Basilia Barco iHuman Week-6 NR-579 Basilia Barco53 y o white female height 5’6’’ weight.pdf

NR 579-IHUMAN Basilia barco Backpain -

a 53 y/o white female-scored 100%-2022-

2024

iHuman Week-6 NR-579

Basilia Barco

53 y/o white female

5’6’’

165 lb

Reason for encounter: Back pain

Good:

• How can I help you today?

o I’m having terrible back pain. I must have thrown my back out.

• Do you have any other symptoms or concerns we should discuss?

o Right now, you mean? All I can think about is my back.

• Where more precisely is the pain in your back?

o It seems to be in my lower back.

• When did the pain in your back start?

o Three days ago.

• What are the events surrounding the start of your back pain?

o It hit me as I was lifting a heavy laundry basket full of wet clothes. Wham! Out of

nowhere.

• Does anything make the pain in your back better or worse?

o It just won’t go away. I can’tseem to do anything to make it better. It is definitely worse

when I move.

• What does the pain in your back feel like?

o It is really sharp, stabbing, gnawing…

• Does the pain in your back radiate someplace else? Where?

o Yeah, I can feel it in my right leg and sometimes all the way to my foot. It’s not in my foot

or anything, but mostly in my thigh.

• How severe (1-10 scale) is the pain in your back?

o It isreally excruciating—10/10 at times.

• Do you have any tingling and/or numbness anywhere?

o My right leg feels a little numb and tingling on the outside of my thigh.

• Are you taking any over-the-counter or herbal medications?

o Yes, I’ve been taking ibuprofen, but it’s not strong enough for this pain.

• ROS:

o Fatigue, difficulty sleeping, unintentional weight loss or gain, fevers, or nightsweats?

▪ Yes, a bunch of that. What do you want to know about?

o Do you have any problems with an itchy scalp, skin changes, moles, thinning hair, or

brittle nails?

▪ Nope.