Shadow health Questions – respiratory for Tina transcript results

Shadow health Questions – respiratory for Tina transcript results

Shadow health Questions – respiratory for Tina transcript results

History of Present Illness

Finding:

Established chief complaint

Finding:

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Reports increased breathing problems

(Found)

Pro Tip: Foundational questions about general well-being are important in assessing how a patient feels at the current moment. This creates a space for Tina to contextualize her current feeling in relation to a chief complaint. Shadow health Questions – respiratory for Tina transcript results.

Example Question:

What brings you in today?

Finding:

Asked about reasons for seeking treatment

Finding:

Reports worry that inhaler “isn’t working like it usually does”

(Available)

Pro Tip: Initially establishing a chief complaint allows the patient to express their reason for seeking care, primary concerns, or condition they are presenting with.

Example Question:

Why did you decide to seek treatment?

Finding:

Believes breathing problems triggered by asthma exacerbation

(Available)

Pro Tip: Questions about what factors might have caused an illness can point to a patient’s environmental stressors, habits, and general wellbeing. Asking Tina what caused her asthma might indicate her health literacy and understanding of what factors impact her breathing. Shadow health Questions – respiratory for Tina transcript results.

Example Question:

What do you think caused your illness?

Finding:

Asked about current breathing

Finding:

Reports current breathing is normal

(Found)

Pro Tip: Foundational questions about general well-being are important in assessing how a patient feels at the current moment. This creates a space for Tina to contextualize her current feeling in relation to a chief complaint.

Example Question:

Are you having difficulty breathing right now?

Finding:

Asked about symptoms during asthma exacerbation

Finding:

Describes exacerbation symptoms as chest tightness and “can’t take in air”

(Found)

Pro Tip: Symptoms often vary from patient to patient. Asking Tina to describe what happens when her asthma acts up will indicate how her individual symptoms manifest. Shadow health Questions – respiratory for Tina transcript results.

Example Question:

What happens when your asthma acts up?

Finding:

Reports asthma severity as “not full attack,” but worse than usual

(Available)

Pro Tip: Asthma severity might change over time for a variety of reasons. Asking Tina about the severity of her asthma will allow her to assess her condition.

Example Question:

How severe is your asthma?

Finding:

Reports audible wheeze during asthma exacerbation

(Available)

Pro Tip: Some people who experience chronic asthma may be accustomed to wheezing and, as a result, might not volunteer this information. Asking Tina if she’s been wheezing illustrates how her asthma is presenting.

Example Question:

Do you wheeze during an asthma exacerbation?

Finding:

Reports audible wheeze lasting 5 minutes during asthma exacerbation

(Available)

Pro Tip: Some people who experience chronic asthma may be accustomed to wheezing and, as a result, might not volunteer this information. Asking Tina how long her wheezing lasts illustrates how her asthma is presenting. Shadow health Questions – respiratory for Tina transcript results.

Example Question:

How long does your wheezing usually last?

Finding:

Reports no post nasal drainage with asthma exacerbation

(Available)

Pro Tip: Post-nasal drip can worsen already exacerbated asthma. Soliciting information about Tina’s sinuses will point to additional factors that are triggering Tina’s breathing problems.

Example Question:

Do you have postnasal drainage when you have breathing problems?

Finding:

Reports no chest pain during asthma exacerbation

(Found)

Pro Tip: Symptoms often vary from patient to patient. Asking Tina whether she experiences chest pain during an attack will indicate how her individual symptoms manifest.

Example Question:

Are the shortness of breath episodes associated with chest pain?

Finding:

Asked about asthma management

Finding:

Reports feeling asthma is less controlled recently

(Available)

Pro Tip: The frequency of asthma episodes or shortness of breath might vary over time. Asking Tina about her recent experience will expound upon her current condition.

Example Question:

How well do you feel your asthma is controlled? Shadow health Questions – respiratory for Tina transcript results.

Finding:

Reports asthma has been interfering with activities of daily life

(Available)

Pro Tip: Severe asthma can interfere with daily life. Asking Tina the degree to which asthma impacts her daily life can be illustrative of the relative severity of her asthma.

Example Question:

Is there anything you can’t do because of your asthma?

Finding:

Reports no record keeping of asthma exacerbation or shortness of breath episodes

(Available)

Pro Tip: For some patients, keeping records of asthma exacerbation allows them to monitor their conditions. Soliciting this information from Tina will show health literacy.

Example Question:

Do you use a chart to monitor your asthma?

Finding:

Reports no peak flow meter usage

(Available)

Pro Tip: A peak flow meter measures how well a patient’s lungs can expel air. By asking whether Tina uses a peak flow meter, you are asking about her health literacy and what kind of medical tools she uses to manage her asthma.

Example Question:

Do you check your peak flow regularly?

Finding:

Reports no nebulizer use

(Available)

Pro Tip: The medication that a patient takes reveals a current treatment plan and healthcare access. Asking Tina if she uses a nebulizer for her asthma will indicate her treatment plan and the degree to which she complies with it.

Example Question:

Do you use a nebulizer?

Finding:

Reports no vaporizer use

(Available)

Pro Tip: Smoking or inhaling substances can have adverse respiratory effects. Asking Tina is she ever used a vaporizer can help you to discern whether smoking was an exacerbating factor for Tina’s asthma.

Example Question:

Do you use a vaporizer?

Finding:

Asked about recent asthma exacerbation

Finding:

Confirms recent asthma exacerbation

(Available)

Pro Tip: Asking about how Tina is recently breathing can provide a comparative baseline for assessing Tina’s current condition and previous breathing concerns or conditions.

Example Question:

Have you had breathing problems recently?

Finding:

Reports most recent asthma exacerbation two days ago

(Available)

Pro Tip: Soliciting a shallow history of a patient’s condition can provide a baseline for comparing an attack, exacerbation, and more regular breathing. Asking about breathing problems can elicit a response about recent troubles.

Example Question:

When did you last have problems with your asthma?

Finding:

Reports asthma exacerbation at cousin’s house

(Available)

Pro Tip: Environmental factors can often be primary allergy triggers. Asking Tina where she was when the most recent exacerbation occurred can point to potential environmental factors.

Example Question:

Where were you when your breathing problems started?

Finding:

Reports recent asthma exacerbation triggered by cats

(Available)

Pro Tip: Questions about what factors might have caused an illness can point to a patient’s environmental stressors, habits, and general wellbeing. Asking Tina what caused her asthma might indicate her health literacy and understanding of what factors impact her breathing. Shadow health Questions – respiratory for Tina transcript results.

Example Question:

What started your recent asthma problems?

Finding:

Treated recent asthma exacerbation with rescue inhaler

(Available)

Pro Tip: Tina’s response to a question about recent asthma management will reveal the severity of her symptoms, her health literacy, and the way she’s complied with previous treatment plans.

Example Question:

What treatment did you use when your asthma acted up?

Finding:

Asked about cat allergy

Finding:

Confirms cat allergy

(Available)

Pro Tip: Environmental factors can often be primary allergy triggers. Asking whether Tina has a cat allergy can reveal one such trigger.

Example Question:

Can you confirm that you are allergic to cats?

Finding:

Reports wheezing around cats

(Available)

Pro Tip: Environmental factors, like pets, can often be primary allergy triggers. Asking whether Tina wheezes around cats can reveal one such trigger.

Example Question:

Do cats make you wheeze?

Finding:

Reports runny nose around cats

(Available)

Pro Tip: Environmental factors, like pets, can often be primary allergy triggers. Asking whether Tina gets a runny nose around cats can reveal one such trigger.

Example Question:

How is your nose around cats?

Finding:

Reports eyes red, itchy, and swollen around cats

(Available)

Pro Tip: Asthma triggers can result in symptoms that manifest in various ways. Asking Tina how being around a known trigger will indicate what some of these symptoms might look like.

Example Question:

How does being around cats affect your eyes?

Finding:

Reports sneezing around cats

(Available)

Pro Tip: Environmental factors, like pets, can often be primary allergy triggers. Asking whether Tina sneezes around cats can reveal one such trigger.

Example Question:

Do you sneeze around cats?

Finding:

Reports infrequent cat exposure

(Available)

Pro Tip: Environmental factors can often be primary allergy triggers. Asking how often Tina is around cats, a known trigger, will indicate how frequently she is exposed to one trigger.

Example Question:

How often are you around cats?

Finding:

Asked about asthma triggers

Finding:

Confirms knowledge of asthma triggers

(Available)

Pro Tip: Discerning what’s making Tina’s asthma worse can point to possible triggers like environmental factors, bodily positions, or movement that may have a bearing on Tina’s breathing. Asking Tina what triggers her asthma will indicate, in part, Tina’s health literacy.

Example Question:

Does anything trigger your asthma?

Finding:

Reports asthma triggered by cats

(Available)

Pro Tip: Environmental factors can often be primary allergy triggers. Asking whether Tina has a cat allergy can reveal one such trigger.

Example Question:

Do cats trigger your asthma?

Finding:

Reports asthma triggered by dust

(Available)

Pro Tip: Environmental factors can often be primary allergy triggers. Asking whether Tina has a dust allergy can reveal one such trigger.

Example Question:

Does being around dust trigger your asthma?

Finding:

Reports asthma triggered by running up stairs

(Available)

Pro Tip: Shortness of breath or asthma can be exercise-induced. Asking whether climbing stairs can be a trigger for Tina might reveal a possible provocation.

Example Question:

Does climbing stairs trigger your asthma?

Finding:

Reports no seasonal triggers

(Available)

Pro Tip: Discerning what’s making Tina’s asthma worse can point to possible triggers like environmental factors, bodily positions, or movement that may have a bearing on Tina’s breathing. Asking Tina whether she has seasonal triggers will indicate, in part, Tina’s health literacy.

Example Question:

Do you have seasonal asthma triggers?

Finding:

Reports changes in weather do not trigger asthma

(Available)

Pro Tip: For some patients, weather changes can be asthma irritants. Asking Tina if the weather impacts her asthma will indicate if weather is an irritant for Tina’s condition. Shadow health Questions – respiratory for Tina transcript results.

Example Question:

Do changes in weather make your asthma worse?

Finding:

Asked any question about exacerbation onset

Finding:

Reports asthma exacerbation two days ago

(Found)

Pro Tip: Soliciting a shallow history of a patient’s condition can provide a comparative baseline for juxtaposing an attack, exacerbation, and more regular breathing. Asking about breathing problems can elicit a response about recent troubles.

Example Question:

How long ago did your breathing problems start?

Finding:

Asked about breathing since recent asthma exacerbation

Finding:

Reports frequent shortness of breath episodes since asthma exacerbation

(Found)

Pro Tip: Soliciting a shallow history of a patient’s condition can provide a comparative baseline for juxtaposing an attack, exacerbation, and more regular breathing. Asking about breathing problems can elicit a response about recent troubles.

Example Question:

How has your breathing been since the exacerbation?

Finding:

Reports shortness of breath episodes about every 4 hours since original asthma exacerbation

(Available)

Pro Tip: The frequency of asthma episodes or shortness of breath might vary over time. Asking Tina about her recent experience will expound upon her current condition.

Example Question:

How many times have you had breathing problems in the past two days?

Finding:

Reports last shortness of breath episode was early in the morning

(Available)

Pro Tip: Soliciting a shallow history of a patient’s condition can provide a comparative baseline for juxtaposing an attack, exacerbation, and more regular breathing. Asking about breathing problems can elicit a response about recent troubles. Shadow health Questions – respiratory for Tina transcript results.

Example Question:

When did you last have trouble breathing?

Finding:

Asked any question about aggravating factors

Finding:

Reports shortness of breath slightly increased when lying flat on back

(Available)

Pro Tip: Asthma can be aggravated by movements that constrict the respiratory airways. By asking Tina if lying down causes shortness of breath, you’re assessing which positions might cause exacerbation.

Example Question:

Does lying down make your asthma worse?

Finding:

Reports shortness of breath aggravated by movement

(Available)

Pro Tip: Asthma can be aggravated by movements that constrict the respiratory airways. Inquiring into what activities make Tina short of breath can indicate possible triggers.

Example Question:

Is there anything you can’t do because of your asthma?

Finding:

Asked any question about associated symptoms since exacerbation

Finding:

Reports persistent cough

(Found)

Pro Tip: A shallow history of a patient’s condition can provide a comparative baseline for juxtaposing an attack, exacerbation, and more regular breathing. Soliciting this information from Tina allows her to explain any recent developments with her asthma.

Example Question:

Have you been coughing?

Finding:

Reports no phlegm or sputum since exacerbation

(Available)

Pro Tip: A productive asthma cough can expel sputum from the lungs. By asking whether Tina has been coughing up phlegm or sputum you are discovering the nature of Tina’s cough since exacerbation.

Example Question:

Have you been coughing anything up?

Finding:

Reports shortness of breath is worse at night

(Available)

Pro Tip: Sometimes a condition will fluctuate during the course of the day. By asking Tina how her asthma differentially impacts her both during the day and at night, you are assessing an important change over time.

Example Question:

Is your asthma worse at night?

Finding:

Asked any question about wheezing since exacerbation

Finding:

Reports wheezing since exacerbation

(Available)

Pro Tip: Some people who experience chronic asthma may be accustomed to wheezing and, as a result, might not volunteer this information. Asking Tina if she’s been wheezing illustrates how her asthma is presenting.

Example Question:

Have you been wheezing?

Finding:

Reports increased wheezing episodes since exacerbation

(Available)

Pro Tip: Asthma exacerbation can result in increased wheezing, shortness of breath, and chest tightness. Asking if Tina’s been wheezing more frequently since exacerbation can indicate the severity of her symptoms since exacerbation. Shadow health Questions – respiratory for Tina transcript results.

Example Question:

Have you been wheezing more than usual?

Finding:

Reports 10 wheezing episodes since exacerbation

(Available)

Pro Tip: Some people who experience chronic asthma may be accustomed to wheezing and, as a result, might not volunteer this information. Asking Tina how frequently she’s been wheezing will illustrate the extent of exacerbation.

Example Question:

How many times have you wheezed in the past two days?

Finding:

Asked about asthma medication

Finding:

Reports asthma treated with inhaler

(Found)

Pro Tip: Tina’s response to a question about asthma management will reveal the severity of her symptoms, her health literacy, and the way she’s complied with previous treatment plans.

Example Question:

What usually works to treat your asthma?

Finding:

Asked about inhaler prescription

Finding:

Inhaler is Proventil

(Available)

Pro Tip: The medication that a patient takes reveals a current treatment plan and healthcare access. Asking Tina what medication she takes for her asthma will indicate her treatment plan and the degree to which she complies with it.

Example Question:

What is the name of the inhaler you are currently using?

Finding:

Prescribed usage is 2 puffs

(Available)

Pro Tip: The medication that a patient takes reveals a current treatment plan and healthcare access. Asking Tina how many puffs of her inhaler she’s prescribed will indicate her treatment plan and the degree to which she complies with it. Shadow health Questions – respiratory for Tina transcript results.

Example Question:

How many puffs of your inhaler are you prescribed?

Finding:

Reports inhaler use since asthma diagnosis

(Available)

Pro Tip: Tina’s response to a question about asthma management will reveal the severity of her symptoms, her health literacy, and the way she’s complied with previous treatment plans.

Example Question:

How long have you had an inhaler?

Finding:

Reports sometimes needing a third puff to resolve asthma symptoms

(Available)

Pro Tip: Inhaler effectiveness can vary over time for a variety of reasons. Asking Tina about the number on inhaler puffs she needs to resolve symptoms can indicate whether her asthma has worsened or point to potential problems like poor inhaler technique.

Example Question:

How many inhaler puffs do you need?

Finding:

Asked about inhaler use over past 2 days

Finding:

Reports increased inhaler usage since asthma exacerbation

(Available)

Pro Tip: Asthma exacerbation can result in increased wheezing, shortness of breath, and chest tightness. Asking if Tina’s been using her inhaler more frequently since exacerbation can indicate how she’s been treating her symptoms since exacerbation. Shadow health Questions – respiratory for Tina transcript results.

Example Question:

How often do you use your inhaler?

Finding:

Reports using inhaler every 4 hours or so since exacerbation

(Available)

Pro Tip: After an asthma exacerbation, patients often will become more reliant on medical tools like inhalers. Asking Tina how many times she’s used her inhaler in the past two days will point to the severity of her recent exacerbation.

Example Question:

How many times have you used your inhaler in the past two days?

Finding:

Reports most recent inhaler use early in the morning

(Available)

Pro Tip: Soliciting a shallow history of a patient’s medication history can reveal recent exacerbation. Asking Tina when she last used her inhaler will indicate when her symptoms most recently required medical treatment.

Example Question:

When did you last use your inhaler?

Finding:

Asked about possible contributing factors in environment

Finding:

Reports living situation is tidy and free of dust

(Available)

Pro Tip: Environmental factors at home or work can often be primary allergy triggers. Asking Tina about possible allergens at home might indicate a relevant factor in her recent exacerbation.

Example Question:

Have you noticed anything at home that aggravates your asthma?

Finding:

Reports very rare exposure to asthma triggers at work

(Available)

Pro Tip: Environmental factors at home or work can often be primary allergy triggers. Asking Tina about possible allergens at work might indicate a relevant factor in her recent exacerbation. Shadow health Questions – respiratory for Tina transcript results.

Example Question:

Does anything at work make your asthma worse?

Finding:

Reports new bedding

(Available)

Pro Tip: Bedding provides the perfect environment for dust mites and other allergens. By asking Tina if she regularly changes her bedding, you’re soliciting information about environmental factors that might exacerbate her condition.

Example Question:

Do you change your bedding regularly?

Finding:

Reports using hypoallergenic mattress cover

(Available)

Pro Tip: Hypoallergenic bedding can provide relief to those who suffer from sensitivity to dust mites, allergies, or asthma. Discovering that Tina uses hypoallergenic bedding can indicate a reason why she might feel asthma relief at night.

Example Question:

Do you use a hypoallergenic mattress cover?

Finding:

Reports mattress approximately 1 year old

(Available)

Pro Tip: Bedding provides the perfect environment for dust mites and other allergens. By asking Tina how old her mattress is, you’re soliciting information about environmental factors that might exacerbate her condition.

Example Question:

How old is your mattress?

Finding:

Reports using hypoallergenic pillows

(Available)

Pro Tip: Hypoallergenic bedding can provide relief to those who suffer from sensitivity to dust mites, allergies, or asthma. Discovering that Tina uses hypoallergenic bedding can indicate a reason why she might feel asthma relief at night.

Example Question:

Are your pillows hypoallergenic?

Finding:

Has no pets at home

(Found)

Shadow health Questions – respiratory for Tina transcript results Pro Tip: Environmental factors can often be primary allergy triggers. Asking whether Tina has any pets can reveal one such trigger.

Example Question:

Do you have pets at home?

Finding:

Reports no one at home smokes tobacco

(Available)

Pro Tip: Secondhand smoke can be particularly triggering for asthmatics. Asking whether anyone in Tina’s household smokes might indicate a proximate environmental trigger.

Example Question:

Does anyone in your house smoke?

Finding:

Asked follow up question about cough

Finding:

Reports cough started two days ago

(Available)

Pro Tip: Some people who experience chronic asthma may be accustomed to coughing and thus might not volunteer this information. Asking Tina how long she has been coughing illustrates how her asthma is presenting.

Example Question:

When did the cough start?

Finding:

Reports cough since exacerbation

(Available)

Pro Tip: Some people who experience chronic asthma may be accustomed to coughing and thus might not volunteer this information. Asking Tina how long she has been coughing illustrates how her asthma is presenting.

Example Question:

How long have you had a cough?

Finding:

Reports cough aggravated by movement

(Available)

Pro Tip: Coughing can be a symptom of a constricted airway. Assessing what makes Tina’s cough worse can open up a conversation about asthma management.

Example Question:

What makes your cough worse?

Finding:

Reports cough worse at night

(Found)

Pro Tip: Sometimes a condition will change during the course of the day. By asking Tina how her cough differentially impacts her both during the day and at night, you are assessing an important change over time.

Example Question:

Is your cough worse at a certain time of day?

Finding:

Reports cough slightly relieved by drinking water

(Available)

Pro Tip: Coughing can be a symptom of a constricted airway. Assessing what relieves Tina’s cough can open up a conversation about asthma management.

Example Question:

What makes your cough better?

Finding:

Reports cough persistent but not severe

(Available)

Pro Tip: Symptoms often vary from patient to patient. Asking Tina to describe her cough specifies the way her individual symptoms manifest.

Example Question:

How severe is your cough?

Finding:

Reports “small, dry” cough

(Found)

Pro Tip: Symptoms often vary from patient to patient. Asking Tina to describe her cough specifies the way her individual symptoms manifest.

Example Question:

How would you describe your cough?

Finding:

Reports no cough treatments

(Available)

Pro Tip: Some people who experience chronic asthma may be accustomed to coughing and thus might not treat this symptom Shadow health Questions – respiratory for Tina transcript results. Asking Tina how she is treating her cough might reveal her current symptom management and health literacy.

Example Question:

Have you tried to treat your cough?

Finding:

Asked follow up question about asthma at night

Finding:

Reports waking up with shortness of breath since asthma exacerbation

(Available)

Pro Tip: Many patients with asthma report trouble sleeping. Asking Tina if she has trouble sleeping can indicate the severity of her asthma.

Example Question:

Does your asthma wake you up at night?

Finding:

Reports waking up twice a night with asthma since exacerbation

(Available)

Pro Tip: Many patients with asthma report trouble sleeping. Asking Tina if she has trouble sleeping can indicate the severity of her asthma.

Example Question:

How many times in the past two nights did asthma wake you up?

Finding:

Reports wheezing at night

(Available)

Pro Tip: Wheezing might indicate a recent asthma exacerbation. Asking Tina whether she’s been wheezing in the past two nights will give you insight into her immediately recent symptoms.

Example Question:

Have you been wheezing the past two nights?

Relevant Medical History

Finding:

Asked about asthma diagnosis

Finding:

Has asthma

(Found)

Pro Tip: Asking whether Tina has asthma will elicit information regarding any previous respiratory diagnosis.

Example Question:

Can you confirm that you have asthma?

Finding:

Diagnosed with asthma in childhood

(Found)

Pro Tip: By determining the onset of asthma you can get a sense for Tina’s asthma history, instance, and frequency of exacerbation.

Example Question:

How long have you had asthma?

Finding:

Diagnosed with asthma at 2 1/2 years old

(Available)

Pro Tip: By determining the onset of asthma you can get a sense for Tina’s asthma history, instance, and frequency of exacerbation.

Example Question:

How old were you when you were diagnosed with asthma?

Finding:

No current asthma doctor

(Available)

Pro Tip: Seeing a specialist, like an asthma doctor, can help patients to manage symptoms. Asking whether Tina is seeing an asthma doctor will allow you to assess her current treatment plan and healthcare access.

Example Question:

Do you have an asthma doctor?

Finding:

Asked about hospitalizations for asthma

Finding:

Reports prior hospitalizations for asthma

(Available)

Pro Tip: Hospitalization for a condition, like asthma, can reveal its severity. By asking Tina if she’s been hospitalized, you are soliciting information about the history and severity of her condition.

Example Question:

Have you ever been hospitalized for asthma?

Finding:

Reports last hospitalization was age 16

(Available)

Pro Tip: Hospitalization for a condition, like asthma, can reveal its severity. By asking Tina when she was last hospitalized, you are soliciting information about the history and severity of her condition.

Example Question:

When was your last hospitalization for asthma?

Finding:

Estimates 5 total hospitalizations for asthma

(Available)

Pro Tip: Hospitalization for a condition, like asthma, can reveal its severity. By asking Tina the number of times she’s been hospitalized, you are soliciting information about the history and severity of her condition.

Example Question:

How many times have you been to the hospital?

Finding:

Reports she has never been intubated

(Available)

Pro Tip: Intubation for a condition, like asthma, can reveal its severity Shadow health Questions – respiratory for Tina transcript results. By asking Tina if she’s been intubated, you are soliciting information about the history and severity of her condition.

Example Question:

Have you ever been put on a breathing tube?

Finding:

Asked about relevant history

Finding:

Reports no history of eczema

(Available)

Pro Tip: Children with eczema are often at a higher risk of developing asthma. In soliciting a medical history from Tina, you are getting a sense for the history of Tina’s asthma and related conditions.

Example Question:

Have you had eczema?

Finding:

Reports no history of sinus problems

(Available)

Pro Tip: People with asthma are likely to also experience sinus problems. It is important to determine whether Tina has sinus problems as they can cause complicating symptoms in patients who also experience asthma.

Example Question:

Do you have a history of sinus problems?

Finding:

Reports no current tobacco use

(Found)

Pro Tip: Smoking or inhaling substances can have adverse respiratory effects. Asking Tina if she currently smokes can help you to discern whether smoking was a factor in Tina’s recent asthma exacerbation.

Example Question:

Do you smoke cigarettes?

Finding:

Reports no history of tobacco use

(Available)

Pro Tip: Smoking or inhaling substances can have adverse respiratory effects. Asking Tina is she ever smoked cigarettes can help you to discern whether smoking was an exacerbating factor for Tina’s asthma.

Example Question:

Have you ever smoked cigarettes?

Finding:

Reports no history of GERD

(Available)

Pro Tip: People with asthma are almost twice as likely to also experience GERD. It is important to determine whether Tina has GERD as GERD can cause shortness of breath in patients who also experience asthma.

Example Question:

Do you have gastroesophageal reflux disease?

Finding:

Reports no history of respiratory infection

(Available)

Pro Tip: History of respiratory illness can manifest in various conditions. Inquiring into Tina’s relevant history can reveal past diagnoses and previous conditions or concerns.

Example Question:

Have you ever had respiratory infections?

Risk Factors

Finding:

Asked about family history

Finding:

Reports younger sister only family with asthma

(Available)

Pro Tip: Soliciting a family history helps you to determine which, if any, conditions are inherited. In asking Tina whether anyone in her family has asthma, you’re ascertaining whether Tina’s condition is inherited.

Example Question:

Does anyone in your family have asthma?

Finding:

Reports no recent illnesses with family members at home

(Available)

Pro Tip: For people with asthma, getting sick can increase their risk for exacerbation. If Tina’s had any family members recently sick, that might have caused her recent exacerbation.

Example Question:

Has anyone at home been sick?

Finding:

Reports no family history of eczema

(Available)

Pro Tip: People with a family history of eczema are often at a higher risk of developing asthma. In soliciting a medical history from Tina, you are getting a sense for the history of Tina’s asthma and related conditions.

Example Question:

Does anyone in your family have eczema?

Finding:

Reports no family history of sinus problems

(Available)

Pro Tip: People with a family history of sinus problems are often at a higher risk for asthma. If Tina has a family history of sinus problems, this could suggest inherited sensitivity.

Example Question:

Do you have a family history of sinus problems?

Finding:

Asked about smoking any substances

Finding:

Reports past marijuana use

(Available)

Pro Tip: Smoking or inhaling substances can have adverse respiratory effects. Asking Tina is she ever smoked marijuana can help you to discern whether smoking was an exacerbating factor for Tina’s asthma.

Example Question:

Have you ever smoked marijuana?

Finding:

Reports quitting marijuana due to lack of interest and asthma exacerbation

(Available)

Pro Tip: Smoking or inhaling substances can have adverse respiratory effects. Asking Tina why she quit smoking marijuana can help you to discern whether smoking exacerbated Tina’s asthma.

Example Question:

Why did you stop smoking marijuana?

Finding:

Reports stopping marijuana use at 20 or 21

(Available)

Pro Tip: Smoking or inhaling substances can have adverse respiratory effects. Asking Tina when she quit smoking marijuana can help you to discern whether smoking recently exacerbated Tina’s asthma.

Example Question:

When was the last time you smoked marijuana?

Finding:

Reports smoking marijuana for 5 or 6 years Shadow health Questions – respiratory for Tina transcript results