Loading...

Messages

Proposals

Stuck in your homework and missing deadline? Get urgent help in $10/Page with 24 hours deadline

Get Urgent Writing Help In Your Essays, Assignments, Homeworks, Dissertation, Thesis Or Coursework & Achieve A+ Grades.

Privacy Guaranteed - 100% Plagiarism Free Writing - Free Turnitin Report - Professional And Experienced Writers - 24/7 Online Support

Danny rivera shadow health cough questions

28/10/2021 Client: muhammad11 Deadline: 2 Day

Focused Exam: Cough Assignment

Review this week's Learning Resources and consider the insights they provide related to ears, nose, and throat.

Review the Shadow Health Resources provided in this week’s Learning Resources specifically the tutorial to guide you through the documentation and interpretation within the Shadow Health platform. Review the examples also provided.
Review the DCE (Shadow Health) Documentation Template for Focused Exam: Cough found in this week’s Learning Resources and use this template to complete your Documentation Notes for this DCE Assignment.
Consider what physical exams and diagnostic tests would be appropriate to gather more information about the patient's condition. How would the results be used to make a diagnosis?

Review the Week 5 Focused Exam: Cough Rubric provided in the Assignment submission area for details on completing tReview the Shadow Health Resources provided in this week’s Learning Resources specifically the tutorial to guide you through the documentation and interpretation within the Shadow Health platform. Review the examples also provided.
Review the DCE (Shadow Health) Documentation Template for Focused Exam: Cough found in this week’s Learning Resources and use this template to complete your Documentation Notes for this DCE Assignment.
Consider what physical exams and diagnostic tests would be appropriate to gather more information about the patient's condition. How would the results be used to make a diagnosis?

Return to Assignment

If you are are experiencing audio issues while using Safari, please visit this If you are are experiencing audio issues while using Safari, please visit this articlearticle on our Help Desk for further information. on our Help Desk for further information.

Your Results Lab Pass Lab Pass

Document: Vitals Document: Provider Notes

Document: Provider Notes

Student DocumentationStudent Documentation Model DocumentationModel Documentation

Subjective

HPI:Danny reports a cough lasting four to five days. He describe the cough as " watery and gurgly" He reports being feeling tired because the cough is worse at night and keeps him up. He reports pain in his right ear and mild soreness in his throat. He reports his mother treated his cough symptoms with over the counter cough medicaton that was temporarily effective. He reports frequent cold and runny nose. Patient has had no exposure to sick individuals. Patient denies having allergies

Home medications: Daily vitamin, over the counter antitussive medication

Past medical History: Frequent ear infections as small child. Patient reports last known ear infection was when he was two years old. He reports having pneumonia last that caused him to miss two weeks of school.

Social History: Patient lives in a house with parents and grandparents. Patient reports father smokes cigars in the house. He reports feeling safe in his home. He reports having no barriers to health care .

Review of the Systems Constitutional: Denies fever, denies chillis, denies weigh loss or gain, denies night sweats. Reports feeling "kind of tired"

HEENT: Denies ear popping, Reports history of frequent ear infections. Denies ear surgery or ear tubes. Denies headaches. Denies nosebleeds, Reports runny nose, denies vision problems, Denies dizziness, denies watery eyes, denies eye redness, denies eye pain, denies sinus problems. denies hearing problems. Reports pain in right ear. Reports mild sore thoart.

Respiratory: Reports freqent cough, denies difficulty breathing, denies chest tightness, denies history of inhaler use or breathing

Danny reports a cough lasting four to five days. He describes the cough as “watery and gurgly.” He reports the cough is worse at night and keeps him up. He reports general fatigue due to lack of sleep. He reports pain in his right ear. He is experiencing mild soreness in his throat. He reports his mother treated his cough symptoms with over-the-counter medicine, but it was only temporarily effective. He reports frequent cold and runny nose, and he states that he had frequent ear infections as a child. He reports a history of pneumonia in the past year. He reports normal bowel movements. He denies fever, headache, dizziness, trouble swallowing, nosebleed, phlegm or sputum, chest pain, trouble breathing and abdominal pain. He denies cough aggravation with activity.

Overview

Transcript

Subjective Data Collection

Objective Data Collection

Education & Empathy

Documentation

Self-Reflection

Student Survey

Documentation / Electronic Health Record

https://www.coursehero.com/file/50185069/Cough-Shadow-Health-Documentationpdf/

Th is s

tud y r

eso urc

e w as

sha red

vi a C

ou rse

He ro.

co m

11/11/19, 3:44 PMFocused Exam: Cough | Completed | Shadow Health

Page 2 of 3https://app.shadowhealth.com/assignment_attempts/5468949

treatments.

Cardiovascular: Denies chest pain or chest discomfort

Objective

Mr. Rivera is pleasant and cooperative fatgued appearing young boy seated upright on the examination table. He is in no acute distress. He is alert. His speech is clear and coherent. He maintains eye contact throught the interview and examination. He offers information freely and without contradiction.

HEENT: scleara white, conjuctiva moist and pink bilaterally. Rhinorrhea with clear mucus, nasal mucosa is boggy bilaterally. Right tympanic membrane is erythematous with inflammation. Right cervical lymph node is enlarged with noted tenderness. oral mucosa mosit and pink. Tonsils 2+ with erythema and inflammation. Posterior pharynx is erythematous with cobblestoning. Fine bumps noted on tongue.

Vital signs Blood pressure 120/76 O2 saturation: 96% on room air Pulse 100 Respiratory rate: 28 Temperature; 37.2

Cardiovascular: S1, S2, no murmurs, gallops or rubs. Mild tachycardia

Respiratory: Chest is symmetrical with respirations. Increased respiratory rate. Audible coarse crackles in upper airway; bronchovesicular bilaterally, clears with cough. Negative bronchophony. Chest wall resonant to percussion. Expected fremitus, equal bilaterally. Spirometry: FEV1:3.15L, FVC 3.91L( FEV1/FVC: 80.5%)

• General Survey: Fatigued appearing young boy seated on nursing station bench. Appears stable.

• HEENT: Mucus membranes are moist, clear nasal discharge. Redness, cobblestoning in the back of throat. Eyes are dull in appearance, pink conjunctiva. Right Tympanic membrane is red and inflamed. Right cervical lymph node enlarged with reported tenderness.

• Cardiovascular: S1, S2, no murmurs, gallops or rubs.

• Respiratory: Respiratory rate increased, but no acute distress. Able to speak in full sentences. Breath sounds clear to auscultation. Negative bronchophony. Chest wall resonant to percussion. Expected fremitus, equal bilaterally. Spirometry: FEV1: 3.15 L, FVC 3.91L (FEV1/FVC: 80.5%)

Assessment

My differentials include acute viral rhinopharyngitis. strep throat, allergic rhinitis, acute otitis media, allergies and asthma

My differentials include cold, strep throat, rhinitis, allergies and asthma based on abnormal findings affecting the ears, upper respiratory tract and lymphatic region.

Plan

Danny will receive a strep throat culture to rule out strep throat.

10 day dose of antibiotics for treatment of acute otitis media.

Refer for allergy tesing and pulmonary function test.

Encourage Danny to increase intake of water and other fluids and educate on frequent handwashing.

Recommend antitussive treatment at night to help with his sleep.

Danny should be referred for an allergy test to rule out allergies as well as a lung function test to rule out asthma. He should receive a strep culture to rule out strep throat. I recommend antitussive treatment at night to help with his sleep in addition to bed rest.

Comments

Rebecca Hall (14 Oct 2019, 10:17 AM CDT): Great interview, very thorough and flowed well. Documentation-you did a great job on your documentation-only comment I have is to include right and left on the exam-document negative findings for left ear and neck as well as pertinent negatives for all systems examined-I know Shadow does not do this but I want you to. include supporting positive or negatives for your differential diagnoses If you have not done so I highly recommend you view the recording of the soap documentation conference. There is much information on accurate and appropriate soap

https://www.coursehero.com/file/50185069/Cough-Shadow-Health-Documentationpdf/

Th is s

tud y r

eso urc

e w as

sha red

vi a C

ou rse

He ro.

co m

11/11/19, 3:44 PMFocused Exam: Cough | Completed | Shadow Health

Page 3 of 3https://app.shadowhealth.com/assignment_attempts/5468949

documentation and I believe this will help you with you the flow of your interviews and your documentation so you do not miss important items.

© Shadow Health 2012 - 2019®

https://www.coursehero.com/file/50185069/Cough-Shadow-Health-Documentationpdf/

Th is s

tud y r

eso urc

e w as

sha red

vi a C

ou rse

He ro.

co m

Powered by TCPDF (www.tcpdf.org)

Homework is Completed By:

Writer Writer Name Amount Client Comments & Rating
Instant Homework Helper

ONLINE

Instant Homework Helper

$36

She helped me in last minute in a very reasonable price. She is a lifesaver, I got A+ grade in my homework, I will surely hire her again for my next assignments, Thumbs Up!

Order & Get This Solution Within 3 Hours in $25/Page

Custom Original Solution And Get A+ Grades

  • 100% Plagiarism Free
  • Proper APA/MLA/Harvard Referencing
  • Delivery in 3 Hours After Placing Order
  • Free Turnitin Report
  • Unlimited Revisions
  • Privacy Guaranteed

Order & Get This Solution Within 6 Hours in $20/Page

Custom Original Solution And Get A+ Grades

  • 100% Plagiarism Free
  • Proper APA/MLA/Harvard Referencing
  • Delivery in 6 Hours After Placing Order
  • Free Turnitin Report
  • Unlimited Revisions
  • Privacy Guaranteed

Order & Get This Solution Within 12 Hours in $15/Page

Custom Original Solution And Get A+ Grades

  • 100% Plagiarism Free
  • Proper APA/MLA/Harvard Referencing
  • Delivery in 12 Hours After Placing Order
  • Free Turnitin Report
  • Unlimited Revisions
  • Privacy Guaranteed

6 writers have sent their proposals to do this homework:

Top Grade Essay
Online Assignment Help
Homework Tutor
Helping Hand
Engineering Solutions
Isabella K.
Writer Writer Name Offer Chat
Top Grade Essay

ONLINE

Top Grade Essay

I am a professional and experienced writer and I have written research reports, proposals, essays, thesis and dissertations on a variety of topics.

$49 Chat With Writer
Online Assignment Help

ONLINE

Online Assignment Help

I have written research reports, assignments, thesis, research proposals, and dissertations for different level students and on different subjects.

$37 Chat With Writer
Homework Tutor

ONLINE

Homework Tutor

This project is my strength and I can fulfill your requirements properly within your given deadline. I always give plagiarism-free work to my clients at very competitive prices.

$36 Chat With Writer
Helping Hand

ONLINE

Helping Hand

As an experienced writer, I have extensive experience in business writing, report writing, business profile writing, writing business reports and business plans for my clients.

$16 Chat With Writer
Engineering Solutions

ONLINE

Engineering Solutions

I can assist you in plagiarism free writing as I have already done several related projects of writing. I have a master qualification with 5 years’ experience in; Essay Writing, Case Study Writing, Report Writing.

$35 Chat With Writer
Isabella K.

ONLINE

Isabella K.

I am a professional and experienced writer and I have written research reports, proposals, essays, thesis and dissertations on a variety of topics.

$16 Chat With Writer

Let our expert academic writers to help you in achieving a+ grades in your homework, assignment, quiz or exam.

Similar Homework Questions

Bcg matrix volkswagen group - Mgmt 1 - Battery capacity test procedure - Two Discussion Responses Needed 100 words each 200 words - Sales personal development plan - Second order active low pass filter transfer function - Hilton's transformation case study solution - Professional nursing leadership and management roles that have arisen - MA_Discussion 4 - When was requiem for the croppies written - Home depot grout colors - University of herts studynet - Cisco cme sip phone configuration - Warrior tasks and battle drills powerpoint - Half wave rectifier circuit lab report - Performance - Barn owl food web - Community service in pakistan - What are the disadvantages of buying a franchise comparing to setting up a new business ? - Form follows function anatomy examples - Pharmacology case studies - Ccss ela literacy rl 1.2 - Gcu learning lounge - Churn top and dasher - DISCUSSION CJT 202 - Lame v3 99.3 for windows exe - Data collection in social work - Winmend folder hidden password hack - Dark wake book - My papa's waltz thesis statement - Powerlessness nursing interventions and rationales - Methods of oral presentation - Bonnie bassler how bacteria talk summary - Newspaper feature article format - Direct and partial variation - Als iddp case study - Cryptography - MNIST Written Character Classification with a Multi-Layer Perceptron - Monash imaging consultant roster - Bb imperial ac uk - Mount gambier city bus timetable - How to calculate summary route - Quick turn - Muskegon tool industries inc - How does social science inquiry advance and evolve over time - 324 ne 12th st grand prairie tx - Best Strategies and Communication Methods for Handling Objections - Portugal tvi - Cba annual report 2018 - Lady of shalott meter - Importance of partnership working with colleagues - Monthly pro forma template - Tiling a patio math problem - 3 bears brewery - Case studies poor nursing documentation - Cambridge law test example - How to create a genogram on the computer - Government bond cash and cash equivalents - ORG 535 Week 4 Assignment - Shell oil in nigeria case study answers - Capsim human resources - Log book sample for internship - Flat file database management system - Dearly disconnected - Phases of the helping process in social work pdf - Graph 2 ln x - Introduction and Bibliography - Miercoles - Act 1 scene 2 hamlet soliloquy - Journal Article - Fin 609A calculation Qs Week 2 - Paper - Boom chicka rocka song - Top 2000 lijst 2018 - Deprag d 92224 amberg manual - Etsa utilities finance pty ltd - Artificial intelligence in power station ieee paper - Statistics for nursing research workbook answers - Macbeth act 3 scene 2 - Value chain analysis for coca cola - Summary of vice presidential debate - Reduction of benzophenone with sodium borohydride lab report - Apa cite chapter in book with different author - Tcp state machine diagram - Exercise 4 - Berganza last name origin - Animal farm sheep chant - Acc 201 milestone one - Continuous training definition in sport - Why do seals pound tridents into coffins - Soweto gospel choir darwin entertainment centre 17 july - 3.82 kg to lbs and oz - Cement stabilised crushed rock - Module 02 Lab 02 - Powerade - Building fit out depreciation nz - The medical and dental defence union of scotland - Godrej chotukool price - A social change model of leadership development guidebook - 02.03 the anti-federalists: assessment - Padini annual report 2019