i-Human Case Week #9
Comprehensive Head-to-toe
55 y/o
5′ 10″ (178 cm)
245.0 lb (111.4 kg)
Reason for encounter
Back pain
Location: Outpatient clinic with X-ray, ECG, and laboratory capabilities
i-Human Case Week #9 Reason for encounter: Back pain
History Questions
- How can I help you today?
- Do you have any other symptoms or concerns we should discuss?
- Do you have any allergies?
- What are the events surrounding the start of your back pain?
- When did the pain in your back start?
- How severe (1–10 scale) is the pain in your back?
- What does the pain in your back feel like?
- Where more precisely is the pain in your back?
- How long does your back pain last?
- Does the pain in your back come and go?
- Does anything make the pain in your back better or worse?
- What treatments have you had for the pain in your back?
- Have you had any significant traumatic injuries or accidents?
- ……..
i-Human Case Week #9 Reason for encounter: Back pain
Physical Exams Required
- Weight
- Height
- cognitive status
- SpO2
- temperature
- blood pressure
- pulse
- respiration
- temperature
- auscultate heart
- auscultate lungs
- assess stance and …….
i-Human Case Week #9 Reason for encounter: Back pain
CASE FINDINGS
- Sudden, acute 9/10 intense back pain x1 day after recent heavy lifting
- Midline lumbothoracic back pain that does not radiate
- Pain worsened with…..
