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SHADOW HEALTH FOCUSE D
EXAM: PEDIATRIC TRAU MATIC
BRAIN INJURY (DAMIEN BROOKS)
EXAM QUESTIONS AND C ARE
PLAN
Question : establish chief complain
CORRECT ANSWER : reports hitting head reports
falling off skateboard reports scalp hematoma reports headache reports confusion reports dizziness reports light sensitivity
Question : asked pt about addt'l sx
CORRECT ANSWER : reports also vomiting reports
also losing consciousness denies noticing other injuries
Question : asked pt onset and duration
CORRECT ANSWER : reports headache started when
he fell reports confusion started when he fell reports dizziness started when he fell reports light sensitivity
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since he fell reports vomiting once after getting home denies knowing duration of LOC
Question : asked pt about mechanism of injury
CORRECT ANSWER : denies wearing helmet denies
knowing how he fell denies knowing how far he fell
Question : asked pt about hx of present illness
CORRECT ANSWER : reports going to skate park after
school reports being with his friend when he fell reports walking home with his friend after he fell reports being driven to ED by his step father
Question : asked pt about characteristics of pain
CORRECT ANSWER : reports dull pain from headache
report pain is steady
Question : asked pt about aggravating factors
CORRECT ANSWER : reports loud noise aggravates
headache reports touching hematoma aggravates pain
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Question : asked pt about relieving factors
CORRECT ANSWER : reports staying still relieves
headache reports dim light and darkness relieve light sensitivity denies ice pack relieving pain denies taking meds for sx
Question : asked pt about severity
CORRECT ANSWER : reports pain 5/10
Question : asked pt about past medical hx
CORRECT ANSWER : reports falling off skateboard
previously reports being UTD on all vaccinations denies past surgery denies previous hospitalization denies previous head injury
Question : asked pt about home meds
CORRECT ANSWER : denies taking prescription meds
denies taking OTC meds
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Question : asked pt about sport safety
CORRECT ANSWER : reports wearing his helmet
"sometimes" reports not wearing helmet because of peer pressure reports never wearing knee/elbowpads
Question : asked pt about substance abuse
CORRECT ANSWER : denies drugs/alcohol
Question : asked pt about neurological system
CORRECT ANSWER : denies difficulty moving
extremities denies tingling in extremities reports difficulty remembering anything that happened after the fall denies fluids from ears, nose, or eyes denies lack of sensation denies changes in vision
Question : asked pt about musculoskeletal system
CORRECT ANSWER : denies neck pain denies muscle
spasms denies muscle weakness denies problems with gait and balance reports general soreness