, SH__Eric_Ford_Schizophrenia.TRANSCRIPT
case
study
SH Eric
Ford
Schizophre
nia.TRANS
CRIPT
Eric Ford-
Schizophrenia
Chief Complaint
Finding: Established chief complaint
Finding: Reports hallucinations (Found)
Pro Tip: A pt's chief complaint establishes any illnesses or concerns they are presenting. Asking about the chief complaint
will allow the pt to voice any concerns or symptoms the pt may have.
Example Question:Do you ever hear things that others do not hear?
Finding: Has paranoid thoughts (Found)
Pro Tip: A pt's chief complaint establishes any illnesses or concerns they are presenting. Asking about the chief complaint
will allow the pt to voice any concerns or symptoms the pt may have.
Example Question: Do you ever think people are trying to harm you? HX of Present Illness?
Finding:Asked about onset and duration of symptoms
Finding:Reports hearing voices for the past 7 days (Found)
Pro Tip: Asking a pt about the length of their current health issues solicits information relevant to the HX 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: When did your symptoms start?
Finding: Reports voices have increased over the last week (Found)
Pro Tip: Asking a pt about the length of their current health issues solicits information relevant to the HX 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 the hallucinations start gradually?
Finding: Reports that voices are currently constant (Available)
Pro Tip: Asking a pt about the length of their current health issues solicits information relevant to the HX 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: Are your hallucinations constant?
Finding: Asked about characteristics of symptoms
Finding: Describes voices as sometimes male, sometimes female (Found)
Pro Tip: Asking a pt about the length of their current health issues solicits information relevant to the HX 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: Can you describe your hallucinations?
Finding: Denies visual hallucinations (Found)
Pro Tip: Asking a pt about the length of their current health issues solicits information relevant to the HX 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 ever see things that are not there?
, SH__Eric_Ford_Schizophrenia.TRANSCRIPT
Finding: Denies gustatory hallucinations (Available)
Pro Tip: Asking a pt about the length of their current health issues solicits information relevant to the HX 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 taste things that are not there?
Finding: Denies olfactory hallucinations (Found)
Pro Tip: Asking a pt about the length of their current health issues solicits information relevant to the HX 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 smell things that are not there?
Finding: Denies tactile hallucinations (Available)
Pro Tip: Asking a pt about the length of their current health issues solicits information relevant to the HX 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.
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