Clinical Feedback

Chief Complaint

Start with open-ended patient-centric questions.

Anked Not asked

Graded

Approach

Question

Response

CCS

The can I help you today?

I feel awful I'm ashausted, shurt of breath, my fever is getting worse. I had the flu about 2 weeks ago, feit really hast, but gut better Now I'm sick again

Assoc Sx

Do you have any pain in your chest?

Yes, here on the right side when I cough or take a deep breath (points to ight Bhoras. 6-00 intercostal spaces at midaslary fine)

Aasut Sx

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

I have shaking chills and muscle aches and oh I also have a cough now

OLD-CARTS for the HPI

Asked

Not asked

Graded

Appinach

Question

Response

Onsat

What are the avants surrounding the start of your cough?

Omat

When did your cough start?

I was Teeling fire up to a few days ago The symptoms started without much warming I thought maybe I had just got myself Grad going out to the party hit things just kept getting worse with in It all started about 4 days agu

Location

Duration

Characteristics

Are you coughing up any sputum

Yes, & la yellow and greenish stuft

Characteristics

ts there any pattam to your cough?

Ne it just won't stop

Characteristics

On you awaken at night coughing?

Yeah I am coughing all the time. I can't sleep Itarely get to sleep and then I'm coughing again I cough when I go outside in the cold. Theel lles I am disturbing my classmates in lectures Nuthing like this, man

Drinking hot tua tulped a bit at the beginning but now nothing

cours to betp

Characteristics

Have you had a cough like this before?

Aggravating

Does anything make your cough better tws?

Raliving


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