Chief Complaint Finding:
Established chief complaint and reason for admittance
Finding:
Reports car accident (Found)
Pro Tip: A patient's chief complaint establishes any illnesses or concerns they are presenting. Asking about the chief complaint will allow the patient to voice any concerns or...
Finding:
Established chief complaint and reason for admittance
Finding:
Reports car accident
(Found)
Pro Tip: A patient's chief complaint establishes any illnesses or concerns they are presenting.
Asking about the chief complaint will allow the patient to voice any concerns or symptoms the
patient may have.
Example Question:
Why were you admitted?
Finding:
Reports injury
(Found)
Pro Tip: A patient's chief complaint establishes any illnesses or concerns they are presenting.
Asking about the chief complaint will allow the patient to voice any concerns or symptoms the
patient may have.
Example Question:
What caused your injury?
Finding:
Reports passive suicidal ideation
(Found)
Pro Tip: A patient's chief complaint establishes any illnesses or concerns they are presenting.
Asking about the chief complaint will allow the patient to voice any concerns or symptoms the
patient may have.
Example Question:
What brings you in today?
History of Present Illness
Finding:
Followed up on details of car accident
,Finding:
Reports loss of
consciousness (Found)
Pro Tip: Asking a patient about the length of their current health issues solicits information
relevant to the history of their present illness. Details of their current complaint will help
you follow-up on any present conditions or symptoms, such as the location of their pain or
the amount of pain they may be experiencing.
Example Question:
Did you lose consciousness during the car accident?
Finding:
Reports being unsure of how the accident happened
(Found)
Pro Tip: Asking a patient about the length of their current health issues solicits information
relevant to the history of their present illness. Details of their current complaint will help
you follow-up on any present conditions or symptoms, such as the location of their pain or
the amount of pain they may be experiencing.
Example Question:
Do you know what caused the car accident?
Finding:
Reports wearing seatbelt
(Available)
Pro Tip: Asking a patient about the length of their current health issues solicits information
relevant to the history of their present illness. Details of their current complaint will help
you follow-up on any present conditions or symptoms, such as the location of their pain or
the amount of pain they may be experiencing.
Example Question:
Were you wearing a seatbelt?
Finding:
Reports being the driver - no other passengers in car
(Found)
Pro Tip: Asking a patient about the length of their current health issues solicits information
relevant to the history of their present illness. Details of their current complaint will help
you follow-up on any present conditions or symptoms, such as the location of their pain or
the amount of pain they may be experiencing.
Example Question:
Who was driving before the car accident?
Finding:
Reports was told she would get a ticket for DUI
(Found)
Pro Tip: Asking a patient about the length of their current health issues solicits information
relevant to the history of their present illness. Details of their current complaint will help
you follow-up on any present conditions or symptoms, such as the location of their pain or
the amount of pain they may be experiencing.
Example Question:
What caused the car accident?
Finding:
Followed up on alcohol use just prior to car accident
Finding:
, Reports drinking before accident
(Found)
Pro Tip: Asking a patient about the length of their current health issues solicits information
relevant to the history of their present illness. Details of their current complaint will help
you follow-up on any present conditions or symptoms, such as the location of their pain or
the amount of pain they may be experiencing.
Example Question:
Were you drinking before the accident?
Finding:
Reports being unsure of how many drinks - "at least 5"
(Available)
Pro Tip: Asking a patient about the length of their current health issues solicits information
relevant to the history of their present illness. Details of their current complaint will help
you follow-up on any present conditions or symptoms, such as the location of their pain or
the amount of pain they may be experiencing.
Example Question:
How much did you drink before the accident?
Finding:
Reports was drinking with friends at a party
(Found)
Pro Tip: Asking a patient about the length of their current health issues solicits information
relevant to the history of their present illness. Details of their current complaint will help
you follow-up on any present conditions or symptoms, such as the location of their pain or
the amount of pain they may be experiencing.
Example Question:
Who were you drinking with?
Finding:
Reports left party to drive home because she was mad at her girlfriend and could not take any
more
(Available)
Pro Tip: Asking a patient about the length of their current health issues solicits information
relevant to the history of their present illness. Details of their current complaint will help
you follow-up on any present conditions or symptoms, such as the location of their pain or
the amount of pain they may be experiencing.
Example Question:
Why did you leave the party?
Finding:
Asked about driving impaired
Finding:
Reports knew she was driving under the influence but did not care
(Found)
Pro Tip: Asking a patient about the length of their current health issues solicits information
relevant to the history of their present illness. Details of their current complaint will help
you follow-up on any present conditions or symptoms, such as the location of their pain or
the amount of pain they may be experiencing.
Example Question:
Did you know you were too drunk to drive?
Finding:
Reports have driven in past after drinking, but this time she did not care if she injured herself
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller FLOYYD. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $14.99. You're not tied to anything after your purchase.
