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
