ihumaxn
16 June 2025
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Cassidy Harrington
27 y/o
5′ 3″ (160 cm)
140.0 lb (63.6 kg)
Reason for encounter
Fatigue and listlessness
Location
Outpatient clinic with laboratory capabilities
Interview History Questions
- What is your name?
- How can I help you today?
- Do you have any other symptoms or concerns we should discuss?
- Do you have pain anywhere? If so, where?
- What symptom is the most distressing for you?
- Tell me how that makes you feel.
- How does this affect your life?
- Do you have unusual heartbeats (palpitations)
- Have you gained or lost weight unintentionally, despite normal appetite and exercise?
- Have you noticed swelling in any part of your body
- Do you have a cough
- Do you have any other symptoms or concerns we should discuss
- Do you have any pain in your chest
- ………….
Physical Exams Required
- Weight
- Height
- cognitive status
- SpO2
- temperature
- blood pressure
- pulse
- respiration
- temperature
- auscultate heart
- auscultate lungs…….