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?

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

  (Available)

  Pro Tip: Tobacco use puts the patient at risk for many medical conditions. Asking even young patients about whether they consume tobacco products helps you assess this risk factor.

  Example Question:

  Do you smoke?
• 
  

  Finding:

  Reports being exposed to secondhand smoke through father

  (Found)

  Pro Tip: Tobacco use puts the patient at risk for many medical conditions. Asking about whether a patient is exposed to secondhand smoke allows you to assess this risk factor.

  Example Question:

  Are you ever around cigarette smoke?
• 
  

  Finding:

  Reports he doesn’t know what triggers the cough

  (Available)

  Pro Tip: Asking about aggravating factors of Danny’s cough will allow you to determine potential causes and educate the patient on what to avoid.

  Example Question:

  What makes your cough worse?

Finding:

Asked about exposure to germs

• 
  

  Finding:

  Reports playing with an ill classmate

  (Found)

  Pro Tip: Asking about Danny’s exposure to illnesses will allow you to counsel him on effective hygiene, as well as potentially determine the cause of his current symptoms.

  Example Question:

  Have you come in contact with anyone sick?

Finding:

Asked about hand hygiene

• 
  

  Finding:

  Reports infrequent hand washing

  (Available)

  Pro Tip: Asking about Danny’s hand washing practices will allow you to counsel him on effective hygiene.

  Example Question:

  How often do you wash your hands?
• 
  

  Finding:

  Reports occasionally putting fingers in eyes, nose, or mouth

  (Available)

  Pro Tip: Asking about Danny’s hand washing practices will allow you to counsel him on effective hygiene.

  Example Question:

  Do you ever touch your eyes, nose, or mouth?

Add to Cart to get both subjective and objective data

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