Question

Craig, a retired truck driver, arrives at the clinic for a routine physical exam. You notice that his voice sounds hoarse. You ask, “Have you noticed any changes in your mouth or throat?” He replies, “I don’t feel like I have a sore throat.” You acknowledge with a nod, then he says, “But now that you mention it, people have told me that I sound ‘hoarse’ lately.” Upon further questioning, you learn that Craig has a 35-year history of smoking and chewing snuff when he is on the road. Your next step is to further explore by asking questions to see if the problem is acute or chronic.

In this discussion assignment you will complete the work as a role-play type of exercise. You will post questions as if you were talking to Craig as a nurse practitioner.

In your post, give examples of questions (at least 10) you would ask Craig using the OLD CARTS mnemonic device (and OPRST as appropriate) as related to a comprehensive history and review of system.

Answer 1

Answer :

From how long do you have habit of smoking and chewing snuf ?

Is there any family history of laryngeal cancer in your family .

Do you have throat pain ? If there from how long do you feel throat pain.

Do you have dysphagia ?

Do you have hemoptysis ?

Do you feel like breathlessness ever before ?

Is there any sudden weight loss in recent months ?

Is there any feeling like something obstructing when you eating something ?

Do you feel any neck mass when to palpate either side of neck ?