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Lt Col Brenda James V6 PC -WU (Basic DDx)
Humanpatients
by KAPLAN )
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Show Patient
Record
Expert Feedback
X
Vitals Documentation:
x Pulse: You did not complete documentation for this required exam. Incorrect rate, correct is 92. Incorrect rhythm, correct is regular. Incorrect strength, correct is normal.
Key Findings
DDX
. Respiration: Good, all correct.
x BP: Incorrect assessment, correct is normal. (FYI actual BP: 136/76)
Create one entry for each problem
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. Mental Status: Good, all correct.
you identify during your H&P.
Right upper quadrant
Exam Documentation:
abdominal pain radiates to
x Lung Auscultation: You did not complete documentation for this required exam.
right shoulder
Left: not documented. Correct is normal.
Right: not documented. Correct is normal.
crampy, gnawing, achiness
x Cardiac Auscultation: You did not complete documentation for this required exam. Correct is Normal.
abdominal pain
. Eyes - Pupils: Good, all correct.
Pain rated 6 to 7 out of
Exams Performed:
pain scale
drink 2 glass of wine
O Correct
everynight at dinner
Good, you performed 12 key exams for this case:
1. Vitals: Temperature (provided)
2. Vitals: Skin (provided)
3. Vitals: Respiration
4. Vitals: BP
5. Abdomen: auscultate abdomen
6. HEENT: inspect eyes
7. Skin, Hair, Nails: inspect skin overall
8. HEENT: inspect mouth/pharynx
Show Clinical Feedback
Next Step: Develop Assessment
Sound: breath
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