Danny Rivera Pediatric Cough Shadow Health Assessment Transcript

Danny Rivera Pediatric Cough Shadow Health Assessment Transcript

Danny Rivera Pediatric Cough Shadow Health Assessment Transcript

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Transcript

Danny Rivera Pediatric Cough Shadow Health Assessment Transcript

Started: Apr 08, 2020 | Total Time: 74 min
Your avatar
Hello. My name is Pam and I will be interviewing today and later do a physical examination.

Greet
04/08/20 9:01 PM PDT

Danny Rivera
Hi.
Your avatar
What is your name?

Question
04/08/20 9:01 PM PDT

Danny Rivera
My name is Daniel Rivera, but I just go by Danny.
Your avatar
What brings you to the clinic today?

Question
04/08/20 9:01 PM PDT

Danny Rivera
My Abuela brought me here because I’ve been feeling sick. I have been coughing a lot. . . and I feel kinda tired.
Your avatar
Am sorry to hear that you are sick .

Empathize
04/08/20 9:02 PM PDT

Danny Rivera
Thank you.
Your avatar
Do you have a cough?

Question
04/08/20 9:03 PM PDT

Danny Rivera
I guess I’m kind of sick. . . I’ve been coughing a lot.
Your avatar
How long have you had a cough?

Question
04/08/20 9:03 PM PDT

Danny Rivera
I think the cough started four. . . No, it started five days ago. Danny Rivera Pediatric Cough Shadow Health Assessment Transcript
Your avatar
Is your cough a wet or a dry one?

Question
04/08/20 9:03 PM PDT

Danny Rivera
My cough seems kind of gurgly and watery.
Your avatar
That sounds like a wet cough

Educate
04/08/20 9:04 PM PDT

Danny Rivera
Oh, OK.
Your avatar
Do yxxx

Question
04/08/20 9:05 PM PDT

Danny Rivera
Isxxx
Your avatar
Am sorry to hear this.

Empathize
04/08/20 9:05 PM PDT

Danny Rivera
Thank you.
Your avatar
Howxxx

Question
04/08/20 9:06 PM PDT

Danny Rivera
I jxx
Your avatar
Do thexxx

Question
04/08/20 9:07 PM PDT

Danny Rivera
Most timesxxx
Your avatar
Am sorry to hear this.

Empathize
04/08/20 9:08 PM PDT

Danny Rivera
Thank you.
Your avatar
Do youxxx

Question
04/08/20 9:08 PM PDT

Danny Rivera
No way! I knowxxx
Your avatar
True, xxx

Educate
04/08/20 9:09 PM PDT

Danny Rivera
Oh, OK.
Your avatar
Are you ever aroundxxxx

Question
04/08/20 9:13 PM PDT

Danny Rivera
Well . . . sometimes xxx
Your avatar
Am sorry about that, i xxx

Question
04/08/20 9:14 PM PDT

Your avatar
Am sorry about that, i understand your concerns.

Empathize
04/08/20 9:14 PM PDT

Danny Rivera
Thank you.
Your avatar
What makes your coughs worse?

Question
04/08/20 9:15 PM PDT

Danny Rivera
My cough mostly stays the same no matter what I do. It seems to get worse at night though.
Your avatar
Have you triedxxx

Question
04/08/20 9:15 PM PDT

Danny Rivera
I had somexxx. [AUDIO COMING SOON]
Your avatar
What is the xxx

Question
04/08/20 9:16 PM PDT

Danny Rivera
I don’t know whatxxx
Your avatar
Who xxx

Question
04/08/20 9:17 PM PDT

Danny Rivera
My xxx
Your avatar
how muchxxx

Question
04/08/20 9:17 PM PDT

Danny Rivera
I just hadxxx
Your avatar
How xxx

Question
04/08/20 9:18 PM PDT

Danny Rivera
I only xxx. [AUDIO COMING SOON]
Your avatar
Apart from thexxx

Question
04/08/20 9:18 PM PDT

Your avatar
Do youxxx

Question
04/08/20 9:20 PM PDT

Danny Rivera
Oh yeah, I xxx
Your avatar
I understand, its xxx

Educate
04/08/20 9:21 PM PDT

Danny Rivera
Oh, OK.
Your avatar
Are you usually active?

Question
04/08/20 9:22 PM PDT

Danny Rivera
I have gym class every day. I do all my exercises there. And there’s a park right next to my house where I play after school, or sometimes on the weekends, if it’s nice outside. [AUDIO COMING SOON]
Your avatar
Great, keep exercising, its healthy.

Educate
04/08/20 9:23 PM PDT

Danny Rivera
Oh, OK.
Your avatar
Does the cough make you less active?

Question
04/08/20 9:24 PM PDT

Danny Rivera
No, that doesn’t help my cough.
Your avatar
Are you able to focus in class?

Question
04/08/20 9:24 PM PDT

Danny Rivera
I can focus normally, but I couldn’t sleep very well last night because of my coughing, so it was harder than normal. Plus, it’s harder to pay attention when you keep having to cough. [AUDIO COMING SOON]
Your avatar
Am sorry to hear that the cough is disturbing you sometimes. (No matching questions found.)

Question
04/08/20 9:24 PM PDT

Your avatar
Am sorry to hear that the cough is disturbing you sometimes.

Empathize
04/08/20 9:25 PM PDT

Danny Rivera
Thank you.
Your avatar
Do you xxx

Question
04/08/20 9:28 PM PDT

Danny Rivera
My xx
Your avatar
Am sorry about this

Empathize
04/08/20 9:28 PM PDT

Danny Rivera
Thank you.
Your avatar
Have you xxx

Question
04/08/20 9:28 PM PDT

Danny Rivera
I don’t xxx
Your avatar
what xxx

Question
04/08/20 9:29 PM PDT

Danny Rivera
You mean likexxxx
Your avatar
Yes, that one. Ok, thanks.

Educate
04/08/20 9:30 PM PDT

Danny Rivera
Oh, OK.
Your avatar
How consistent is xxx

Question
04/08/20 9:38 PM PDT

Danny Rivera
It’s kind of xxx
xx

Question
04/08/20 9:41 PM PDT

Danny Rivera
My xxx . . . my left one is OK though.
Your avatar
Am sorry to hear this Danny

Empathize
04/08/20 9:42 PM PDT

Danny Rivera
Thank you.
Your avatar
Do you havexxx

Question
04/08/20 9:42 PM PDT

Danny Rivera
No, xxxkind of hurts.
Your avatar
Do you have xxx problems?

Question
04/08/20 9:42 PM PDT

Danny Rivera
A lady came to my school to xx . . . Danny Rivera Pediatric Cough Shadow Health Assessment Transcript
Your avatar
Great, its good to have a test done whenever there is a chance.

Educate
04/08/20 9:43 PM PDT

Danny Rivera
Oh, OK.
Your avatar
Do you have soar throat?

Question
04/08/20 9:44 PM PDT

Danny Rivera
It feels a little bit sore, yeah.
Your avatar
Does it xxx

Question
04/08/20 9:45 PM PDT

Danny Rivera
No, I can xxxx
Your avatar
Sorry about that Danny

Empathize
04/08/20 9:45 PM PDT

Danny Rivera
Thank you.
Your avatar
Have you xxx

Question
04/08/20 9:46 PM PDT

 

Do you have difficulty breathing?

Question
04/08/20 9:58 PM PDT

Danny Rivera Pediatric Cough Shadow Health Assessment Transcript
I can breathe OK, yeah . . . my nose is a little bit runny though.
Your avatar
Thank you for answering the questions Danny. I will now do the physical examination.

Question
04/08/20 9:59 PM PDT

Danny Rivera Pediatric Cough Shadow Health Assessment Transcript
I don’t have any questions really.
Your avatar
Thank you for answering the questions, i will now do the physical examination on you.

Educate
04/08/20 10:00 PM PDT

Danny Rivera Pediatric Cough Shadow Health Assessment Transcript
Oh, OK.
Your avatar
 Checked vitals

Exam Action
04/09/20 11:08 AM PDT

Your avatar
 Tested lung capacity with spirometer: FEV1: 3.15 L, FVC 3.91L (FEV1/FVC: 80.5%) Danny Rivera Pediatric Cough Shadow Health Assessment Transcript

Exam Action
04/09/20 11:12 AM PDT

Your avatar
 Inspected upper conjunctiva

Exam Action
04/09/20 11:14 AM PDT

Your avatar
 Inspected upper conjunctiva

Exam Action
04/09/20 11:14 AM PDT

Your avatar
 Inspected upper conjunctiva

Exam Action
04/09/20 11:14 AM PDT

Your avatar
 Inspected lower conjunctiva

Exam Action
04/09/20 11:14 AM PDT

Your avatar
 Inspected right orbital area and sclera

Exam Action
04/09/20 11:14 AM PDT

Your avatar
 Inspected left orbital area and sclera

Exam Action
04/09/20 11:15 AM PDT

Your avatar
 Performed otoscopic examination of right naris

Exam Action
04/09/20 11:15 AM PDT

Your avatar
 Performed otoscopic examination of left naris

Exam Action
04/09/20 11:15 AM PDT

Your avatar
 Performed otoscopic examination of right ear

Exam Action
04/09/20 11:16 AM PDT

Your avatar
 Performed otoscopic examination of left ear

Exam Action
04/09/20 11:16 AM PDT

Your avatar
 Inspected mouth

Exam Action
04/09/20 11:16 AM PDT

Your avatar
 Inspected front of neck

Exam Action
04/09/20 11:16 AM PDT

Your avatar
 Inspected right side of neck

Exam Action
04/09/20 11:17 AM PDT

Your avatar
 Inspected front of neck

Exam Action
04/09/20 11:17 AM PDT

Your avatar
 Inspected left side of neck

Exam Action
04/09/20 11:17 AM PDT

Your avatar
 Inspected back of neck

Exam Action
04/09/20 11:17 AM PDT

Your avatar
 Inspected anterior chest wall

Exam Action
04/09/20 11:17 AM PDT

Your avatar
 Inspected posterior chest wall

Exam Action
04/09/20 11:17 AM PDT

Your avatar
 Inspected anterior chest wall

Exam Action
04/09/20 11:17 AM PDT

Your avatar
 Palpated frontal sinuses: No tenderness reported

Exam Action
04/09/20 11:19 AM PDT

Your avatar
 Palpated maxillary sinuses: No tenderness reported

Exam Action
04/09/20 11:20 AM PDT

Your avatar
 Palpated cervical lymph nodes: Enlarged and reported tenderness on the right side

Exam Action
04/09/20 11:23 AM PDT

Your avatar
 Palpated supraclavicular lymph nodes: Not palpable

Exam Action
04/09/20 11:23 AM PDT

Your avatar
 Palpated axillary lymph nodes: Not palpable

Exam Action
04/09/20 11:23 AM PDT

Your avatar
 Palpated axillary lymph nodes: Not palpable

Exam Action
04/09/20 11:23 AM PDT

Your avatar
 Palpated fremitus in anterior upper chest wall: Expected fremitus, equal bilaterally

Exam Action
04/09/20 11:24 AM PDT

Danny Rivera
Ninety-nine.
Your avatar
 Palpated fremitus in anterior lower chest wall: Expected fremitus, equal bilaterally

Exam Action
04/09/20 11:24 AM PDT

Danny Rivera
Ninety-nine.
Your avatar
 Palpated fremitus in posterior upper chest wall: Expected fremitus, equal bilaterally

Exam Action
04/09/20 11:24 AM PDT

Danny Rivera
Ninety-nine.
Your avatar
 Palpated fremitus in posterior middle chest wall: Expected fremitus, equal bilaterally

Exam Action
04/09/20 11:24 AM PDT

Danny Rivera
Ninety-nine.
Your avatar
 Palpated fremitus in posterior lower chest wall: Expected fremitus, equal bilaterally

Exam Action
04/09/20 11:24 AM PDT

Danny Rivera
Ninety-nine.
Your avatar
 Auscultated breath sounds in anterior left upper lobe

Exam Action
04/09/20 11:25 AM PDT

Your avatar
 Auscultated breath sounds in anterior right upper lobe

Exam Action
04/09/20 11:25 AM PDT

Your avatar
 Auscultated breath sounds in anterior right middle lobe

Exam Action
04/09/20 11:26 AM PDT

Your avatar
 Auscultated breath sounds in anterior left mid-chest (upper lobe)

Exam Action
04/09/20 11:26 AM PDT

Your avatar
 Auscultated breath sounds in anterior left mid-chest (upper lobe)

Exam Action
04/09/20 11:26 AM PDT

Your avatar
 Auscultated breath sounds in anterior right middle lobe

Exam Action
04/09/20 11:26 AM PDT

Your avatar
 Auscultated breath sounds in anterior right lower lobe

Exam Action
04/09/20 11:26 AM PDT

Your avatar
 Auscultated breath sounds in anterior left lower lobe

Exam Action
04/09/20 11:27 AM PDT

Your avatar
 Auscultated breath sounds in posterior left upper lobe

Exam Action
04/09/20 11:27 AM PDT

Your avatar
 Auscultated breath sounds in posterior right upper lobe

Exam Action
04/09/20 11:27 AM PDT

Your avatar
 Auscultated breath sounds in posterior right mid-back (lower lobe)

Exam Action
04/09/20 11:27 AM PDT

Your avatar
 Auscultated breath sounds in posterior left mid-back (lower lobe)

Exam Action
04/09/20 11:27 AM PDT

Your avatar
 Auscultated breath sounds in posterior right lower lobe near spine

Exam Action
04/09/20 11:28 AM PDT

Your avatar
 Auscultated breath sounds in posterior left lower lobe near spine

Exam Action
04/09/20 11:28 AM PDT

Your avatar
 Auscultated breath sounds in posterior left lower lobe on side

Exam Action
04/09/20 11:28 AM PDT

Your avatar
 Auscultated breath sounds in posterior left lower lobe

Exam Action
04/09/20 11:28 AM PDT

Your avatar
 Auscultated breath sounds in posterior right lower lobe

Exam Action
04/09/20 11:28 AM PDT

Your avatar
 Auscultated breath sounds in posterior right lower lobe on side

Exam Action
04/09/20 11:28 AM PDT

Your avatar
 Auscultated voice sounds in anterior right upper lobe

Exam Action
04/09/20 11:29 AM PDT

Danny Rivera
Ninety-nine.
Danny Rivera
Ninety-nine.
Your avatar
 Auscultated voice sounds in anterior left upper lobe
Danny Rivera Pediatric Cough Shadow Health Assessment Transcript

Exam Action
04/09/20 11:29 AM PDT

Danny Rivera
Ninety-nine.
Danny Rivera
Ninety-nine.
Danny Rivera
Ninety-nine.
Danny Rivera
Ninety-nine.
Your avatar
 Auscultated voice sounds in anterior left mid-chest (upper lobe)

Exam Action
04/09/20 11:29 AM PDT

Danny Rivera
Ninety-nine.
Danny Rivera
Ninety-nine.
Your avatar
 Auscultated voice sounds in anterior right middle lobe

Exam Action
04/09/20 11:29 AM PDT

Danny Rivera
Ninety-nine.
Danny Rivera
Ninety-nine.
Danny Rivera
Ninety-nine.
Your avatar
 Auscultated voice sounds in anterior right middle lobe

Exam Action
04/09/20 11:30 AM PDT

Danny Rivera
Ninety-nine.
Danny Rivera
Ninety-nine.
Your avatar
 Auscultated voice sounds in anterior left mid-chest (upper lobe)

Exam Action
04/09/20 11:30 AM PDT

Danny Rivera
Ninety-nine.
Your avatar
 Auscultated voice sounds in anterior left lower lobe

Exam Action
04/09/20 11:30 AM PDT

Danny Rivera
Ninety-nine.
Your avatar
 Auscultated voice sounds in anterior right lower lobe

Exam Action
04/09/20 11:30 AM PDT

Danny Rivera
Ninety-nine.
Danny Rivera
Ninety-nine.
Danny Rivera
Ninety-nine.
Your avatar
 Auscultated voice sounds in posterior left upper lobe

Exam Action
04/09/20 11:30 AM PDT

Danny Rivera
Ninety-nine.
Danny Rivera
Ninety-nine.
Your avatar
 Auscultated voice sounds in posterior right upper lobe

Exam Action
04/09/20 11:30 AM PDT

Danny Rivera
Ninety-nine.
Your avatar
 Auscultated voice sounds in posterior right mid-back (lower lobe)

Exam Action
04/09/20 11:30 AM PDT

Your avatar
 Auscultated voice sounds in posterior left mid-back (lower lobe)

Exam Action
04/09/20 11:30 AM PDT

Danny Rivera
Ninety-nine.
Danny Rivera
Ninety-nine.
Danny Rivera
Ninety-nine.
Your avatar
 Auscultated voice sounds in posterior left lower lobe near spine

Exam Action
04/09/20 11:30 AM PDT

Danny Rivera
Ninety-nine.
Your avatar
 Auscultated voice sounds in posterior right lower lobe near spine

Exam Action
04/09/20 11:30 AM PDT

Danny Rivera
Ninety-nine.
Danny Rivera
Ninety-nine.
Danny Rivera
Ninety-nine.
Your avatar
 Auscultated voice sounds in posterior right lower lobe on side

Exam Action
04/09/20 11:30 AM PDT

Danny Rivera
Ninety-nine.
Your avatar
 Auscultated voice sounds in posterior right lower lobe

Exam Action
04/09/20 11:31 AM PDT

Danny Rivera
Ninety-nine.
Your avatar
 Auscultated voice sounds in posterior left lower lobe

Exam Action
04/09/20 11:31 AM PDT

Danny Rivera
Ninety-nine.
Danny Rivera
Ninety-nine.
Your avatar
 Auscultated voice sounds in posterior left lower lobe on side

Exam Action
04/09/20 11:31 AM PDT

Danny Rivera
Ninety-nine.
Danny Rivera
Ninety-nine.
Danny Rivera
Ninety-nine.
Your avatar
 Auscultated aortic area with the bell

Exam Action
04/09/20 11:31 AM PDT

Your avatar
 Auscultated aortic area with the diaphragm

Exam Action
04/09/20 11:31 AM PDT

Your avatar
 Auscultated aortic area with the bell

Exam Action
04/09/20 11:31 AM PDT

Your avatar
 Auscultated aortic area with the diaphragm

Exam Action
04/09/20 11:31 AM PDT

Your avatar
 Auscultated aortic area with the bell

Exam Action
04/09/20 11:31 AM PDT

Your avatar
 Auscultated aortic area with the diaphragm

Exam Action
04/09/20 11:31 AM PDT

Your avatar
 Auscultated pulmonic area with the diaphragm

Exam Action
04/09/20 11:31 AM PDT

Your avatar
 Auscultated pulmonic area with the bell

Exam Action
04/09/20 11:31 AM PDT

Your avatar
 Auscultated Erb’s point with the bell

Exam Action
04/09/20 11:31 AM PDT

Your avatar
 Auscultated Erb’s point with the diaphragm

Exam Action
04/09/20 11:32 AM PDT

Your avatar
 Auscultated tricuspid area with the diaphragm

Exam Action
04/09/20 11:32 AM PDT

Your avatar
 Auscultated tricuspid area with the bell

Exam Action
04/09/20 11:32 AM PDT

Your avatar
 Auscultated mitral area with the bell

Exam Action
04/09/20 11:32 AM PDT

Your avatar
 Auscultated mitral area with the diaphragm

Exam Action
04/09/20 11:32 AM PDT

Your avatar
 Percussed anterior right upper lobe

Exam Action
04/09/20 11:32 AM PDT

Your avatar
 Percussed anterior right middle lobe

Exam Action
04/09/20 11:32 AM PDT

Your avatar
 Percussed anterior left upper lobe

Exam Action
04/09/20 11:32 AM PDT

Your avatar
 Percussed anterior left mid-chest (upper lobe)

Exam Action
04/09/20 11:32 AM PDT

Your avatar
 Percussed anterior left lower lobe

Exam Action
04/09/20 11:32 AM PDT

Your avatar
 Percussed anterior right lower lobe

Exam Action
04/09/20 11:32 AM PDT

Your avatar
 Percussed posterior left upper lobe

Exam Action
04/09/20 11:33 AM PDT

Your avatar
 Percussed posterior left mid-back (lower lobe)

Exam Action
04/09/20 11:33 AM PDT

Your avatar
 Percussed posterior right mid-back (lower lobe)

Exam Action
04/09/20 11:33 AM PDT

Your avatar
 Percussed posterior right upper lobe

Exam Action
04/09/20 11:33 AM PDT

Your avatar
 Percussed posterior left lower lobe

Exam Action
04/09/20 11:33 AM PDT

Your avatar
 Percussed posterior left lower lobe on side

Exam Action
04/09/20 11:33 AM PDT

Your avatar
 Percussed posterior left lower lobe near spine

Exam Action
04/09/20 11:33 AM PDT

Your avatar
 Percussed posterior right lower lobe near spine

Exam Action
04/09/20 11:33 AM PDT

Your avatar
 Percussed posterior right lower lobe

Exam Action
04/09/20 11:33 AM PDT

Your avatar
 Percussed posterior left right lobe on side

Exam Action
04/09/20 11:33 AM PDT

Your avatar
 Inspected mouth
Danny Rivera Pediatric Cough Shadow Health Assessment Transcript

Exam Action
04/09/20 11:58 AM PDT

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