The document describes 4 interactions between a doctor and patient, where the patient points to different areas where they are experiencing pain and describes the characteristics of the pain such as sharp, stabbing, or worse with coughing or deep breathing. The doctor asks follow up questions to determine what makes the pain better or worse.
The document describes 4 interactions between a doctor and patient, where the patient points to different areas where they are experiencing pain and describes the characteristics of the pain such as sharp, stabbing, or worse with coughing or deep breathing. The doctor asks follow up questions to determine what makes the pain better or worse.
The document describes 4 interactions between a doctor and patient, where the patient points to different areas where they are experiencing pain and describes the characteristics of the pain such as sharp, stabbing, or worse with coughing or deep breathing. The doctor asks follow up questions to determine what makes the pain better or worse.
PATIENT: Here, just under my ribs. (1) DOCTOR: Can you describe the pain? PATIENT: It gets worse and worse. Then it goes away. DOCTOR: what are the factors make your pain worse? PATIENT: Food makes it worse.
2. DOCTOR: Where does it hurt?
PATIENT: It's right here. (2) DOCTOR: how is your pain ? PATIENT: It's a gnawing kind of pain. DOCTOR: does anything make it better? PATIENT: Yes, if I eat, it gets better.
3. DOCTOR: Where is it sore?
PATIENT: Down here. (3) DOCTOR: Can you describe the pain? PATIENT: It's a sharp, stabbing pain. It's like a knife. DOCTOR: Does anything make it worse? PATIENT: If I take a deep breath, or I cough, it's really sore.
4. DOCTOR: Where does it hurt?
PATIENT: Just here. (4) DOCTOR: what do you feel ? PATIENT: My chest feels raw inside. DOCTOR: Does anything make it worse? PATIENT: When I cough, it hurts most. Task (6) 1. Surname : Nama depan 2. First Names : Nama belakang 3. Age : Usia 4. Sex : Jenis Kelamin 5. Marital status : Status Perkawinan 6. Occuoation : Pekerjaan 7. Present complaint : Keluhan Utama 8. O/E (On Examnination) : Dalam Pantauan 9. General condition : Kondisi Umum 10. ENT (Ear,Nose,Throat) : Telinga, Hidung, Tenggorokan 11. NAD (Nothing Abnormal Detected) : Tidak ada yang tidak normal 12. CVS (Cardiovascular System): sistem kardiovaskular 13. REG : Reguler 14. P (Pulse) : Detak Jantung 15. HS (Heart Sounds) : Suara Jantung 16. BP (Blood Pressure) :Tekanan Darah 17. GIS (Gastro-intestinal System) : Sistem Organ Usus 18. GUS (Genito Urinary System) : Sistem Organ Reproduksi Dan Kemih 19. CNS (Central Nervus System) : Sistem Saraf Pusat 20. Immediated Past History : Riwayat Terdahulu 21. Points of note : Poin Catatan 22. Investigation : penyelidikan 23. –ve (Negative or Obsevation) : Negativ atau dalam pengawasan 24. High : Tinggi 25. 1/52 (weekly) : perlu di pantau seminggu sekali