Established chief complaint
-reports leg pain
-reports leg swelling
Established orientation
-oriented to person
-oriented to place
-oriented
... [Show More] to time
-oriented to situation
00:02
01:22
Asked about onset and duration of symptoms
-reports fall was 9 am this morning
-reports lower leg pain started 2 days ago. Also reports mild constant pain in his knees and hips due to arthritis.
-reports leg swelling started 2 days ago
-reports pain has been constant since onset
-reports pain steadily gets worse
Asked about location of pain
-reports pain in left lower calf
Asked about characteristics of pain
-describes pain as "nagging"
-describes pain as sharp
-denies stinging or burning pain
-reports sensation of warmth
Asked about aggravating factors of pain
-reports pain worse with walking
Asked about treatment and relieving factors of pain
-reports taking Advil
-reports Advil did not relieve leg pain
-denies home treatments such as heating or icing for pain today
Asked about severity of pain
-current pain level is 2/10
-pain level arriving at ER was 10/10
Asked about existing health conditions
-reports hypertension
-reports osteoarthritis
-reports prostate enlargement
Followed up about hypertension diagnosis
-hypertension diagnosed at age 57
-reports belief that hypertension is "okay" (well-controlled)
-reports that typical number in the doctor's office is "never above 140 for the first number"
-reports that he doesn't check BP at home
-reports that he only checks BP at doctor's office every few months
-denies checking BP before taking medication
Followed up about osteoarthritis diagnosis
-arthritis diagnosed at age 57
-reports hip pain
-reports knee pain
-reports morning stiffness
-reports using heat to relieve pain
-reports doing exercises to help symptoms
Followed up about prostate enlargement diagnosis
-diagnosed at age 69
Asked about allergies
-denies general allergies
-denies environmental allergies
-denies latex allergy
Asked specifically about medication allergies
-denies medication allergies
Asked about home medications
-report medication for hypertension
-reports medication for prostate enlargement
-reports occasionally taking a sleep aid
-denies taking vitamins
-denies taking herbal supplements [Show Less]