SHADOW HEALTH- DANNY RIVERA- FOCUSED EXAM COUGH SOLUTIONS
.Established chief complaint: Reports cough
2.Asked about onset of cough: Reports cough started 3 days ago
3.Asked about characteristics of cough: Reports cough is wet Reports clear sputum with cough
4.Asked about frequency and duration of cough: Reports coughing every
few minutes
Reports coughs last a few seconds
5.Asked about aggravating factors for cough: Reports cough is worse at night Denies smoking
Reports being exposed to secondhand smoke through father Reports he doesn't know what triggers the cough
6.Asked about exposure to germs: Reports playing with an ill classmate
7.Asked about hand hygiene: Reports infrequent hand washing Reports occasionally putting fingers in eyes, nose, or mouth
8.Asked about cough etiquette: Denies covering mouth when coughing
9.Asked about relieving factors for cough: Reports cough is temporarily re- lieved by cough medicine
10.Followed up on cough medicine: Reports cough medicine was purple Reports taking one spoonful of cough medicine
Reports mother gave him the medicine Reports only took the medicine this morning Denies home remedies
11.Asked about typical medication use: Denies taking medication Reports taking daily vitamin
12.Asked about activity level: Reports typical high activity level Reports activity level low since getting sick
Reports still able to run or play
Reports focusing in class is difficult
13.Asked about nasal symptoms: Reports current runny nose Denies sneezing
14.Followed up on nasal discharge: Reports nasal discharge is clear Reports nasal discharge is thin
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