How long have you had this rash?
• 
  

  Finding:

  Caretaker denies knowing when rash started

  (Available)

  Pro Tip: Asking about the history of presenting illness will allow you to better understand the patient’s condition and symptoms. The subjective data you gather around this line of questioning will help you identify appropriate interventions.

  Example Question:

  When did your nephew’s rash start?
• 
  

  Finding:

  Caretaker reports concern that patient’s parents did not notice the rash

  (Found)

  Pro Tip: Asking about the history of presenting illness will allow you to better understand the patient’s condition and symptoms. The subjective data you gather around this line of questioning will help you identify appropriate interventions.

  Example Question:

  Did your nephew’s parents know he had a rash?

• Finding:Asked about location of rash

• Finding:Patient reports rash on feet and ankles
  

  (Found)

  Pro Tip: Asking about the history of presenting illness will allow you to better understand the patient’s condition and symptoms. The subjective data you gather around this line of questioning will help you identify appropriate interventions.

  Example Question:

  Where is the rash?
• 
  

  Finding:

  Patient reports rash on lower legs

  (Found)

  Pro Tip: Asking about the history of presenting illness will allow you to better understand the patient’s condition and symptoms. The subjective data you gather around this line of questioning will help you identify appropriate interventions.

  Example Question:

  Where is the rash?

• 
  

  Finding:

  Asked about duration

• 
  

  Finding:

  Caretaker reports Noah scratching consistently this weekend

  (Found)

  Pro Tip: Asking about the history of presenting illness will allow you to better understand the patient’s condition and symptoms. The subjective data you gather around this line of questioning will help you identify appropriate interventions.

  Example Question:

  How long has your nephew been scratching for?

• Finding:Asked about characteristics of rash

• Finding:Patient reports red bumps
  

  (Found)

  Pro Tip: Asking about the history of presenting illness will allow you to better understand the patient’s condition and symptoms Noah Caputo school age sick visit dermatology shadow health Subjective data. The subjective data you gather around this line of questioning will help you identify appropriate interventions.

  Example Question:

  How does the rash look?
• 
  

  Finding:

  Patient denies painful rash

  (Found)

  Pro Tip: Asking about the history of presenting illness will allow you to better understand the patient’s condition and symptoms. The subjective data you gather around this line of questioning will help you identify appropriate interventions.

  Example Question:

  Does the rash hurt?
• 
  

  Finding:

  Patient denies drainage

  (Found)

  Pro Tip: Asking about the history of presenting illness will allow you to better understand the patient’s condition and symptoms. The subjective data you gather around this line of questioning will help you identify appropriate interventions.

  Example Question:

  Does your rash have drainage?
• 
  

  Finding:

  Patient denies bleeding

  (Found)

  Pro Tip: Asking about the history of presenting illness will allow you to better understand the patient’s condition and symptoms. The subjective data you gather around this line of questioning will help you identify appropriate interventions.

  Example Question:

  Is the rash bleeding?
• Finding:Patient denies blisters
  

  (Available)

  Pro Tip: Asking about the history of presenting illness will allow you to better understand the patient’s condition and symptoms. The subjective data you gather around this line of questioning will help you identify appropriate interventions.

  Example Question:

  Does the rash have blisters?

• Finding:Asked about typical bathing routine

• Finding:Patient reports showering once a week or less
  

  (Found)

  Pro Tip: Asking about the history of presenting illness will allow you to better understand the patient’s condition and symptoms. The subjective data you gather around this line of questioning will help you identify appropriate interventions.

  Example Question:

  What is your bathing routine?
• 
  

  Finding:

  Patient reports using hot water

  (Available)

  Pro Tip: Asking about the history of presenting illness will allow you to better understand the patient’s condition and symptoms. The subjective data you gather around this line of questioning will help you identify appropriate interventions.

  Example Question:

  Do you use hot water?
• 
  

  Finding:

  Patient denies anyone helping him shower

  (Available)

  Pro Tip: Asking about the history of presenting illness will allow you to better understand the patient’s condition and symptoms. The subjective data you gather around this line of questioning will help you identify appropriate interventions.

  Example Question:

  Does anyone help you bathe?
• 
  

  Finding:

  Patient denies being told to bathe

  (Available)

  Pro Tip: Asking about the history of presenting illness will allow you to better understand the patient’s condition and symptoms. The subjective data you gather around this line of questioning will help you identify appropriate interventions.

  Example Question:

  Do you need to be reminded to bathe?
• Finding:Patient denies using soap regularly
  

  (Available)

  Pro Tip: Asking about the history of presenting illness will allow you to better understand the patient’s condition and symptoms. The subjective data you gather around this line of questioning will help you identify appropriate interventions.

  Example Question:

  Do you use soap?

• Finding:Asked about exposure to animals

• Finding:Patient denies pets at home
  

  (Found)

  Pro Tip: Asking about the history of presenting illness will allow you to better understand the patient’s condition and symptoms. The subjective data you gather around this line of questioning will help you identify appropriate interventions.

  Example Question:

  Do you have pets at home?
• Finding:Patient reports spending a lot of time with neighbors’ dog
  

  (Found)

  Pro Tip: Asking about the history of presenting illness will allow you to better understand the patient’s condition and symptoms Noah Caputo school age sick visit dermatology shadow health Subjective data. The subjective data you gather around this line of questioning will help you identify appropriate interventions.

  Example Question:

  Do you come into contact with animals?
• 
  

  Finding:

  Patient denies knowing if dog has fleas

  (Available)

  Pro Tip: Asking about the history of presenting illness will allow you to better understand the patient’s condition and symptoms. The subjective data you gather around this line of questioning will help you identify appropriate interventions.

  Example Question:

  Does the dog have fleas?

• Finding:Asked about aggravating factors

• Finding:Patient reports scratching makes the itching worse
  

  (Found)

  Pro Tip: Asking about the history of presenting illness will allow you to better understand the patient’s condition and symptoms. The subjective data you gather around this line of questioning will help you identify appropriate interventions.

  Example Question:

  What aggravates your rash?
• Finding:Patient reports showering makes the itching worse
  

  (Found)

  Pro Tip: Asking about the history of presenting illness will allow you to better understand the patient’s condition and symptoms. The subjective data you gather around this line of questioning will help you identify appropriate interventions.

  Example Question:

  What aggravates your rash?

• Finding:Asked about relieving factors

• Finding:Caretaker denies using topical treatments
  

  (Found)

  Pro Tip: Asking about the history of presenting illness will allow you to better understand the patient’s condition and symptoms. The subjective data you gather around this line of questioning will help you identify appropriate interventions.

  Example Question:

  Did you put anything on the rash?

• Finding:

  Caretaker reports giving patient cold compresses to put on ankles last night

  (Found)

  Pro Tip: Asking about the history of presenting illness will allow you to better understand the patient’s condition and symptoms. The subjective data you gather around this line of questioning will help you identify appropriate interventions.

  Example Question:

  Did you put anything on the rash?
• 
  

  Finding:

  Patient reports cold compress relieved itching temporarily

  (Found)

  Pro Tip: Asking about the history of presenting illness will allow you to better understand the patient’s condition and symptoms. The subjective data you gather around this line of questioning will help you identify appropriate interventions.

  Example Question:

  Does anything make the itching better?

• Finding:Asked about pharmacological relieving factors

• Finding:Caretaker reports giving patient children’s diphenhydramine last night
  

  (Found)

  Pro Tip: Asking about the history of presenting illness will allow you to better understand the patient’s condition and symptoms. The subjective data you gather around this line of questioning will help you identify appropriate interventions.

  Example Question:

  Did you give your nephew any medication for the rash?
• 
  

  Finding:

  Caretaker reports giving recommended dosage on package

  (Found)

  Pro Tip: Asking about the history of presenting illness will allow you to better understand the patient’s condition and symptoms. The subjective data you gather around this line of questioning will help you identify appropriate interventions.

  Example Question:

  Did you give your nephew any medication for the rash?
• 
  

  Finding:

  Caretaker reports diphenhydramine relieved itching

  (Found)

  Pro Tip: Asking about the history of presenting illness will allow you to better understand the patient’s condition and symptoms. The subjective data you gather around this line of questioning will help you identify appropriate interventions.

  Example Question:

  Did you give your nephew anything for the itching?
• Finding:Patient reports diphenhydramine made him sleepy
  

  (Found)

  Pro Tip: Asking about the history of presenting illness will allow you to better understand the patient’s condition and symptoms. The subjective data you gather around this line of questioning will help you identify appropriate interventions.

  Example Question:

  Did you give your nephew anything for the itching?

• Finding:Asked about family and friends having rash

• Finding:Patient reports not knowing whether or not his neighbors have rash
  

  (Available)

  Pro Tip: Asking about the history of presenting illness will allow you to better understand the patient’s condition and symptoms. The subjective data you gather around this line of questioning will help you identify appropriate interventions.

  Example Question:

  Does anyone you know have a rash?
• Finding:Caretaker reports that other family members do not have rash
  

  (Available)

  Pro Tip: Asking about the history of presenting illness will allow you to better understand the patient’s condition and symptoms. The subjective data you gather around this line of questioning will help you identify appropriate interventions.

  Example Question:

  Does anyone in the household have a rash?

• Finding:Asked about past medical history

• 
  

  Finding:

  Patient denies past medical issues

  (Available)

  Pro Tip: Asking about the history of presenting illness will allow you to better understand the patient’s condition and symptoms. The subjective data you gather around this line of questioning will help you identify appropriate interventions.

  Example Question:

  Has your nephew had any medical problems?

• Finding:Asked about medications

• Finding:Patient denies taking medications
• Noah Caputo school age sick visit dermatology shadow health Subjective data

Subjective Information for Noah Caputo’s Dermatology Visit

Subjective Data Collection for Noah Caputo’s School Age Sick Visit in Dermatology Shadow Health

Category
Scored Information

Experts identified these topics as crucial components of a comprehensive discussion with Noah Caputo for his dermatology visit.

Patient’s Details
Not Scored

A mix of open and closed-ended questions will provide more comprehensive information about the patient. The subsequent details provide background information about the patient’s situation.

Relationship with Guardian

VERIFIED INFO

Found: Confirmed the patient’s connection.

What is your relationship to the patient?

Caretaker’s Relationship

VERIFIED INFO

Found: The caretaker reports being the patient’s uncle and godfather.

Example Question: Who brought you in today?

Chief Concern

VERIFIED INFO

Found: Information about the main reason for the visit.

What brings you in today?

Chief Complaint

VERIFIED INFO

Found: The caretaker reports babysitting the patient over the weekend.

Example Question: What brings you in today?

Chief Complaint

VERIFIED INFO

Found: The caretaker noticed a rash on the patient.

Example Question: What brings you in today?

Itchiness

VERIFIED INFO

Found: The patient reports feeling itchy.

Example Question: What brings you in today?

Present Illness History
VERIFIED INFO

Found: Information about the onset of the rash.

When did you notice your nephew’s rash?

Itchiness Duration

VERIFIED INFO

Found: The patient reports being itchy since last weekend.

Example Question: How long have you had this rash?

Uncertain Onset

AVAILABLE INFO

Found: The caretaker is unsure when the rash began.

Example Question: When did your nephew’s rash start?

Parental Awareness

VERIFIED INFO

Found: The caretaker is concerned that the patient’s parents did not notice the rash.

Example Question: Did your nephew’s parents know he had a rash?

Rash Location

VERIFIED INFO

Found: Information about where the rash is located.

Where is the rash?

Rash Location

VERIFIED INFO

Found: The patient reports having the rash on the feet and ankles.

Example Question: Where is the rash?

Scratching Duration

VERIFIED INFO

Found: The caretaker reports that Noah has been scratching consistently this weekend.

Example Question: How long has your nephew been scratching for?

Rash Characteristics

VERIFIED INFO

Found: Information about the appearance of the rash.

How does the rash look?

No Pain

VERIFIED INFO

Found: The patient denies having a painful rash.

Does the rash hurt?

No Drainage

VERIFIED INFO

Found: The patient denies having any drainage from the rash.

Does your rash have drainage?

No Bleeding

VERIFIED INFO

Found: The patient denies any bleeding from the rash.

Is the rash bleeding?

No Blisters

AVAILABLE INFO

Found: The question about the presence of blisters remains unanswered.

Does the rash have blisters?

Bathing Routine

VERIFIED INFO

Found: Information about the patient’s bathing habits.

What is your bathing routine?

Hot Water Usage

AVAILABLE INFO

Found: Information about hot water usage remains available.

Do you use hot water?

No Help Bathing

AVAILABLE INFO

Found: Information about needing assistance with bathing is available.

Does anyone help you bathe?

No Reminder

AVAILABLE INFO

Found: Information about needing reminders to bathe remains available.

Do you need to be reminded to bathe?

Irregular Soap Use

AVAILABLE INFO

Found: Information about the regular use of soap remains available.

Do you use soap?

Exposure to Animals

VERIFIED INFO

Found: Information about the patient’s exposure to animals.

Do you have pets at home?

Neighbor’s Dog

VERIFIED INFO

Found: The patient reports spending time with the neighbor’s dog.

Do you come into contact with animals?

Flea Awareness

AVAILABLE INFO

Found: Information about whether the neighbor’s dog has fleas is unknown.

Does the dog have fleas?

Aggravating Factors

VERIFIED INFO

Found: The patient reports that scratching makes the itching worse.

What aggravates your rash?

Aggravating Factors

VERIFIED INFO

Found: The patient reports that showering worsens the itching.

What aggravates your rash?

Relieving Factors

VERIFIED INFO

Found: The caretaker denies using topical treatments.

Did you put anything on the rash?

Relieving Factors

VERIFIED INFO

Found: The caretaker reports using cold compresses on the patient’s ankles.

Did you put anything on the rash?

Temporary Relief

VERIFIED INFO

Found: The patient reports that the cold compress relieved itching temporarily.

Does anything make the itching better?

Pharmacological Relief

VERIFIED INFO

Found: The caretaker reports giving the patient children’s diphenhydramine.

Did you give your nephew any medication for the rash?

Recommended Dosage

VERIFIED INFO

Found: The caretaker reports giving the recommended dosage.

Did you give your nephew any medication for the rash?

Diphenhydramine Effect

VERIFIED INFO

Found: The caretaker reports that diphenhydramine relieved itching.

Did you give your nephew anything for the itching?

Diphenhydramine Side Effect

VERIFIED INFO

Found: The patient reports that diphenhydramine made him sleepy.

Did you give your nephew anything for the itching?

Family and Friends with Rash

AVAILABLE INFO

Found: Information about whether the patient’s acquaintances have rashes is not available.

Does anyone you know have a rash?

No Family Rash

AVAILABLE INFO

Found: Information about other family members having rashes is not available.

Does anyone in the household have a rash?

Past Medical History

AVAILABLE INFO

Found: Information about the patient’s past medical issues is not available.

Has your nephew had any medical problems?

Home Medications

VERIFIED INFO

Found: Information about the patient’s current medications.

Noah Caputo’s school age sick visit dermatology shadow health Subjective data indicates that the patient is not taking any medications.

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