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5/26/2020HEENT | Completed | Shadow Health1/2HEENT Results | Turned InHealth Assessment - August 2017, NUR3067CReturn to Assignment(/assignments/140510/)Documentation / Electronic Health RecordDocument: Provider NotesStudent DocumentationModel DocumentationSubjectiveHPI. Ms Tina Jones is a 28 yo African Woman. She presented to theclinic with complaints of sore and itchy throat, runny nose, and itchyeyes. These symptoms started about a week ago. According to herthe symptoms began all of the sudden, and since then it persists andconstant. She takes throat drops and plenty of water to help relief thepain of her sore throat. She denies of taking any other medications tohelp with her sore throat. The sore on her throat is a little worst in themorning and the pain is constant. She describe the pain as mild tomoderate. She states that her nose has a clear watery drainage, andit "runs all day", and the drainage is thin and drippy. She denies ofpain, sneezing and clog nose. She does not take any medication torelieve the symptoms of her nose. She also has an itchy eyes . Shedenies of any recent illness. She report of no fever, chills or nightsweat. Denies of being diagnosed with seasonal allergy, but statesthat her sister has "hay fever." Social History: She denies of using tobacco or being exposed withanybody who use tobacco. She denies of being exposed to allergensor irritants. Denies of being around with sick person. Review of System: No fever, chills, fatigue, weakness , or night sweat. Head: Denies of current headache, no trauma or recent head injury,no dizziness or lightheadedness. Eyes: Denies of pain in the eye. She has itchy and watery eyes. hereyes get blurry sometimes when she reads. Reported that her visionis getting worse over the years.