Discussion post for this week, please take the following descriptive information and place it with the appropriate categories listed.

Based on the descriptive information, would this be a focused or comprehensive assessment and, if focused, what system or systems would you want to assess and why?

Descriptions

Presents with c/o headache
Pain is a ‘4’ on a scale of 1-10
Scoliosis corrected with Charleston brace, broken toe
No cold/sinus symptoms
Eye exam 2 years ago
No medications, NKDA
No hospitalizations
No tobacco use, wine once monthly, no recreational drug use
Single, lives alone
Traveled to UK, Caribbean in past 3 months
Throbbing for past 2 hours, can feel pulse in temple
Sports-induced asthma
No fever, no changes in vision

Categories

Chief Complaint
History of Present Illness
Past Medical History
Personal and Social History
Review of Symptoms
Please be sure to validate your opinions and ideas with citations and references in APA format.


 

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