Six-year-old Lydia presents with her mother with a chief complaint of “I don’t feel well and I have a rash.” Mom states it started yesterday on her face and is much worse today. Lydia has had a fever for two days and complains of a sore throat. What questions would you include in your history and what characteristics of the physical assessment would help in determining the origin?
1. Questions to be asked in history:
Physical Assessment:
Six-year-old Lydia presents with her mother with a chief complaint of “I don’t feel well and...
Chief Complaint: Cough History of Present Illness A 59 year old female presents to the urgent care clinic complaining of a 24-hour history of fever and chills, with an episode of rigors last night. She is complaining of a productive cough and increased dyspnea. She reports she does have a baseline “smoker’s cough.” She reports having to use her inhaler constantly since yesterday. Denies any chest pain at rest but does report mild discomfort when coughing. The patient does report...
Chief Complaint: Facial weakness History of Present Illness A 38 year-old female presents to the emergency department stating that over the past 36 hours, she has developed right sided facial weakness (Links to an external site.)Links to an external site. and drooping, an associated right sided ear and jaw ache and inability to close her right eye. She is unable to move both the upper and lower side of her face. She does report a history of an upper respiratory...
Chief Complaint A 24 y.o. male presents for a pre-employment physical and mentions a rash on his chest. He noticed the rash last night and says it is “very itchy.” He has not noticed any other skin changes. Overall, he feels well without any accompanying symptoms. He is a teacher and spent most of last weekend doing yard work. Past Medical History • Allergic rhinitis, uses over-the-counter antihistamines • Denies surgeries or serious illnesses/hospitalizations Family History • Father, hypertension •...
Chief Complaint: History of Present Illness A 52 y.o. female presents with the chief complaint that her tongue is red x 2 weeks. Her dental hygienist mentioned it to her at a recent apt and told her to get it “checked out.” States she has noticed a change in taste when she eats spicy foods. She reports that she noticed the change in taste when she started using a new brand of toothpaste one month ago. Past Medical History/Current Meds...
hapter 3 Skin CASE STUDY 1 Chief Complaint A 19 y.o. female patient presents to your student health clinic complaining of a rash and says that she thinks she has the “flu or something.” She returned 3 weeks ago from a spring break trip to the beach. The rash started out “like acne,” located on her face, back, and chest. She now thinks she must have caught something during her trip, as she has developed joint pain in addition to...
Chief Complaint: Rash History of Present Illness A 24 y.o. male presents for a pre-employment physical and mentions a rash on his chest. He noticed the rash last night and says it is “very itchy.” He has not noticed any other skin changes. Overall, he feels well without any accompanying symptoms. He is a teacher and spent most of last weekend doing yard work. Past Medical History Allergic rhinitis Denies surgeries or serious illnesses/hospitalizations Current Meds Allegra OTC Family History...
A 30-year-old obese woman presents to your office with a chief complaint of recurrent yeast infections and increased thirst. She also has noticed increased urinary frequency, but believes this is related to her yeast infection. Over the last several years, she has gained more than 40 lb despite having tried numerous diets, most recently a low-carbohydrate, high-fat diet. The patient’s only other pertinent history is that she was told to “watch her diet” during pregnancy because of excessive weight gain....
Week 3 Case Study Chief Complaint: Facial weakness History of Present Illness A 38 year-old female presents to the emergency department stating that over the past 36 hours, she has developed right sided facial weakness (Links to an external site.)Links to an external site. and drooping, an associated right sided ear and jaw ache and inability to close her right eye. She is unable to move both the upper and lower side of her face. She does report a history...
Emily, a 3-year-old toddler, presents to the pediatrician's office for her yearly physical. Her mother and 6-month-old brother accompany her. Emily's brother was seen first for immunizations and a checkup, and now it is Emily's turn for an exam and immunization check. The nurse notes that Emily's immunizations are up-to-date (she received the pneumonia vaccine in the fall, as well as her yearly flu shot). Emily's mother reports that her daughter is doing well in preschool and has had no...
Emily, a 3-year-old toddler, presents to the pediatrician's office for her yearly physical. Her mother and 6-month-old brother accompany her. Emily's brother was seen first for immunizations and a checkup, and now it is Emily's turn for an exam and immunization check. The nurse notes that Emily's immunizations are up-to-date (she received the pneumonia vaccine in the fall, as well as her yearly flu shot). Emily's mother reports that her daughter is doing well in preschool and has had no...