NURS6512 Week 7 –Brian Foster Chest Pain Subjective Data

Shadow Health Assessment: Brian Foster Chest Pain Subjective Data.

Brian Foster Chest Pain Subjective Data: Shadow Health Assessment

30 of 30 Subjective Data Collection (100.0%)

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These subjects were chosen by experts as vital components of a strong, thorough interview with this patient. Brian Foster Chest Pain Shadow Health Evaluation Subjective Information.

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Shadow Health Assessment Brian Foster Chest Pain Subjective Data

A combination of open and closed-ended questions will produce more accurate patient data. The following information pertains to the patient’s case.

Brian Foster Chest Pain Subjective Data Shadow Health Assessment

The Main Complaint

Finding:

Determined the main complaint

Finding:

occasional chest pain is reported

(Found)

Pro Tip: Chest pain can signify various health issues, some significant and some not so serious. Following the finding of chest pain, it is critical to inquire about its characteristics and severity.

Question Example:

Do you suffer from chest pain?

Current Illness History

Finding:

When asked about the start of pain,

Finding:

In the last month, there have been reports of chest pain.

(Found)

Pro Tip: Determining the onset of a patient’s pain is critical for identifying its severity as well as the patient’s comfort.

Question Example:

When did the pain in your chest start?

Finding:

When asked about the location of the pain,

Finding:

The pain is said to be in the center of the chest.

(Found)

Pro Tip: Understanding the location of a patient’s discomfort is critical for determining which body systems are affected, the underlying cause of the pain, and the best way to treat it.

Question Example:

Where is the agony?

Finding:

According to reports, the discomfort does not radiate.

(Found)

Pro Tip: Pain radiation is an essential symptom that can aid in determining the source of pain and narrowing down the diagnosis.

Question Example:

Is the pain radiating?

Finding:

He denies having an arm ache.

(Found)

When paired with chest discomfort, arm pain can indicate cardiac complaints.

Question Example:

Are you suffering from arm pain?

Finding:

Denies having shoulder pain

(Found)

When paired with chest pain, shoulder pain can indicate that the complaint is cardiac.

Question Example:

Are you suffering from shoulder pain?

Finding:

Denies having back pain

(Found)

Back pain, when accompanied by chest pain, can be an indication that the complaint is cardiac.

Question Example:

Are you suffering from back pain?

Finding:

Denies having neck pain

(Found)

When paired with chest pain, neck pain can indicate cardiac complaints.

Question Example:

Are you suffering from neck pain?

Finding:

When asked about the duration of pain bouts,

 

 

Finding:

According to reports, each episode lasted “several” minutes.

 

(Found)

Pro Tip: Knowing how long a patient has been in pain offers you a complete picture of its severity and potential influence on the patient’s health.

Question Example:

How long do you think your chest pain will last?

Finding:

When asked about the frequency of pain,

Finding:

There have been three occurrences reported in the last month.

(Found)

Pro Tip: Creating a chronology for a patient’s symptoms can help you diagnose his ailment and treat him more effectively.

Question Example:

How many times have you suffered chest pain in the last month?

Finding:

Reports that the episodes did not appear to be tied

(Available).

Pro Tip: Enquire your patient if the episodes seem related will assist in restricting your diagnosis by pointing to likely variables that intensify the attacks or provoke symptoms.

Question Example:

Did the episodes appear to be connected?

Finding:

When asked about the severity of the discomfort,

Finding:

Current pain is rated as 0 out of 10.

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(Found)

Pro Tip: For many people, describing pain is challenging. By asking Brian to score his pain on a scale of 0 to 10, a consistent measure of pain severity developed.

Question Example:

On a scale of 1-10, how can you grade your pain?

Finding:

Pain severity is reported to be 5 out of 10 at its worst.

(Found)

Pro Tip: For many people, describing pain is challenging. By asking Brian to rate his pain at its worst, you can better understand how severe the suffering is.

Question Example:

On a scale of 1-10, how can you grade your pain?

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Brian Foster’s Health Evaluation: Subjective Chest Pain

Data

Finding:

When asked about the nature of pain,

Finding:

Pain is described as tight and painful.

(Found).

Pro Tip: -Ask Brian to define his pain will help you determine the source and intensity of his discomfort. Patients may not know what to say. Therefore terms like harsh, dull, crushing, gnawing, or searing may be appropriate.

Question Example:

Can you describe your discomfort?

 

Finding:

Denies excruciating agony

(Found).

Pro Tip: Questioning Brian to describe his pain will help you determine the source and intensity of his discomfort. Patients may not know what to say. Therefore terms like harsh, dull, crushing, gnawing, or searing may be appropriate.

Question Example:

Is the agony unbearable?

Finding:

Denies feeling a gnawing discomfort

(Found).

Pro Tip: Requesting Brian to describe his pain will help you determine the source and intensity of his discomfort. Patients may not know what to say. Therefore terms like harsh, dull, crushing, gnawing, or searing may be appropriate.

Question Example:

Is the ache nagging you?

Finding:

Denies feeling of scorching agony

(Found).

Pro Tip: Requesting Brian to describe his pain will help you determine the source and intensity of his discomfort. Patients may not know what to say. Therefore terms like harsh, dull, crushing, gnawing, or searing may be appropriate.

Question Example:

Is the pain scalding?

Finding:

When asked about aggravating factors,

Finding:

Activity aggravates the pain, according to reports.

(Found)

Pro Tip: Exacerbating variables give more information about the nature of the pain and the body systems involved.

Question Example:

What aggravates the pain?

Finding:

Yard work and stair climbing caused pain.

(Found)

Pro Tip: Identifying the activity that may have resulted in the patient’s complaint is critical since it may disclose the underlying reason for the problem.

Question Example:

What action caused the pain?

Finding:

Eating does not make the pain worse.

(Available)

Pro Tip: Inquire about the patient’s diet and its impact on his complaint, as cardiac symptoms and gastrointestinal pain can be highly similar and are frequently confused. Eliminating one or both of these possibilities can help you make a diagnosis.

Question Example:

Is the discomfort exacerbated when you eat?

Finding:

The pain does not worsen after eating spicy meals.

(Available)

Pro Tip: Inquire about the patient’s diet and its impact on his complaint, as cardiac symptoms and gastrointestinal pain can be highly similar and are frequently confused. Eliminating one or both of these possibilities can help you make a diagnosis.

Question Example:

Is the discomfort aggravated when you eat spicy foods?

 

Finding:

Pain does not worsen after consuming high-fat foods.

(Found)

Pro Tip: Inquire about the patient’s diet and its impact on his complaint, as cardiac symptoms and gastrointestinal pain can be highly similar and are frequently confused. Eliminating one or both of these possibilities can help you make a diagnosis.

Question Example:

Is the pain exacerbated after eating high-fat foods?

Finding:

When asked about easing factors,

Finding:

Reports of pain alleviation during a brief duration of relaxation

(Found)

Pro Tip: It is critical to identify the nature of pain by inquiring about relief. Relieving factors can help to narrow the bodily system and aid in a more precise diagnosis.

Question Example:

What makes you feel better?

Finding:

There is no medication available to relieve chest pain, according to reports.

(Found)

Pro Tip: It is critical to identify the nature of pain by inquiring about relief. Identifying any pain medications Brian uses can assist you in determining the nature and intensity of his suffering and avoiding any harmful medication interactions.

Question Example:

Did you take anything to relieve your chest pain?

Brian Foster Chest Pain Subjective Data

Medical Background

Finding:

Medication use has been confirmed

Finding:

Medication confirmation

(Found)

Pro Tip: Knowing what medications a patient is taking, if any, is an essential part of entire health history and will help you avoid adverse drug interactions.

Question Example:

What medications are you now taking?

Finding:

Takes hypertension medicine, according to reports

(Found)

Pro Tip: A patient’s medication will reveal any pertinent health concerns, treatment plan, and how effectively they adhere to it. Inquiring about appropriate medicines will assist you in treating your patient.

Question Example:

Do you take hypertension medication?

Finding:

Reports of hyperlipidemia medication use

(Found)

Pro Tip: A patient’s medication will reveal any pertinent health concerns, treatment plan, and how effectively they adhere to it. Inquiring about appropriate medicines will assist you in treating your patient.

Question Example:

Do you take hyperlipidemia medication?

 

Finding:

reports using ibuprofen on occasion

(Available)

Pro Tip: A patient’s medication will reveal any pertinent health concerns, treatment plan, and how effectively they adhere to it. Inquiring about appropriate medicines will assist you in treating your patient.

Question Example:

Do you use over-the-counter drugs?

Finding:

Taking fish oil has been reported.

(Found)

Pro Tip: A patient’s medication will reveal any pertinent health concerns, treatment plan, and how effectively they adhere to it. Inquiring about appropriate medications or supplements will assist you in treating your patient.

Question Example:

Do you use supplements?

Finding:

Denies the use of aspirin.

(Available)

Pro Tip: A patient’s medication will reveal any pertinent health concerns, treatment plan, and how effectively they adhere to it. Inquiring about appropriate medications will assist you in treating your patient.

Question Example:

Are you an aspirin user?

Finding:

Treatment for hypertension was followed upon.

Finding:

Lopressor is the medication.

(Found)

Pro Tip: Knowing which medications a patient takes allows you to analyze his health problems treatment effectiveness and avoid harmful medication interactions.

Question Example:

What hypertension medicine do you take?

Finding:

The Lopressor dosage is 100mg.

(Found)

Pro Tip: Understanding the current dose of any patient’s prescription medications is critical because it gives crucial information about the patient’s treatment plan and potential medication interactions.

Question Example:

What is the dosage of your hypertension medication?

Finding:

Lopressor is taken once a day.

(Found)

Pro Tip: The regularity with which a patient takes his meds is essential for his medication treatment strategy.

Question Example:

How often do you take hypertension medication?

Finding:

Treatment for hyperlipidemia was followed.

Finding:

Lipitor is the medication.

(Found)

Pro Tip: Knowing which medications a patient takes allows you to analyze his health problems treatment effectiveness and avoid harmful medication interactions.

Question Example:

What antihyperlipidemic drug do you take?

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Finding:

The recommended Lipitor dosage is 20mg.

(Found)

Pro Tip: Understanding the current dose of any patient’s prescription medications is critical because it gives crucial information about the patient’s treatment plan and potential medication interactions.

Question Example:

What is the dosage of your hyperlipidemia medication?

Finding:

Lipitor is taken once a day.

(Found)

Pro Tip: The regularity with which a patient takes his meds is crucial for his medication treatment strategy.

Question Example:

How frequently do you take hyperlipidemia medication?

Finding:

Lipitor is taken at bedtime.

(Available)

Pro Tip: A patient’s medication will reveal any pertinent health concerns, treatment plan, and how effectively they adhere to it. Inquiring about prescription relevant information, such as when Brian takes Lipitor, will assist you in treating your patient.

Question Example:

What time do you take your Lipitor?

Finding:

Lipitor has been used for a year.

(Found)

Pro Tip: A patient’s medication will reveal any pertinent health concerns, treatment plan, and how effectively they adhere to it. Inquiring about appropriate medications will assist you in treating your patient.

Question Example:

How long have you been using Lipitor?

Finding:

Allergies have been confirmed

Finding:

This confirms allergies (no new allergies reported)

(Found)

 

Pro Tip: Asking Tina whether she has any new allergies will help you understand how Tina’s health has been apart from her main problem.

Question Example:

Have you developed any new allergies?

Finding:

When asked about possible contributing variables in one’s medical history,

Finding:

There is no documented diagnosis of angina in this report.

(Found)

The history of angina can weaken the heart and lead to other cardiovascular issues. Inquiring into Brian’s angina helps you better understand his overall cardiovascular condition.

Question Example:

Do you have a history of angina pectoris?

Finding:

Hypertension is reported.

(Found)

Pro Tip: The most significant risk factor for stroke is hypertension. Obtaining Brian’s health history will allow you to determine his risk of cardiovascular disease.

Question Example:

Do you have high blood pressure?

 

Finding:

High cholesterol is reported

 

(Found)

High cholesterol levels can lead to cardiovascular disease. Inquiring about Brian’s history of elevated cholesterol offers critical information regarding his cardiovascular health.

Question Example:

Do you have a high cholesterol level?

 

Finding:

There is no documented coronary artery disease, according to the report.

(Available)

Pro Tip: Coronary artery disease is a significant risk factor for future heart illness. Finding coronary artery disease in a patient complaining of chest pain is critical to making an appropriate diagnosis.

Question Example:

Do you have coronary artery disease?

Finding:

Diabetes not found

 

(Found)

Diabetes can significantly impact many body systems, and incorporating it into a cardiovascular complaint can affect your diagnosis and treatment strategy.

Question Example:

Do you have diabetes?

 

Finding:

Denies having received earlier therapy for chest pain.

 

(Found)

Pro Tip: Finding out about any previous therapies for chest pain can be a great source of information for future treatment. Previous treatments’ success or failure can influence your treatment plan.

Question Example:

Have you previously received therapy for chest pain?

Finding:

When questioned about blood pressure monitoring,

 

 

Finding:

At home, he does not routinely check his blood pressure.

 

(Found)

Pro Tip: Keeping track of a patient’s blood pressure might help you maintain cardiovascular health. Inquiring about Brian’s blood pressure measurement frequency will reveal his level of health literacy and his current treatment plan.

Question Example:

How frequently do you check your blood pressure?

 

Finding:

Reports infrequent blood pressure checks at the doctor’s office or drugstore

 

(Found)

Pro Tip: Keeping track of a patient’s blood pressure might help you maintain cardiovascular health. Inquiring when Brian takes his blood pressure will reveal his level of health literacy and his current treatment strategy.

Question Example:

When do you take your blood pressure readings?

Finding:

Reports of inability to recall typical BP readings

(Found)

Pro Tip: Keeping track of a patient’s blood pressure might help you maintain cardiovascular health. Inquiring about Brian’s typical blood pressure reading will reveal his level of health knowledge as well as his current treatment plan.

Question Example:

How regularly do you check your blood pressure?

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Brian Foster’s Health Evaluation: Subjective Chest Pain

Data

Finding:

When asked about previous cardiac testing,

Finding:

Describes a recent EKG test

(Found)

 

An EKG exam looks for electrical issues in the heart. Inquiring into Brian’s recent medical history, cardiac health, and medical literacy will reveal his recent medical history, cardiac health, and medical literacy.

Question Example:

Have you had an EKG recently?

 

Finding:

Annual stress test results are reported

 

(Available)

A stress test can show how much stress a patient’s heart can withstand before developing an abnormal rhythm. Inquiring into Brian’s recent stress test reveals a treatment plan, cardiac health, and health literacy. Subjective Data Brian Foster Chest Pain.

Question Example:

Have you had a stress test recently?

Finding:

I followed up on the results of my heart exams.

Finding:

According to reports, the EKG was normal.

(Found)

An EKG exam looks for electrical issues in the heart. Inquiring into Brian’s recent medical history, cardiac health, and medical literacy will reveal his recent medical history, cardiac health, and medical literacy. Brian Foster Chest Pain Shadow Health Assessment

Question Example:

What were the findings of your most recent EKG?

Finding:

According to reports, the stress test was normal.

(Available)

A stress test can show how much stress a patient’s heart can withstand before developing an abnormal rhythm. Inquiring into Brian’s recent stress test reveals a treatment plan, cardiac health, and health literacy.

Question Example:

What were the findings of your last stress test?

Finding:

Asked about visits to healthcare providers

Finding:

Has the main care provider

(Found).

Pro Tip: Requesting about Brian’s current primary care provider is vital in determining his current health care access, health literacy, and treatment goals.

Question Example:

Do you have a primary care provider?

Finding:

According to reports, the latest visit was three months ago.

(Found)

Pro Tip: A patient’s most recent doctor visit can not only help you elicit objective facts about his health, but it can also offer you insight into his access to healthcare.

Question Example:

When was the last time you went a healthcare provider?

Finding:

Every six months, she visits the doctor.

(Available)

Pro Tip: Inquire about Brian’s frequency of visits to a healthcare professional to determine his current health care access, health state, and treatment plans.

Question Example:

How frequently do you visit a healthcare provider?

Brian Foster Chest Pain Subjective Data – Social History Shadow Health Assessment

Finding:

When asked about stress,

Finding:

Reports on a low-stress lifestyle in general

(Found)

Pro Tip: Stress can significantly impact a patient’s health and well-being. Inquiring about stress is a vital aspect of any health evaluation. Subjective Data Brian Foster Chest Pain Shadow Health Assessment

Question Example:

How stressed are you?

Finding:

When asked about exercise,

 

 

Finding:

Denies having a regular exercise routine

(Found)

Pro Tip: Physical activity has a significant impact on cardiovascular health. Inquiring into Brian’s exercise habits will help you understand how his lifestyle may be affecting his health.

Question Example:

How much exercise do you get?

 

Finding:

The last time I exercised regularly was two years ago.

 

(Found)

Pro Tip: Physical activity has a significant impact on cardiovascular health. Inquiring into Brian’s exercise habits will help you understand how his lifestyle may be affecting his health. Subjective Data Brian Foster Chest Pain Shadow Health Assessment

Question Example:

When was the last time you worked out regularly?

Finding:

When asked about their regular diet,

Finding:

A typical breakfast consists of a granola bar and an instant breakfast shake.

(Found)

Pro Tip: A healthy and well-balanced diet is essential for optimal health. By asking Brian about his regular breakfast, you can determine whether his eating habits put him at risk for cardiovascular disease or other health concerns.

Question Example:

What is your typical breakfast?

Finding:

A typical meal consists of a turkey sub.

(Found)

Pro Tip: A healthy and well-balanced diet is essential for optimal health. By asking Brian about his regular lunch, you can determine whether his eating habits put him at risk for cardiovascular disease or other health concerns. Subjective Data Brian Foster Chest Pain Shadow Health Assessment

Question Example:

What do you have for lunch regularly?

Finding:

A typical dinner consists of grilled meat and veggies.

(Found)

Pro Tip: A healthy and well-balanced diet is essential for optimal health. Inquiring about Brian’s usual dinner allows you to determine whether his eating habits put him at risk of cardiovascular disease or other health concerns. Subjective Data Brian Foster Chest Pain Shadow Health Assessment

Question Example:

What does a usual dinner look like for you?

Finding:

Denies the need for salt moderation.

(Available)

Pro Tip: A healthy and well-balanced diet is essential for optimal health. Salt consumption, in particular, can harm blood pressure, which is why it is critical to ask a patient like Brian, who has hypertension, about his salt consumption.

Question Example:

Do you limit your salt intake?

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Data

Finding:

When asked about liquid consumption,

Finding:

Reports on regular water consumption

 

(Found)

Pro Tip: Not drinking enough water can cause dehydration and weariness. Inquiring about Brian’s daily water consumption will reveal whether he gets enough fluids. Subjective Data Brian Foster Chest Pain Shadow Health Assessment

Question Example:

Do you drink water daily?

Finding:

Every day, he consumes one litre of water.

 

(Available)

Pro Tip: Not drinking enough water can cause dehydration and weariness. Inquiring about Brian’s daily water consumption will reveal whether he gets enough fluids.

Question Example:

How much water do you consume daily?

 

Finding:

Every day, he consumes two cups of coffee.

 

(Available)

Coffee is a diuretic; therefore, it causes the patient to lose fluids. You can determine Brian’s fluid intake by asking him how much coffee he consumes per day.

Question Example:

How much coffee do you consume daily?

Finding:

Denies the consumption of soda

 

(Available)

Pro Tip: Soda contains a lot of sugar, and not drinking enough water can cause dehydration and weariness. Inquiring about Brian’s daily soda consumption will reveal whether his fluid intake is essentially water or soda. Subjective Data Brian Foster Chest Pain Shadow Health Assessment

Question Example:

How much soda do you consume each day?

Finding:

When asked about substance abuse,

Finding:

Denies current use of illegal drugs

(Available)

 

Many medicines affect the central nervous system or can induce cardiovascular issues. Inquiring about Brian’s use of illegal drugs will reveal whether his drug use puts him in danger for health concerns.

Question Example:

Do you experiment with illegal drugs?

Finding:

He denies using tobacco.

 

(Found)

Tobacco harms the heart by limiting the amount of oxygen that the blood can carry. By asking Brian if he uses tobacco, you can determine whether the ailment is caused in part by tobacco use.

Question Example:

Do you smoke cigarettes?

Finding:

Moderate alcohol consumption is reported.

(Found)

Pro Tip: Chronic alcohol consumption can lead to cardiomyopathy. By asking Brian if he drinks alcohol, you can determine whether he has any signs of alcoholism. Subjective Data Brian Foster Chest Pain Shadow Health Assessment

Question Example:

Do you drink alcohol?

Finding:

Alcohol usage was followed.

Finding:

Drinks 2-3 alcoholic beverages every week, according to reports.

(Found)

Pro Tip: Alcohol use can impact a patient’s health and risk numerous medical disorders. Inquiring about Brian’s drinking habits will assist you in determining his risk of disease associated with alcohol usage. Subjective Data Brian Foster Chest Pain Shadow Health Assessment

Question Example:

Do you consume alcoholic beverages?

 

Finding:

Reports of 2-3 drinks consumed in a single sitting/night

 

(Available)

 

Pro Tip: Asking the patient to quantify his drinking is beneficial since it elicits objective facts on a topic that people may otherwise minimize.

Question Example:

How many alcoholic beverages do you consume in a single sitting?

 

Finding:

Reports of exclusively drinking on weekends

(Found)

Pro Tip: Inquiring into the patient’s drinking habits can help spot signs of alcoholism. It may also be beneficial to inquire about the patient’s alcohol consumption context and motives. Heavy drinkers frequently overestimate their consumption. Subjective Data Brian Foster Chest Pain Shadow Health Assessment

Question Example:

When do you consume alcohol?

Brian Foster Chest Pain Subjective Data – System Review – Shadow Health Assessment

Finding:

When questioned about general symptoms

Finding:

Denies having a fever

 

(Found)

Pro Tip: Because fever can indicate infection and other issues, it is critical to evaluate the presence of a fever and treat it if it exists.

Question Example:

Have you got a fever?

 

Finding:

Denies having chills

 

(Found)

Chills can signify various conditions, including circulatory problems, fever, and more. Finding out what’s causing a patient’s chills will tell more about the source of his complaint.

Question Example:

Do you get chills?

 

Finding:

He denies weariness.

(Found)

Pro Tip: Fatigue might be a symptom of major cardiovascular problems, so question the patient about it to narrow down your diagnosis.

Question Example:

Do you get a fatigue feeling?

Finding:

Denies having night sweats

(Found)

Pro Tip: Excessive sweating can signify various medical issues, including a heart infection. Inquiring about night sweats with Brian can help rule out these problems.

Question Example:

Do you suffer from night sweats?

Finding:

Denies having lost weight

(Available)

Unintentional weight loss can be a distressing symptom for various bodily systems. It is critical to inquire about weight loss to rule out any conditions related to it.

Question Example:

Have you recently shed some pounds? Subjective Data Brian Foster Chest Pain Shadow Health Assessment

Finding:

Refuses to admit dizziness or lightheadedness

(Found)

Pro Tip: Patients who experience dizziness may be at risk for several diseases, as well as a fall. It is critical to inquire about dizziness to keep your patient safe.

Question Example:

Do you experience dizziness?

Finding:

Denies having palpitations

(Found)

Pro Tip: Finding palpitations might provide crucial information about the patient’s cardiovascular history and present status.

Question Example:

Do you get palpitations?

Finding:

A review of cardiovascular systems was requested.

Finding:

Denies having a history of angina

(Found)

A history of angina can weaken the heart and lead to other cardiovascular issues. Inquiring into Brian’s angina helps you better understand his overall cardiovascular condition.

Question Example:

Do you have a history of angina pectoris?

Finding:

Denies having edema

(Found)

Swelling can be a significant predictor of cardiovascular and peripheral vascular health. A complete cardiac exam includes asking the patient about swelling.

Question Example:

Is there any edema in your body?

Finding:

Denies any circulation issues

(Available)

Circulation is a vital sign of peripheral vascular and cardiovascular health. Inquiring into Brian’s circulation can aid in the diagnosis of vascular problems.

Question Example:

Do you have any circulation issues?

Finding:

Blood clots are not allowed.

(Found)

Blood clots can be an indication of significant cardiovascular or associated disorders. Inquiring about blood clots with Brian can reveal essential facts regarding his health. Subjective Data Brian Foster Chest Pain Shadow Health Assessment

Question Example:

Have you ever experienced a blood clot?

Finding:

Denies having ever had rheumatic fever.

(Found)

Pro Tip: Rheumatic fever can develop fibrosis of the heart valves and weaken the cardiovascular system in children. It is critical to determine if Brian has a history of rheumatic fever to evaluate his overall heart health.

Question Example:

Do you have a rheumatic fever history?

Finding:

Denies any knowledge of a cardiac murmur.

(Found)

Heart murmurs can be either harmless or a symptom of chronic heart disease. Understanding Brian’s overall cardiovascular health requires learning if he has a heart murmur.

Question Example:

Have you ever had a heart murmur?

Finding:

It prevents easy bleeding.

(Available)

Pro Tip: Bleeding might indicate a significant cardiovascular or associated ailment. Inquiring about Brian’s bleeding can reveal useful information on the state of his cardiovascular health.

Question Example:

Do you have any abnormal bleeding?

Finding:

Defends against easy bruising

(Available)

Pro Tip: Ease of bruising may indicate a significant cardiovascular or associated ailment. Inquiring about bruises can reveal important information regarding Brian’s cardiovascular health.

Question Example:

Do you have any odd bruising?

Finding:

Cyanosis is denied

(Available)

Pro Tip: Cyanosis can indicate severe cardiovascular disease; however, patients may be unaware of the connection. To rule out some cardiac risk factors, ask Brian if he has seen any cyanosis.

Question Example:

Have you ever had blue skin on your face?

Finding:

When asked about a review of respiratory systems,

Finding:

Denies having a cough

(Found)

Pro Tip: The cardiovascular system is intricately linked to the respiratory system and many other body systems. Coughing in a patient complaining of chest pain is a symptom that should be investigated.

Question Example:

Do you have a cold or a cough?

Finding:

He denies having trouble breathing.

(Found)

Difficulty breathing is a severe symptom that can be linked to various physiological systems, including the cardiovascular system. Breathing is an essential component of a complete cardiac exam.

Question Example:

Have you ever experienced trouble breathing?

Finding:

He denies having orthopnea.

(Available)

Pro Tip: The cardiovascular system is intricately linked to the respiratory system and many other body systems. Orthopnea in a patient with chest discomfort is a symptom that should be investigated.

Question Example:

Do you have trouble breathing when you’re lying down?

Finding:

Inquired about a system evaluation for HEENT

Finding:

Denies any change in one’s perception of taste

(Found)

Changes in taste can be caused by various circumstances, ranging from a decrease in taste buds to Alzheimer’s disease. Inquiring about Brian’s taste changes can uncover serious medical issues. Subjective Data Brian Foster Chest Pain Shadow Health Assessment

Question Example:

Have you noticed a difference in your taste?

Finding:

Denies having a sore throat

(Found)

Pro Tip: The cardiovascular system is intricately linked to the respiratory system and many other body systems. A sore throat in a patient complaining of chest pain is a symptom that should be investigated.

Question Example:

Have you got a sore throat?

Finding:

Denies having dysphagia

(Found)

Pro Tip: The cardiovascular system is intricately linked to the respiratory system and many other body systems. Swallowing that is painful or difficult in a patient complaining of chest pain is a symptom that should be investigated.

Question Example:

Do you suffer from dysphagia?

Finding:

When asked about a review of gastrointestinal systems,

Finding:

He denies having nausea.

(Found)

Pro Tip: Nausea can be an urgent symptom and a sign of distress in more than one part of the body. It is critical to assess and treat a patient’s nausea in a cardiovascular exam.

Question Example:

Do you feel sick?

Finding:

He denies vomiting.

(Found)

Pro Tip: Vomiting can be a sign of various health issues. A complete cardiac exam includes a question concerning vomiting from the patient.

Question Example:

Have you recently vomited?

 

Finding:

Denies having diarrhea

 

(Found)

Pro Tip: The cardiovascular system is intricately linked to many other bodily systems, including the digestive system. Diarrhea in a patient complaining of chest pain is a symptom that should be looked into.

Question Example:

Do you have a stomachache?

Finding:

Constipation is denied.

(Found)

Pro Tip: The cardiovascular system is intricately linked to many other bodily systems, including the digestive system. Constipation in a patient complaining of chest pain is a symptom that should be looked into.

Question Example:

Do you suffer from constipation?

 

Finding:

Flatus is denied

 

(Available)

Pro Tip: The cardiovascular system is intricately linked to many other bodily systems, including the digestive system. Excessive gas in a patient complaining of chest pain is a symptom that should be looked into. Subjective Data Brian Foster Chest Pain Shadow Health Assessment

Question Example:

Do you suffer from flatulence?

Finding:

He denies ballooning.

(Available)

Pro Tip: The cardiovascular system is intricately linked to many other bodily systems, including the digestive system. A patient who complains of bloating in addition to chest pain is a symptom that should be investigated.

Question Example:

Do you suffer from bloating?

Finding:

Denies having heartburn or GERD.

(Found)

Pro Tip: The cardiovascular system is intricately linked to many other bodily systems, including the digestive system. Heartburn and GERD are significant to inquire about because their symptoms closely resemble cardiac pain.

Question Example:

Do you suffer from heartburn or GERD?

Brian Foster Chest Pain Subjective Data – Family History Shadow Health Assessment

Finding:

When questioned about important family history

Finding:

Reports a family history of heart disease.

(Found)

Pro Tip: A patient’s family health history is an essential genetic indicator of their propensity to certain medical conditions. Inquiring about Brian’s family history of heart disease allows you to develop a complete picture of his cardiovascular health.

Question Example:

Is there anyone in your family who has suffered a heart attack?

Finding:

Denies having a stroke in the family.

(Found)

Pro Tip: A patient’s family health history is a significant hereditary indicator of his or her proclivity to particular medical issues. Inquiring into Brian’s family history of strokes allows you to construct a more thorough picture of his cardiovascular health.

Question Example:

Do you have a history of strokes in your family?

Finding:

Brian Foster chest ache shadow health evaluation Denies a family history of pulmonary embolism Danny Rivera Pediatric Cough Shadow Health Assessment Subjective Data

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