Subjective Data Collection: 23 of 23 (100.0%)
Relevant Medical History
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Overview
Transcript
Subjective Data Collection
Objective Data Collection
Documentation
Student Survey
Indicates an item that you
found.
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 t
patient's case.
Asked about foot wound Reports swelling has improved
Reports wound warmth has improved
Reports wound discharge has improved
Reports wound is still a little red
Asked history of slow healing wounds Denies history of slow healing wounds
Asked current wound healing time Reports wound had been getting worse over the
past week
Reports wound has improved with hospital
treatment
Asked about history of skin conditions Reports acne
Reports dry skin
Denies skin cancer
Denies skin rashes
Denies sores other than foot wound
Reports skin has only itched due to cat exposure
Denies bruising
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Hover over the Patient Data items
below to reveal important
information, including Pro Tips and
Example Questions.
This study source was downloaded by 100000840275362 from CourseHero.com on 06-18-2022 16:56:14 GMT -05:00
https://www.coursehero.com/file/63138713/Tina-Jones-Skin-Hair-and-Nails-Completed-Shadow-Health-Subjectivepdf/
6/5/2020 Skin, Hair, and Nails | Completed | Shadow Health
https://app.shadowhealth.com/assignment_attempts/7036982 2/3
Review of Systems
Followed up on skin dryness Reports arms and legs get dry
Reports using lotion
Followed up on acne Reports having acne since middle school
Reports current acne
Reports acne had been dormant but got worse
recently
Asked about acne treatment Reports last seeing a doctor for acne in high
school
Reports doctor prescribed antibiotics for acne
Reports antibiotic for acne was tetracycline
Reports antibiotics were ineffective
Reports only current treatment is washing her face
Reports washing her face every night
Asked acne location Reports acne is located on her face
Reports acne is located on her back
Asked if patient has moles Reports moles
Asked about mole changes Denies mole changes
Asked about mole appearance Reports moles are "just regular moles"
Asked about mole location Reports moles are located on her back
Asked about changes in skin color Reports folds in neck are getting darker
Asked about neck skin sensation Denies itchy neck skin
Denies neck skin tingling
Denies neck skin pain
Reports belief that neck skin has thickened
Asked about neck skin change onset Reports a photograph from years earlier shows
darkening skin
Reports perceiving that skin was darkening in the
last few months
Asked about changes in body hair Reports increase in body hair
Reports increased hair on face
Reports increased hair on abdomen
Reports increased hair around nipples
Asked about body hair onset Reports body hair has been increasing for a long
time
Asked about hair and scalp problems Denies scalp problems
Denies problems with head hair
This study source was downloaded by 100000840275362 from CourseHero.com on 06-18-2022 16:56:14 GMT -05:00 Denies dandruff
https://www.coursehero.com/file/63138713/Tina-Jones-Skin-Hair-and-Nails-Completed-Shadow-Health-Subjectivepdf/
6/5/2020 Skin, Hair, and Nails | Completed | Shadow Health
https://app.shadowhealth.com/assignment_attempts/7036982 3/3
Relevant Family History
Asked about nails Denies change in character of nails
Denies nail fungus
Asked about tanning and sun exposure Denies tanning
Reports using sun block
Reports sun block is SPF 35
Asked about related medical conditions Reports diabetes
Asked family history of hair problems Denies family history of hair problems
Asked family history of skin conditions Denies family history of skin conditions
Denies family history of skin cancer
Comments
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