Please enable JavaScript.
Coggle requires JavaScript to display documents.
Patient DD - Coggle Diagram
Patient DD
What info is needed?
OLDCARTS
O: When did focus/memory problems start happening? When does this occur?
L:
D: How long do the episodes last?
C: Can you describe the episodes?
A: Have you noticed if anything triggers the episode? Is it worse when lying down? Or after eating? Does anything make your memory better?
R:
T: How frequently do you experience the forgetfulness and focus problems?
S: On a scale to 1-10 how interruptive is it?
Possible Diagnosis:
What information is needed?
neural system
Have you experienced any problems with walking?
How long have the cognitive symptoms persisted?
questions for her spouse:
Did the cognitive issues come on suddenly?
Are her symptoms any better at a certain time of day?
Is she having short-term memory issues or long-term memory issues?
Are you well hydrated?
Have you ever gotten a UTI? How frequently?
Have you ever experienced these cognitive symptoms before?
Have you ever been screened for diabetes?
upper reproductive system
Are there any changes in appearance, shape, or size of your breasts?
Are there any lumps on your breasts? Are they painful?
Have you been screened for breast cancer yet? When was the last time?
Have you ever had any procedures on your breast? Explain the procedure.
lower reproductive system
Any abdominal swelling?
Any pelvic pain or discomfort?
How long have you been taking contraceptives?
Did you receive the HPV vaccine? When?
Have you been getting your annual pap smears? Visiting the gynecologist for a yearly examination?
Has your partner been screened for STD's? What were the results?
General information needed?
Physical exam?
CBC?
Based on the information given
What is known?
What do I assume?
What stands out?
36 yr old latina woman presenting with memory and focus problems. Concerned about a stroke.
She has arthritis and is being treated for it. Family history of DM, Hodgkins Lymphoma and Ovarian Cancer.