Rachel Adler – ETOH
Chief Complaint
Finding:
Established chief complaint and reason for admittance
Finding:
Reports car accident
(Found)
Pro Tip:
... [Show More] A patient's chief complaint establishes any illnesses or concerns they are presenting.
Asking about the chief complaint will allow the patient to voice any concerns or symptoms the
patient may have.
Example Question:
Why were you admitted?
Finding:
Reports injury
(Found)
Pro Tip: A patient's chief complaint establishes any illnesses or concerns they are presenting.
Asking about the chief complaint will allow the patient to voice any concerns or symptoms the
patient may have.
Example Question:
What caused your injury?
Finding:
Reports passive suicidal ideation
(Found)
Pro Tip: A patient's chief complaint establishes any illnesses or concerns they are presenting.
Asking about the chief complaint will allow the patient to voice any concerns or symptoms the
patient may have.
Example Question:
What brings you in today?
History of Present Illness
Finding:
Followed up on details of car accident
Finding:
Reports loss of consciousness
(Found)
Pro Tip: Asking a patient about the length of their current health issues solicits information
relevant to the history of their present illness. Details of their current complaint will help you
follow-up on any present conditions or symptoms, such as the location of their pain or the
amount of pain they may be experiencing.
Example Question:
Did you lose consciousness during the car accident?
Finding:
Reports being unsure of how the accident happened
(Found)
Pro Tip: Asking a patient about the length of their current health issues solicits information
relevant to the history of their present illness. Details of their current complaint will help you
follow-up on any present conditions or symptoms, such as the location of their pain or the
amount of pain they may be experiencing.
Example Question:
Do you know what caused the car accident?
Finding:
Reports wearing seatbelt
(Available)
Pro Tip: Asking a patient about the length of their current health issues solicits information
relevant to the history of their present illness. Details of their current complaint will help you
follow-up on any present conditions or symptoms, such as the location of their pain or the
amount of pain they may be experiencing.
Example Question:
Were you wearing a seatbelt?
Finding:
Reports being the driver - no other passengers in car
(Found)
Pro Tip: Asking a patient about the length of their current health issues solicits information
relevant to the history of their present illness. Details of their current complaint will help you
follow-up on any present conditions or symptoms, such as the location of their pain or the
amount of pain they may be experiencing. [Show Less]