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Shadowhealth Skin Hair Nails Subjective
Subjective Data Collection: 24 of 24 (100.0%)
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Hover over the Patient Data items below to reveal important information, including Pro Tips and Example Questions.
Found: Indicates an item that you found.
Available: Indicates an item that is available to be found.
Category
Scored Items
Experts selected these topics as essential components of a strong, thorough interview with this patient.
Patient Data
Not Scored
A combination of open and closed questions will yield better patient data. The following details are facts of the patient’s case.
Relevant Medical History
Finding: Asked about foot wound
Finding: Reports wound was swelling, but has improved (Found)Pro Tip: Specific questions about Tina’s wound can help you to assess the care that she will need. Asking Tina if her wound has any swelling specifies the symptoms she is experiencing. Example Question:Does your wound have any swelling?
Finding: Reports wound was warm, but has improved (Available)Pro Tip: Specific questions about Tina’s wound can help you to assess the care that she will need. Asking Tina if her wound is warm to the touch specifies the symptoms she is experiencing.Example Question:Does your wound feel warm to the touch?
Finding: Reports wound had discharge, but has improved (Found)Pro Tip: Specific questions about Tina’s wound can help you to assess the care that she will need. Asking Tina if there is any discharge coming from her wound specifies the symptoms she is experiencing. Example Question:Is discharge coming from your wound?
Finding: Reports wound is still a little red (Found)Pro Tip: Specific questions about Tina’s wound can help you to assess the care that she will need. Asking Tina if her wound has any redness specifies the symptoms she is experiencing.Example Question:Does your wound have any redness?
Finding: Asked history of slow healing wounds
Finding: Reports no known history of slow healing wounds (Found)Pro Tip: Specific questions about Tina’s wounds can help you to assess the care that she will need. Asking Tina if she has a history of slow healing wounds specifies the symptoms she is experiencing.Example Question:Do you have a history of slow healing wounds?
Finding: Asked current wound healing time
Finding: Reports wound was getting worse over the course of a week, but has improved with treatment in the hospital (Available)Pro Tip: Specific questions about Tina’s wound can help you to assess the care that she will need. Asking Tina how her foot wound has been healing specifies the symptoms she is experiencing.Example Question:How has your foot wound been healing?
Shadowhealth Skin Hair Nails Subjective
Finding: Asked about history of skin conditions
Finding: Reports acne is only skin condition (Found)Pro Tip: Broad questions like this one enable the patient to establish their chief complaint. Asking Tina about any skin conditions will help to determine any relevant medical history.Example Question:Have you ever had a skin condition?
Finding: Reports no skin cancer (Found)Pro Tip: Soliciting a relevant medical history will help you to more effectively treat your patient. Asking Tina if she has ever been diagnosed with skin cancer solicits important health history information. Example Question:Have you ever been diagnosed with skin cancer?
Finding: Reports no skin rashes (Found)Pro Tip: Soliciting a relevant medical history will help you to more effectively treat your patient. Asking Tina if she has had skin rashes solicits important health history information.Example Question:Have you had skin rashes?
Finding: Reports no sores other than foot wound (Found)Pro Tip: Soliciting a relevant medical history will help you to more effectively treat your patient. Asking Tina if she has sores solicits important health history information.Example Question:Do you have sores?
Finding: Reports skin has only itched in the past due to exposure to cats (Found)Pro Tip: Soliciting a relevant medical history will help you to more effectively treat your patient. Asking Tina if her skin has been itching solicits important health history information.Example Question:Has your skin been itching?
Finding: Reports no bruising (Available)Pro Tip: Soliciting a relevant medical history will help you to more effectively treat your patient. Asking Tina if her skin has been bruising solicits important health history information.Example Question:Have you noticed unusual bruising?
Finding: Asked if patient has moles
Finding: Confirms presence of moles (Found)Pro Tip: Monitoring moles is an important step in detecting skin cancer. Asking Tina about her moles solicits important information about her skin.Example Question:Do you have moles anywhere on your body?
Finding: Asked about mole changes
Finding: Reports no known changes in her moles (Found)Pro Tip: Monitoring moles is an important step in detecting skin cancer. Asking Tina about changes in her moles solicits important information about her skin.Example Question:Have your moles changed at all?
Finding: Asked about mole appearance
Finding: Reports moles are “just regular moles” (Found)Pro Tip: Monitoring moles is an important step in detecting skin cancer. Asking Tina what her new moles are like solicits important information about her skin.Example Question:What are your moles like?
Finding: Asked about mole location
Finding: Reports moles are located on her back (Found)Pro Tip: Monitoring moles is an important step in detecting skin cancer. Asking Tina where her moles are located solicits important information about her skin.Example Question:Where are your moles located?
Finding: Asked about acne
Finding: Reports history of acne (Found)Pro Tip: Acne is a skin disorder resulting from hormones and various other substances on the skin’s oil glands. Asking Tina if she has a history of acne solicits important information about her health history.Example Question:Do you have a history of acne?
Finding: Reports current acne (Found)Pro Tip: Acne is a skin disorder resulting from hormones and various other substances on the skin’s oil glands. Asking Tina if she currently has acne solicits important information about her health history.Example Question:Do you have acne now?
Finding: Reports having acne “since middle school,” though it got better for a little while, and then worse again recently (Found)Pro Tip: Acne is a skin disorder resulting from hormones and various other substances on the skin’s oil glands. Asking Tina when she developed acne solicits important information about her health history.Example Question:When did you develop acne?
Finding: Asked about acne treatment
Finding: Reports last time seeing doctor about acne was in high school (Found)Pro Tip: Acne is a skin disorder resulting from hormones and various other substances on the skin’s oil glands. Asking Tina when she last saw a doctor about her acne solicits important information about her health history and any treatment plan she was following.Example Question:When was the last time you saw a doctor about acne?
Finding: Reports doctor gave her “antibiotics” and other treatments in high school for acne but “nothing helped” (Found)Pro Tip: Acne is a skin disorder resulting from hormones and various other substances on the skin’s oil glands. Asking Tina how the doctor treated her acne solicits important information about her health history and any treatment plan she was following.Example Question:How did the doctor treat your acne?
Finding: Reports antibiotic for acne was tetracycline (Found)Pro Tip: Acne is a skin disorder resulting from hormones and various other substances on the skin’s oil glands. Asking Tina what antibiotic she was prescribed for her acne solicits important information about her health history and any treatment plan she was following.Example Question:What antibiotic were you prescribed for your acne?
Finding: Reports only current treatment is washing her face every night (Found)Pro Tip: Acne is a skin disorder resulting from hormones and various other substances on the skin’s oil glands. Asking Tina how she treats her acne solicits important information about her health history.Example Question:How do you treat your acne now?
Shadowhealth Skin Hair Nails Subjective
Finding: Asked acne location
Finding: Reports acne is located on her face and back (Found)Pro Tip: Acne is a skin disorder resulting from hormones and various other substances on the skin’s oil glands. Asking Tina where her acne is located solicits important information about her health history.Example Question:Where is your acne located?
Finding: Asked about changes in skin color
Finding: Confirms skin on her neck “looks a little weird” (Found)Pro Tip: Changes in skin color can be the symptom of various diseases, disorders, or conditions. Asking Tina about changes in skin color solicits relevant information about a symptom she might be experiencing.Example Question:Have there been any changes in your skin color?
Finding: Reports skin on her neck is darker than it used to be (Found)Pro Tip: Changes in skin color can be the symptom of various diseases, disorders, or conditions. Asking Tina about changes in skin color solicits relevant information about a symptom she might be experiencing.Example Question:How has the skin on your neck changed?
Finding: Reports skin is getting darker in the “folds around” her neck (Available)Pro Tip: Changes in skin color can be the symptom of various diseases, disorders, or conditions. Asking Tina about where she is experiencing changes in skin color solicits relevant information about a symptom she might be experiencing.Example Question:Where on your neck is darker?
Finding: Asked about neck skin character
Finding: Reports neck skin is not itchy (Found)Pro Tip: Establishing information about the character of Tina’s skin, like whether the skin on her neck is itchy, will allow you to compare her symptoms and assess her condition.Example Question:Is the skin on your neck itchy?
Finding: Reports neck skin does not hurt (Found)Pro Tip: Establishing information about the character of Tina’s skin, like whether the skin on her neck hurts, will allow you to compare her symptoms and assess her condition.Example Question:Does the skin on your neck hurt?
Finding: Reports neck skin “could be getting thicker” (Available)Pro Tip: Establishing information about the character of Tina’s skin, like whether the skin on her neck is changing, will allow you to compare her symptoms and assess her condition.Example Question:Has the skin on your neck thickened?
Finding: Asked about neck skin change onset
Finding: Reports noticing skin darkening in the “last few months,” but skin was darker in a picture from “a few years ago” (Found)Pro Tip: Establishing information about the character of Tina’s skin, like when she noticed the skin on her neck changing, will allow you to compare her symptoms and assess her condition.Example Question:When did you notice the skin on your neck change?
Finding: Asked about changes in body hair
Finding: Confirms increase in body hair (Found)Pro Tip: Changes in body hair can indicate a change in hormone levels. Asking Tina if her body hair has changed solicits important health history information.Example Question:Have you had changes in your body hair?
Finding: Reports increased hair on face (Found)Pro Tip: Changes in body hair can indicate a change in hormone levels. Asking Tina if the amount of hair on her face has increased solicits important health history information.Example Question:Do you have facial hair?
Finding: Reports increased hair on abdomen (Found)Pro Tip: Changes in body hair can indicate a change in hormone levels. Asking Tina if the amount of hair on her abdomen has increased solicits important health history information.Example Question:Do you have a lot of body hair?
Finding: Reports increased hair around nipples (Available)Pro Tip: Changes in body hair can indicate a change in hormone levels. Asking Tina if the amount of hair around her nipples has increased solicits important health history information.Example Question:Do you have hair around your nipples?
Finding: Asked about body hair onset
Finding: Reports body hair has been increasing “for a really long time” (Found)Pro Tip: Changes in body hair can indicate a change in hormone levels. Asking Tina when the amount of body hair started to increase solicits important health history information.Example Question:When did the amount of body hair start to increase?
Review of Systems
Finding: Asked about eczema
Finding: Reports no history of eczema (Found)Pro Tip: Establishing information about any skin condition Tina experiences will help you to most effectively treat her symptoms. Asking Tina if she has a history of eczema solicits important health information.Example Question:Do you have a history of eczema?
Finding: Reports no current eczema (Found)Pro Tip: Establishing information about any skin condition Tina experiences will help you to most effectively treat her symptoms. Asking Tina if she currently has eczema solicits important health information.Example Question:Do you have eczema now?
Finding: Asked about hair and scalp problems
Finding: Reports no scalp problems (Found)Pro Tip: Establishing information about any skin condition Tina experiences will help you to most effectively treat her symptoms. Asking Tina if she has scalp problems solicits important health information.Example Question:Do you have scalp problems?
Finding: Reports no problems with her head hair (Available)Pro Tip: Establishing information about any skin condition Tina experiences will help you to most effectively treat her symptoms. Asking Tina if she had problems with the hair on her head solicits important health information.Example Question:Have there been problems with the hair on your head?
Finding: Reports no dandruff (Found)Pro Tip: Establishing information about any skin condition Tina experiences will help you to most effectively treat her symptoms. Asking Tina if she has dandruff solicits important health information.Example Question:Do you have dandruff?
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Shadowhealth Skin Hair Nails Subjective
Finding: Asked about nail changes
Finding: Reports no nail changes (Found)Pro Tip: Establishing information about any skin condition Tina experiences will help you to most effectively treat her symptoms. Asking Tina if she has had changes in her nails solicits important health information.Example Question:Have you had nail changes?
Finding: Reports no nail fungus (Available)Pro Tip: Establishing information about any skin condition Tina experiences will help you to most effectively treat her symptoms. Asking Tina if she has nail fungus solicits important health information.Example Question:Do you have nail fungus?
Shadowhealth Skin Hair Nails Subjective
Finding: Asked about lumps anywhere on body
Finding: Reports no known lumps currently on her body (Found)Pro Tip: Establishing information about any skin condition Tina experiences will help you to most effectively treat her symptoms. Asking Tina if she has lumps anywhere on her body solicits important health information.Example Question:Do you have lumps anywhere on your body?
Finding: Asked about skin dryness
Finding: Reports skin on her arms and legs gets dry (Found)Pro Tip: Establishing information about any skin condition Tina experiences will help you to most effectively treat her symptoms. Asking Tina if her skin gets dry solicits important health information.Example Question:Does your skin get dry?
Finding: Reports treating dry skin with lotion (Found)Pro Tip: Establishing information about any skin condition Tina experiences will help you to most effectively treat her symptoms. Asking Tina how she treats skin dryness solicits important health information.Example Question:How do you treat skin dryness?
Finding: Asked about tanning and sun exposure
Finding: Reports no tanning (Found)Pro Tip: Sun exposure can directly affect a patient’s skin. Asking Tina about her sun exposure habits, like whether or not she tans, will help you to determine whether she is at risk for skin cancer.Example Question:Do you tan?
Finding: Reports “almost always” using sun block (Found)Pro Tip: Sun exposure can directly affect a patient’s skin. Asking Tina about her sun exposure habits, like how often she uses sun block, will help you to determine whether she is at risk for skin cancer.Example Question:How often do you use sun block?
Relevant Family History
Finding: Asked family history of hair problems
Finding: Reports no family history of hair problems (Found)Pro Tip: Family histories might indicate a genetic predisposition to certain conditions. Asking Tina if she has a family history of hair problems solicits relevant health history.Example Question:Does your family have a history of hair problems?
Finding: Reports belief that women in family do not have increased body hair (Available)Pro Tip: Example Question:Is increased body hair common for women in your family?
Finding: Asked family history of skin conditions
Finding: Reports no family history of skin conditions (Found)Pro Tip: Example Question:Does your family have a history of skin conditions?
Finding: Reports no family history of skin cancer