Shadow Health: Focused Exam Overview

Shadow Health Focused Exam: Chest Pain 1. Established chief Reports chest pain complaint 2. Asked about on- Reports chest pain started about five minutes ago set and duration Reports chest pain has been constant since it began of chest pain Reports sitting in bed when pain began 3. Asked to rate chest pain on a scale Reports current pain is 6/10 4. Asked about on Describes pain as tight and uncomfortable characteristics of Denies crushing pain the pain Denies gnawing or tearing pain Denies burning pain 5. Asked about lo- Reports pain location is in middle of the chest cation of the pain Reports slight pain in left shoulder Denies arm pain Denies back pain Denies jaw pain Denies neck pain 6. Asked about pain Reports pain is aggravated by movement triggers 7. Asked about Reports generally low stress lifestyle stress and anxi- Denies history of anxiety ety Denies history of panic attacks 8. Asked relevant health history Reports high blood pressure Reports high cholesterol Denies history of pulmonary embolism Denies history of angina Denies history of rheumatic fever Denies history of heart murmur 9. Followed up on Reports taking high blood pressure medication high blood pres- Reports high blood pressure medication is Lisinopril sure treatment 1/3 High blood pressure medication dose is 20mg High blood pressure medication is taken once daily 10. Followed up on Reports taking high cholesterol medication high cholesterol Reports high cholesterol medication is Atorvastatin (Lipitreatment tor) Reports high cholesterol medication dose is 20mg Reports high cholesterol medication is taken once daily 11. Asked history of Reports recent EKG test cardiac tests Reports annual stress test 12. Asked about re- Reports belief that EKG was normal sults of cardiac Reports belief that stress test was normal tests 13. Asked about sub- Denies illicit drug use stance use Denies tobacco use Reports moderate alcohol consumption 14. Followed up on alcohol consumption Reports drinking only on weekends Reports drinking 2-4 alcoholic drinks per week Reports 2-3 drinks in a single sitting 15. Asked about ex- Denies having a regular exercise routine ercise 16. Asked about Reports most recent meal was previous night at 8 p.m most recent meal Reports meal consisted of buffalo wings 17. Asked about typ- Reports typical breakfast is granola bar and instant breakical diet fast shake Reports typical lunch is turkey sub Reports typical dinner is grilled meat and vegetables Denies moderating salt intake 18. Asked about re- Denies palpitations view of cardioDenies swelling vascular system Denies circulation problems Denies blood clots 2/3 Denies easy bleeding Denies easy bruising 19. Asked about con- Denies fever stitutional health Denies chills Denies fatigue Denies sleep issues Denies recent weight changes Denies night sweats Denies dizziness or lightheadedness 20. Asked about re- Denies cough view of respirato- Denies shortness of breath while lying down ry system Denies blue skin 21. Asked about Denies sore throat throat problems Denies difficulty swallowing 22. Asked about re- Denies diarrhea view of gastroin- Denies constipation testinal system Denies flatus Denies bloating Denies heartburn or GERD Reports earlier nausea Denies vomiting 23. Asked relevant family history Reports family history of heart attack Denies family history of stroke Denies family history of pulmonary embolism 3/3