How to Answer Symptom Analysis Organization Questions (Complete Guide)

Students often encounter this when studying fundamental concepts.

What This Question Is About

This question relates to symptom analysis organization and requires a structured academic response.

How to Approach This Question

Structure your response with introduction, analysis, and conclusion.

Key Explanation

This topic involves symptom analysis organization. A strong answer should include explanation, application, and examples.

Original Question

Symptom Analysis and Organization of Data for Written Record Mrs. D., a new patient, comes to see you because of fatigue. She is a known diabetic. Some pieces of the history and physical examination are presented in random order. Label each entry of Mrs. D’s records by indicating where it is located on the chart note, and label whether it will be part of the subjective or objective part of the note. (Assessment and plan deferred for assignment). Chart Note Terms ID Identifying Information (name, gender, DOB, age, race) CC Chief Complaint (reason for visit) HPI History of Present Illness (POLDCARTS) PMH Past Medical History/Surgical History MEDS Medications, Vitamins, Herbals Drug Allergies Allergies to medications FH Family History SH Social History HCM Healthcare Maintenance (Vaccines, Mammogram, PAP, PSA) ROS Review of Systems PE Physical Exam Test Results In-office test results S Subjective Data O Objective Data A Assessment P Plan Mrs. D’s History and Physical Examination Record Location on Chart Note Subjective or Objective History and physical examination PE O Her lungs are clear to auscultation. She was born near Rochester, completed high school, and worked as a salesclerk for several years before marrying and becoming a homemaker. Systolic murmur grade II/VI auscultated. She had scarlet fever at age 8. One son, age 40, is alive and prediabetic. Four years ago, Mrs. D. first noted fatigue. Father died at age 65 of myocardial infarction. Patient denies any significant joint pain. At-home fasting glucose averaging 120-150. Last tetanus booster 8 years ago. No Pneumovax or shingles vaccine. Appendectomy at age 15 Mother died at age 63 of a CVA; Mother had diabetes and hypertension. Per patient, she has had no serious illnesses and her general health has been good. Reflexes are 2+ and symmetrical bilaterally in upper and lower extremities. Heberden’s nodes on both hands. Her hair is gray and of normal texture. Her trachea is midline; her thyroid is not felt. Intermittent, mild aching of knees and hips. The abdomen is obese and non-tender; no organs or masses are felt due to obesity. She presently takes 1,000 milligrams of metformin twice daily with meals. She comes to the clinic today with the chief complaint of worsening fatigue. Menopause at age 45 Pulse 76, regular; blood pressure 140/85; respirations 16, weight 162 pounds. Cervical and axillary nodes are not palpable. Sclerae is clear, conjunctiva is pink and moist. Extraocular movements are intact; pupils are equal round and react to light and accommodation; the fundi show early signs of narrowing of vessels at the crossing. One daughter, age 36, who is alive and well. There is some edema, +2 bilaterally in her LEs, and the dorsalis pedis and posterior tibial pulses are +1 and equal bilaterally. She has been sleeping poorly and awakening in the early morning hours. She is allergic to Ciprofloxacin, which causes severe hives. Her name is Mrs. D. Her DOB is 1/1/1931. She is a Caucasian female.

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