i-Human Case Week #3
Age: 68 y/o
Height: 5’9″ (175 cm)
Reason for Encounter:
Heart pounding
Get all the history questions, physical exam, and complete EHR documentation.
i-Human Case Week #3 Reason for encounter: heart pounding
History Questions
How can I help you today?
Do you have unusual heartbeats (palpitations)?
Do you have any other symptoms or concerns we should discuss?
When did your palpitations start?
Are you taking any over-the-counter or herbal medications?
How is your overall health?
Do you use any recreational drugs? If so, what?
Do you drink alcohol? If so, what do you drink and how many drinks per day?
Do you have a problem with fatigue/ tiredness?
……..
Get all the history questions, physical exam, and complete EHR documentation.
i-Human Case Week #2 Reason for encounter: Heart pounding
Physical Exams Required
Weight
Height
cognitive status
SpO2
temperature
blood pressure
pulse
respiration
temperature
auscultate heart
auscultate lungs
assess pharynx move…….
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