FIFE S.T.A.R.S Observer Evaluation Form Test
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TimestampParticipant NameParticipant EmailCase TitleIntroductionIntroduction CommentsHistory of Present Illness Pain SymptomsHistory of Present Illness CommentsCheck all that the participant successfully completed.Social History Family HistorySocial History & Family History CommentsSpecial Histories (May not be applicable)Special Histories Comments (May not be applicable)Review of SystemsReview of Systems CommentsFIFE EvaluationFIFE EvaluationConclusionOverall CommentsOverall RatingSelect one of the following specific HPI formats and click "Continue". A new section will pop up depending on your selection. If none of the specific formats are required select "Generic History" and proceed with your evaluation. The participant obtained a complete HPI Page NavigationIf you would like to revisit your responses in a previous section select the page from the options below and click continue.Special Histories (2nd years ONLY)Page NavigationPage NavigationPage NavigationPage NavigationPage Navigation
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2013-02-15Test1Test1@test.comAnemiaIntroduces Self, Patient ID, Chief ConcernSpoke very naturally, not awkward, well spoken Obtained all relevant symptoms, Events leading up to the patient visit, Obtained a complete HPIQuality , Location, Severity, When? (How often, when began, for how long?), Provocation, Alleviation, Prior pain, Other associated symptomsVery good in this section...asked whatever needed to be asked! Allergies, Medications/Herbals/OTCs, Past Medical History, Past Surgical HistorySmoking, Alcohol, Caffeine, Recreational Drugs, Education/Occupation, Leisure/lifestyle/diet, Marital Statusmedical conditions, Causes of death/age at deathDid not ask age, but asked about all the rest of the medical conditions. Sexual history, Psychiatric history, Travel history, Obstetrics history, Gynecological historyMissed nutrition, but covered mostly everything else. Head and Neck, Respiratory, Casdiovascular, Gastrointestinal, Genitourinary, Musculoskeletal, NeurologicalFeelings, Ideas, Functioning, ExpectationsDid this part very well and incorporated it into the history Physical Examination Findings, Presenting findings, Diagnostic Investigations, DiagnosisOverall did a great job.
Was able to communicate very well and did a good job with the differential diagnosis.
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11/6/2012 16:46:19Test2Test2@test.comMeningitisIntroduces Self, Shakes Hand, Patient ID, Chief ConcernObtained all relevant symptoms, Events leading up to the patient visit, Obtained a complete HPIWhen? (How often, when began, for how long?), Alleviation, Prior painAllergies, Medications/Herbals/OTCs, Past Medical History, Past Surgical HistorySmoking, Alcohol, Caffeine, Recreational Drugs, Education/Occupation, Marital Statusmedical conditionsSexual historyHead and Neck, Respiratory, Casdiovascular, Gastrointestinal, Musculoskeletal, NeurologicalFeelings, Ideas, Functioning, ExpectationsPhysical Examination Findings, Presenting findings, Diagnostic Investigations, Diagnosis, Plan of Management (including Treatment)4
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11/6/2012 16:46:33Test3Test3@test.comMalariaIntroduces Self, Shakes Hand, Patient ID, Chief ConcernObtained all relevant symptoms, Events leading up to the patient visit, Obtained a complete HPIQuality , Location, Severity, When? (How often, when began, for how long?), Prior pain, Other associated symptomsPast Medical HistoryLeisure/lifestyle/dietTravel historyFeelings, Ideas, FunctioningMaybe ask in a more genteel way what the patient was concerned about exactly and then that would set it up very naturally for you to come in with an empathic response. Physical Examination Findings, Presenting findings, Diagnostic Investigations, Diagnosis, Plan of Management (including Treatment)No matter what never forget to go through an exhaustive history; otherwise you did a great job!!!!4
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11/6/2012 16:47:47Test1Test1@test.comMalariaIntroduces Self, Shakes Hand, Patient ID, Chief ConcernObtained all relevant symptoms, Events leading up to the patient visit, Obtained a complete HPIQuality , When? (How often, when began, for how long?), Provocation, Alleviation, Other associated symptomsEducation/Occupationmedical conditions- established good relationship w/ patient with social questions
- reassured pt about work
Travel history- Good to ask about travel history!Head and Neck, Respiratory, Casdiovascular, Gastrointestinal, Genitourinary, MusculoskeletalLab test requisition:
- blood smear - 2% trophozoids
- CBC, LDH, Tbili and unconj bili
- urine test (for hematuria)
FunctioningDid not really cover FIFE...Physical Examination Findings, Presenting findings, Diagnostic Investigations, Diagnosis, Plan of Management (including Treatment)Start doing:
- FIFE!
- Complete Hx
Keep doing:
- Good diagnosis
- Asking patient questions about her life/travel, good reassurance!
Stop doing:
- Getting narrow minded. Don't forget about Ddx!
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11/6/2012 16:48:25Test3Test3@test.comStrep ThroatIntroduces Self, Shakes Hand, Patient ID, Chief Concern, Asks how to address the patientAsked ageObtained all relevant symptomsQuality , When? (How often, when began, for how long?), Other associated symptomsAsked about coughingAllergies, Medications/Herbals/OTCs, Past Medical History, Past Surgical HistorySmoking, Alcohol, Caffeine, Recreational Drugs, Education/Occupation, Leisure/lifestyle/dietmedical conditionsAsked about pain/cough meds, complication of surgeries, FIFED his mom (rheumatoid arthiritis), asked specifically about marijuanaHead and Neck, Musculoskeletal, NeurologicalAsked about fatigue and reason for Feelings, Ideas, FunctioningPhysical Examination Findings, Presenting findings, Diagnostic Investigations, Diagnosis, Plan of Management (including Treatment)Asked about vitals4
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11/6/2012 16:49:16Test2Test2@test.comJanetIntroduces Self, Shakes Hand, Patient ID, Chief ConcernObtained all relevant symptoms, Events leading up to the patient visit, Obtained a complete HPIWhen? (How often, when began, for how long?), Provocation, AlleviationPain not a symptom for this case.Allergies, Medications/Herbals/OTCs, Past Medical History, Past Surgical HistorySmoking, Alcohol, Caffeine, Recreational Drugs, Education/Occupation, Leisure/lifestyle/dietAges of relatives, medical conditions, SibilingsSexual history, Travel historyHead and Neck, Respiratory, Casdiovascular, Gastrointestinal, Genitourinary, Musculoskeletal, NeurologicalFeelings, Ideas, Functioning, ExpectationsPhysical Examination Findings, Presenting findings, Diagnostic Investigations, Diagnosis, Plan of Management (including Treatment)Very approachable / comfortable with patient. Comprehensive history with patient. 5
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12/9/2012 11:59:53Jesse (Test)basnak@ualberta.caTest5Generic History
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12/9/2012 12:02:19Jesse (Test)basnak@ualberta.caTest5Generic History
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12/9/2012 17:47:32Ciancian.psh@gmail.comtest4
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12/9/2012 17:54:59ciancian.psh@gmail.comtest2
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12/9/2012 18:00:36Ciancian.psh@gmail.comtest4
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12/9/2012 18:01:52ciancian.psh@gmail.comtest4
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