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HISTORYTAKINGINACTIONInterviewthispatient.UsetheS-A-M-P-L-EkeysonyourkeyboardtoaskSAMPLEquestions.Whencomplete,choosethetypeofemergencysuspectedbasedontheinterviewanswers.
HeartProblem
BreathingProblem
DiabeticProblem
AllergicReaction
Howtoyoufeelsir?
Notverygood.I’mfairlyshortofbreathrightnow.
Areyouallergictoanything?
No,Idon’thaveanyallergiesthatIknowof….
Doyoutakeanymedicationsonaregularbasisorrecently?
ItakenebulizedalbuterolandSpiriva.ItaketheSpirivadailyandthealbuterolinthemorningandatbedtime.
Doyouhaveanyhealthproblemsweshouldknowabout?
IhaveCOPD.
Whatdidyoueatordrinklastandwhen?
Ihadtoastandcoffeeaboutanhourago.
Whatwereyoudoingwhenthisstarted?
Iwasplayingwithmygrandson.IgotprettywindedchasinghimandIcan’tseemtoshakeit.
Isthisneworhasthishappenedinthepast?
No,ithappensonceinawhile.I’vebeenprettygoodlatelybuttodayit’sjustoverwhelming.
Doesanythingmakeitworseorbetter?
Describethecomplaintforme.
Idon’tknow…Ijustcan’tbreathe.FeelslikeIcan’tgetenoughair.
Doesittravelanywhereelse?
Err….I’mnotsureIfollowyou.It’sjustmybreathing.
Onascaleof0-10,with10beingtheworst,howbadisyourshortnessofbreath?
It’sprettybad-maybean8or9.
Howlonghasthisbeengoingon?
Forabouthalfhournow.Icameinsideandjustcouldnotcatchmybreath,soIcalled9-1-1.
Notreally.I’mjustveryshortofbreath.FeelslikeIcan’tgetenoughair…
THISISNOTTHEMOSTLIKELYCAUSEOFTHISCOMPLAINTThisisnotthemostlikelycauseforthispatient’scomplaint.BesuretoaskthispatientallSAMPLEandOPQRSTquestionsbeforeselectinganothercauseofthisemergency.CLICKONTHISMESSAGETOREMOVEIT
CORRECT-THISISTHEMOSTLIKELYCAUSEFORTHISCOMPLAINTYouhavesuccessfullyinterviewedthepatientanddeterminedthemostlikelycauseforthiscomplaint.CLICKONTHISMESSAGETOGOTOTHENEXTCASE
HISTORYTAKINGINACTIONInterviewthispatient.UsetheS-A-M-P-L-EkeysonyourkeyboardtoaskSAMPLEquestions.Whencomplete,choosethetypeofemergencysuspectedbasedontheinterviewanswers.
HeartProblem
BreathingProblem
DiabeticProblem
AllergicReaction
Howtoyoufeelsir?
I’mprettysick.Ijustbrokeoutintoacoldsweat,andI’mshortofbreathandIhaveaweirdindigestion.
Areyouallergictoanything?
I’mallergictopenicillin.
Doyoutakeanymedicationsonaregularbasisorrecently?
ItakeMetoprolol,aspirin,andplavix.
Doyouhaveanyhealthproblemsweshouldknowabout?
Ihadaheartattacktwoyearsago-gotme4stents.I’vefeltgoodasnewsincethen-untiltoday.
Whatdidyoueatordrinklastandwhen?
Itwaslunch.Ihadacheeseburgerandfries.
Whatwereyoudoingwhenthisstarted?
Iwasdoingnothing.IwassittinginmylivingroomwatchingTVwhenIbrokeintoacoldsweat.
Isthisneworhasthishappenedinthepast?
Idon’teverfeellikethis.Thisisweird…
Doesanythingmakeitworseorbetter?
Describethecomplaintforme.
It’slikeaweirdindigestion.Likeaheavinessinmyupperbelly.
Doesittravelanywhereelse?
No,it’srightaroundmysolarplexusarea.
Onascaleof0-10,with10beingtheworst,howbadisyourshortnessofbreath?
Idon’tknow…maybea7orso.
Howlonghasthisbeengoingon?
It’sbeengoingonforaroundanhournow.Weirdestthingintheworld…
Notreally.I’mjustveryshortofbreath.FeelslikeIcan’tgetenoughair…
THISISNOTTHEMOSTLIKELYCAUSEOFTHISCOMPLAINTThisisnotthemostlikelycauseforthispatient’scomplaint.BesuretoaskthispatientallSAMPLEandOPQRSTquestionsbeforeselectinganothercauseofthisemergency.CLICKONTHISMESSAGETOREMOVEIT
CORRECT-THISISTHEMOSTLIKELYCAUSEFORTHISCOMPLAINTYouhavesuccessfullyinterviewedthepatientanddeterminedthemostlikelycauseforthiscomplaint.CLICKONTHISMESSAGETOGOTOTHENEXTCASE
HISTORYTAKINGINACTIONInterviewthispatient.UsetheS-A-M-P-L-EkeysonyourkeyboardtoaskSAMPLEquestions.Whencomplete,choosethetypeofemergencysuspectedbasedontheinterviewanswers.
CardiacProblem
BreathingProblem
DiabeticProblem
AllergicReaction
Howtoyoufeelma’am?
I…can’t…ugh.I’mvery…dizzy…(mumble)….can’tfocus…
Areyouallergictoanything?
Err…sure.Thecatalso…
Doyoutakeanymedicationsonaregularbasisorrecently?
Itake…theinsulin.Ialsotakemygrandsontotheparksometimes.
Doyouhaveanyhealthproblemsweshouldknowabout?
I…hate…history.Failedittwice…
Whatdidyoueatordrinklastandwhen?
I’mnot…I’mnot…today…beenbusy.
Whatwereyoudoingwhenthisstarted?
Uhh….WHYDOYOUKEEPASKINGMETHESESILLYTH…er….no.Nottoday.
Isthisneworhasthishappenedinthepast?
Beforewhat?Newwho?
Doesanythingmakeitworseorbetter?
Describethecomplaintforme.
HEY!IDON’T….IDON’TKNOW!
Doesittravelanywhereelse?
Itgoes…Ithasn’tbeenonvacationinsometime.
Onascaleof0-10,with10beingtheworst,howbadisyourshortnessofbreath?
Somany…numbers…num…berzzz…
Howlonghasthisbeengoingon?
Howmuch…how….much.
What?Wh..Where?
THISISNOTTHEMOSTLIKELYCAUSEOFTHISCOMPLAINTThisisnotthemostlikelycauseforthispatient’scomplaint.BesuretoaskthispatientallSAMPLEandOPQRSTquestionsbeforeselectinganothercauseofthisemergency.CLICKONTHISMESSAGETOREMOVEIT
CORRECT-THISISTHEMOSTLIKELYCAUSEFORTHISCOMPLAINTYouhavesuccessfullyinterviewedthepatientanddeterminedthemostlikelycauseforthiscomplaint.YOUCANNOWCONTINUETOTHENEXTPAGE