I’m Brook and I’m a Nurse Practitioner student at Walden University and I’m going to be completing your health history today. ID AND PERSONAL HX Can you tell me your name, age and date of birth?Do you identify as a male or female?Is there anything that would interfere with this health history such as hearing or vision impairments?What ethnicity to you identify as? What’s your marital status? Do you have any children? What’s your occupation? What’s your highest level of education? CHIEF COMPLAINT AND HX OF PRESENT ILLNESS What brings you in today? My left ear has been hurting O- Did it begin gradually or was the onset sudden? Sudden L- So just your left ear? Yes D -When did your left ear begin hurting? 3 or 4 days ago C- Can you describe the pain? Is it sharp, dull, aching? Aching A/R- Does anything make it feel better or worse? Ibuprofen helps a little. And heat seems to help some too. T- Is it constant or does it come and go? Constant S- How would you rate your pain 1-10 with 10 being the worst? 5 PAST MEDICAL HX Do you have any significant illnesses? No What about past surgeries? Tonsils removed When was that? When I was 9 Have you had any other major injuries? No Have you ever been hospitalized?
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- Summer '15
- persistent cough