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Shadow Health Assessment

Tina Jones — HEENT

Complete Shadow Health HEENT assessment from STU NUR504. Includes fundoscopic examination (right eye retinopathic changes, 20/40 visual acuity), Rinne test, Weber test, Whisper test, throat and nasal examination, and acanthosis nigricans documentation. Diagnosis: Allergic Rhinitis.

ProficientFundoscopic ExamRinne · Weber · WhisperSTU NUR504
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Shadow Health Assessment

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Clinical Overview

Tina Jones — HEENT

Tina Jones presents with a sore, itchy throat, itchy eyes and a runny nose for the past week. She denies fever, difficulty swallowing, or changes in voice. She has a history of seasonal allergies.

The HEENT assessment covers the head, eyes, ears, nose and throat examination. A notable finding is retinopathic changes on right fundoscopic examination, consistent with her poorly controlled diabetes. Right eye visual acuity is 20/40. Acanthosis nigricans is noted on the neck.

Cranial nerve I–II testing, Rinne test, Weber test and Whisper test are all documented. Diagnosis: Allergic Rhinitis with significant incidental findings requiring follow-up.

Primary Diagnosis: Allergic Rhinitis · Retinopathic changes noted
What is included in each document?
  • Full HEENT interview transcript
  • Subjective Data Collection — complete
  • Fundoscopic exam — retinopathic changes documented
  • Visual acuity — right eye 20/40
  • Rinne test, Weber test, Whisper test
  • Nasal and throat examination
  • Acanthosis nigricans documentation
  • EHR Provider Notes — student and model