Lesson 2

Patient 1

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Allergy Clinic Patient Information Sheet

Patient Name: Ben
Age: 8 years old
Sex: Male

Reason for Visit to the Clinic: Ben tells the nurse that he started feeling bad about 12 hours before coming to the clinic. His stomach hurts and he has thrown up a few times. He also has diarrhea. His mother took his temperature. He has a slight fever with a temperature of 99.1°F.

Other information: Ben’s mother tells the nurse that nobody else in the family has been sick. Ben has mostly eaten the same things as other members of his family. Ben did go to his friend’s house the day before. Ben’s mother does not know if any of Ben’s friends have gotten sick.

You can ask the questions in any order. Make sure you record any important information from the patient on your handout. When you have asked all the questions you want, click Next.

Interview questions:

1. What are the symptoms?

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2. When did the symptoms begin?

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3. Did anyone else present also develop symptoms?

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4. Do you have any idea what caused these symptoms?

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5. Have you had these symptoms before?

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6. Has anyone else in the family had health problems with food or allergies?

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7. Have you had a cold or flu recently?

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8. Has there been a problem eating any of these foods before?

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9. Were other people present when you became ill?

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10. How much of each food was eaten?

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11. How were the foods prepared?

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12. Describe the last meal eaten before the symptoms appeared.

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13. Do you have any other health problems?

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Diagnosis

Diagnosis