Experience Overview:
FOCUSED EXAM: COUGH
Patient: Danny Rivera
Digital Clinical Experience Score
100%
Student Performance Index
34 out of
... [Show More] 34
Subjective Data Collection
19 out of 19
Objective Data Collection
15 out of 15
Subjective Data Collection: 19 of 19 (100.0%)
A combination of open and closed questions will yield better patient data. The following details
are facts of the patient's case.
Chief Complaint
Finding:
Established chief complaint
Finding:
Reports cough
(Found)
Pro Tip: Asking a patient broadly about their chief complaint allows them to answer in their own
words and confirm information that you may have already received from another source.
Example Question:
Do you have a cough?
History of Presenting Illness
Finding:
Asked about onset of cough
Finding:
Reports cough started 3 days ago
(Found)
Pro Tip: Whenever you are assessing a symptom or a health condition, in this case the patient's
cough, inquiring about onset assesses the severity and the progression of the problem.
Example Question:
How long have you had a cough?
Finding:
Asked about characteristics of cough
Finding:
Reports cough is wet
(Available)
Pro Tip: The characteristics of a cough, such as whether it is dry or wet, can indicate key
information about the type of illness the patient has.
Example Question:
Is your cough a wet cough?
Finding:
Reports clear sputum with cough
(Found)
Pro Tip: The characteristics of a cough, such as whether it is productive, can indicate key
information about the type of illness the patient has.
Example Question:
Do you produce any phlegm or sputum with your cough?
Finding:
Asked about frequency and duration of cough
Finding:
Reports coughing every few minutes
(Found)
Pro Tip: Establishing how frequently Danny coughs will illustrate how long he has been
suffering these particular symptoms and might indicate possible triggers.
Example Question:
How frequently are you coughing?
Finding:
Reports coughs last a few seconds
(Available)
Pro Tip: Establishing how long Danny's coughs last will illustrate how long he has been suffering
these particular symptoms and might indicate possible triggers.
Example Question:
How long do your coughs last?
Finding:
Asked about aggravating factors for cough
Finding:
Reports cough is worse at night
(Found)
Pro Tip: Establishing a timeline for Danny's coughing will illustrate how long he has been
suffering these particular symptoms and might indicate possible triggers.
Example Question:
Is the cough worse at night?
Finding:
Denies smoking [Show Less]