Description
NR577 Week 3 iHuman Brianna Gill
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Ask relevant problem-focused questions to create an accurate initial differential diagnosis list. Various questions may yield the same information. Examples of high-yield questions for this case include:
Performed Missed
Pivotal Concept Addressed | Category | Question | Response
HPI | How can I help you today? | I’ve been having some pain and burning when I urinate.
HPI | Do you have any other symptoms or concerns we should discuss? | Yes, I’m also having some vaginal discharge. That’s about it.
Symptom | Do you have vaginal discharge/discomfort? | Yup.
HPI | What are the events surrounding the start of your vaginal discharge/discomfort? | It started around the same time as the burning with peeing did.
HPI | When did the discharge occur relative to your menstrual cycle? | This is not related to my period.
HPI | How long does your vaginal discharge/discomfort last? | It occurs on and off.
HPI | Does your vaginal discharge/discomfort come and go? | It’s there on and off throughout the day but it’s not going away.
HPI | What is the appearance, smell, texture and quantity of the vaginal discharge? | It’s yellow. And thick. I really wish I didn’t have it. I haven’t noticed a smell.
HPI | How severe is your vaginal discharge/discomfort? | Moderate I guess.
HPI | Does anything make your vaginal discharge/discomfort better or worse? | Not really.
HPI | What treatments have you had for your vaginal discharge/discomfort? | Nothing really.
Symptom | Do you have pain/discomfort when you urinate? | Yup.
HPI | When did your pain/discomfort with urination start? | It started about 2 days ago.
HPI | What are the events surrounding the start of your pain/discomfort with urination? | I cannot point to anything specific.
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