Shadow Health Pediatric Cough Assessment Transcript : Danny Rivera

Pediatric Cough Shadow Health Assessment Transcript: Danny Rivera

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Hello. My name is Pam and I will be interviewing today and later doing a physical examination.	Greet 04/08/20 9:01 PM PDT
	Hi.
	What is your name?	Question 04/08/20 9:01 PM PDT
	My name is Daniel Rivera, but I just go by Danny.
	What brings you to the clinic today? SCORE AN A+ ON YOUR SHADOW HEALTH ASSESSMENT TEST	Question 04/08/20 9:01 PM PDT
	My Abuela brought me here because I’ve been feeling sick. I have been coughing a lot. . . and I feel kinda tired.
	Am sorry to hear that you are sick.	Empathize 04/08/20 9:02 PM PDT
	Thank you.
	Do you have a cough?	Question 04/08/20 9:03 PM PDT
	I guess I’m kind of sick. . . I’ve been coughing a lot.
	How long have you had a cough?	Question 04/08/20 9:03 PM PDT
	I think the cough started four. . . No, it started five days ago. Danny Rivera Pediatric Cough Shadow Health Assessment Transcript
	Is your cough a wet or a dry one?	Question 04/08/20 9:03 PM PDT
	My cough seems kind of gurgly and watery.
	That sounds like a wet cough	Educate 04/08/20 9:04 PM PDT
	Oh, OK.
	Do yxxx	Question 04/08/20 9:05 PM PDT
	Isxxx
	Am sorry to hear this.	Empathize 04/08/20 9:05 PM PDT
	Thank you.
	Howxxx	Question 04/08/20 9:06 PM PDT
	I jxx
	Do thexxx	Question 04/08/20 9:07 PM PDT
	Most timesxxx
	Am sorry to hear this.	Empathize 04/08/20 9:08 PM PDT
	Thank you.
	Do youxxx	Question 04/08/20 9:08 PM PDT
	No way! I knowxxx
	True, xxx	Educate 04/08/20 9:09 PM PDT
	Oh, OK.
	Are you ever aroundxxxx	Question 04/08/20 9:13 PM PDT
	Well . . . sometimes xxx
	Am sorry about that, I xxx	Question 04/08/20 9:14 PM PDT
	Am sorry about that, I understand your concerns.	Empathize 04/08/20 9:14 PM PDT
	Thank you.
	What makes your coughs worse?	Question 04/08/20 9:15 PM PDT
	My cough mostly stays the same no matter what I do. It seems to get worse at night though.
	Have you triedxxx	Question 04/08/20 9:15 PM PDT
	I had somexxx. [AUDIO COMING SOON]
	What is the xxx	Question 04/08/20 9:16 PM PDT
	I don’t know whatxxx
	Who xxx	Question 04/08/20 9:17 PM PDT
	My xxx
	how muchxxx	Question 04/08/20 9:17 PM PDT
	I just hadxxx
	How xxx	Question 04/08/20 9:18 PM PDT
	I only xxx. [AUDIO COMING SOON]
	Apart from thexxx	Question 04/08/20 9:18 PM PDT
	Do youxxx	Question 04/08/20 9:20 PM PDT
	Oh yeah, I xxx
	I understand, it’s xxx	Educate 04/08/20 9:21 PM PDT
	Oh, OK.
	Are you usually active?	Question 04/08/20 9:22 PM PDT
	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]
	Great, keep exercising, it’s healthy.	Educate 04/08/20 9:23 PM PDT
	Oh, OK.
	Does the cough make you less active?	Question 04/08/20 9:24 PM PDT
	No, that doesn’t help my cough.
	Are you able to focus in class?	Question 04/08/20 9:24 PM PDT
	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]
	Am sorry to hear that the cough is disturbing you sometimes. (No matching questions found.)	Question 04/08/20 9:24 PM PDT
	Am sorry to hear that the cough is disturbing you sometimes.	Empathize 04/08/20 9:25 PM PDT
	Thank you.
	Do you xxx	Question 04/08/20 9:28 PM PDT
	My xx
	Am sorry about this	Empathize 04/08/20 9:28 PM PDT
	Thank you.
	Have you xxx	Question 04/08/20 9:28 PM PDT
	I don’t xxx
	what xxx	Question 04/08/20 9:29 PM PDT
	You mean likexxxx
	Yes, that one. Ok, thanks.	Educate 04/08/20 9:30 PM PDT
	Oh, OK.
	How consistent is xxx	Question 04/08/20 9:38 PM PDT
	It’s kind of xxx
xx		Question 04/08/20 9:41 PM PDT
	My xxx . . . my left one is OK though.
	Am sorry to hear this Danny	Empathize 04/08/20 9:42 PM PDT
	Thank you.
	Do you havexxx	Question 04/08/20 9:42 PM PDT
	No, xxx kind of hurts.
	Do you have xxx problems?	Question 04/08/20 9:42 PM PDT
	A lady came to my school to xx . . . Danny Rivera Pediatric Cough Shadow Health Assessment Transcript
	Great, it’s good to have a test done whenever there is a chance.	Educate 04/08/20 9:43 PM PDT
	Oh, OK.
	Do you have a soar throat?	Question 04/08/20 9:44 PM PDT
	It feels a little bit sore, yeah.
	Does it xxx	Question 04/08/20 9:45 PM PDT
	No, I can xxxx
	Sorry about that Danny	Empathize 04/08/20 9:45 PM PDT
	Thank you.
	Have you xxx	Question 04/08/20 9:46 PM PDT

Do you have difficulty breathing?	Question 04/08/20 9:58 PM PDT
	I can breathe OK, yeah . . . my nose is a little bit runny though.
	Thank you for answering the questions, Danny. I will now do the physical examination.	Question 04/08/20 9:59 PM PDT
	I don’t have any questions really.
	Thank you for answering the questions, I will now do the physical examination on you.	Educate 04/08/20 10:00 PM PDT
	Oh, OK.
	Checked vitals	Exam Action 04/09/20 11:08 AM PDT
	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
	Inspected upper conjunctiva	Exam Action 04/09/20 11:14 AM PDT
	Inspected upper conjunctiva	Exam Action 04/09/20 11:14 AM PDT
	Inspected upper conjunctiva	Exam Action 04/09/20 11:14 AM PDT
	Inspected lower conjunctiva	Exam Action 04/09/20 11:14 AM PDT
	Inspected right orbital area and sclera	Exam Action 04/09/20 11:14 AM PDT
	Inspected left orbital area and sclera	Exam Action 04/09/20 11:15 AM PDT
	Performed otoscopic examination of right naris	Exam Action 04/09/20 11:15 AM PDT
	Performed otoscopic examination of left naris	Exam Action 04/09/20 11:15 AM PDT
	Performed otoscopic examination of the right ear	Exam Action 04/09/20 11:16 AM PDT
	Performed otoscopic examination of left ear	Exam Action 04/09/20 11:16 AM PDT
	Inspected mouth	Exam Action 04/09/20 11:16 AM PDT
	Inspected the front of the neck	Exam Action 04/09/20 11:16 AM PDT
	Inspected the right side of the neck	Exam Action 04/09/20 11:17 AM PDT
	Inspected the front of the neck	Exam Action 04/09/20 11:17 AM PDT
	Inspected the left side of the neck	Exam Action 04/09/20 11:17 AM PDT
	Inspected the back of the neck	Exam Action 04/09/20 11:17 AM PDT
	Inspected anterior chest wall	Exam Action 04/09/20 11:17 AM PDT
	Inspected posterior chest wall	Exam Action 04/09/20 11:17 AM PDT
	Inspected anterior chest wall	Exam Action 04/09/20 11:17 AM PDT
	Palpated frontal sinuses: No tenderness was reported	Exam Action 04/09/20 11:19 AM PDT
	Palpated maxillary sinuses: No tenderness reported	Exam Action 04/09/20 11:20 AM PDT
	Palpated cervical lymph nodes: Enlarged and reported tenderness on the right side	Exam Action 04/09/20 11:23 AM PDT
	Palpated supraclavicular lymph nodes: Not palpable	Exam Action 04/09/20 11:23 AM PDT
	Palpated axillary lymph nodes: Not palpable	Exam Action 04/09/20 11:23 AM PDT
	Palpated axillary lymph nodes: Not palpable	Exam Action 04/09/20 11:23 AM PDT
	Palpated fremitus in anterior upper chest wall: Expected fremitus, equal bilaterally	Exam Action 04/09/20 11:24 AM PDT
	Ninety-nine.
	Palpated fremitus in anterior lower chest wall: Expected fremitus, equal bilaterally	Exam Action 04/09/20 11:24 AM PDT
	Ninety-nine.
	Palpated fremitus in posterior upper chest wall: Expected fremitus, equal bilaterally	Exam Action 04/09/20 11:24 AM PDT
	Ninety-nine. SCORE AN A+ ON YOUR SHADOW HEALTH ASSESSMENT TEST
	Palpated fremitus in posterior middle chest wall: Expected fremitus, equal bilaterally	Exam Action 04/09/20 11:24 AM PDT
	Ninety-nine.
	Palpated fremitus in posterior lower chest wall: Expected fremitus, equal bilaterally	Exam Action 04/09/20 11:24 AM PDT
	Ninety-nine.
	Auscultated breath sounds in the anterior left upper lobe	Exam Action 04/09/20 11:25 AM PDT
	Auscultated breath sounds in the anterior right upper lobe	Exam Action 04/09/20 11:25 AM PDT
	Auscultated breath sounds in the anterior right middle lobe	Exam Action 04/09/20 11:26 AM PDT
	Auscultated breath sounds in the anterior left mid-chest (upper lobe)	Exam Action 04/09/20 11:26 AM PDT
	Auscultated breath sounds in the anterior left mid-chest (upper lobe)	Exam Action 04/09/20 11:26 AM PDT
	Auscultated breath sounds in the anterior right middle lobe	Exam Action 04/09/20 11:26 AM PDT
	Auscultated breath sounds in the anterior right lower lobe	Exam Action 04/09/20 11:26 AM PDT
	Auscultated breath sounds in the anterior left lower lobe	Exam Action 04/09/20 11:27 AM PDT
	Auscultated breath sounds in the posterior left upper lobe	Exam Action 04/09/20 11:27 AM PDT
	Auscultated breath sounds in the posterior right upper lobe	Exam Action 04/09/20 11:27 AM PDT
	Auscultated breath sounds in the posterior right mid-back (lower lobe)	Exam Action 04/09/20 11:27 AM PDT
	Auscultated breath sounds in the posterior left mid-back (lower lobe)	Exam Action 04/09/20 11:27 AM PDT
	Auscultated breath sounds in the posterior right lower lobe near the spine	Exam Action 04/09/20 11:28 AM PDT
	Auscultated breath sounds in the posterior left lower lobe near the spine	Exam Action 04/09/20 11:28 AM PDT
	Auscultated breath sounds in the posterior left lower lobe on the side	Exam Action 04/09/20 11:28 AM PDT
	Auscultated breath sounds in the posterior left lower lobe	Exam Action 04/09/20 11:28 AM PDT
	Auscultated breath sounds in the posterior right lower lobe	Exam Action 04/09/20 11:28 AM PDT
	Auscultated breath sounds in the posterior right lower lobe on the side	Exam Action 04/09/20 11:28 AM PDT
	Auscultated voice sounds in the anterior right upper lobe	Exam Action 04/09/20 11:29 AM PDT
	Ninety-nine.
	Ninety-nine.
	Auscultated voice sounds in the anterior left upper lobe Danny Rivera Pediatric Cough Shadow Health Assessment Transcript	Exam Action 04/09/20 11:29 AM PDT
	Ninety-nine.
	Ninety-nine.
	Ninety-nine.
	Ninety-nine.
	Auscultated voice sounds in the anterior left mid-chest (upper lobe)	Exam Action 04/09/20 11:29 AM PDT
	Ninety-nine.
	Ninety-nine.
	Auscultated voice sounds in the anterior right middle lobe	Exam Action 04/09/20 11:29 AM PDT
	Ninety-nine.
	Ninety-nine.
	Ninety-nine.
	Auscultated voice sounds in the anterior right middle lobe	Exam Action 04/09/20 11:30 AM PDT
	Ninety-nine.
	Ninety-nine.
	Auscultated voice sounds in the anterior left mid-chest (upper lobe)	Exam Action 04/09/20 11:30 AM PDT
	Ninety-nine.
	Auscultated voice sounds in the anterior left lower lobe	Exam Action 04/09/20 11:30 AM PDT
	Ninety-nine.
	Auscultated voice sounds in the anterior right lower lobe	Exam Action 04/09/20 11:30 AM PDT
	Ninety-nine.
	Ninety-nine.
	Ninety-nine.
	Auscultated voice sounds in the posterior left upper lobe	Exam Action 04/09/20 11:30 AM PDT
	Ninety-nine.
	Ninety-nine.
	Auscultated voice sounds in the posterior right upper lobe	Exam Action 04/09/20 11:30 AM PDT
	Ninety-nine.
	Auscultated voice sounds in the posterior right mid-back (lower lobe)	Exam Action 04/09/20 11:30 AM PDT
	Auscultated voice sounds in the posterior left mid-back (lower lobe)	Exam Action 04/09/20 11:30 AM PDT
	Ninety-nine.
	Ninety-nine.
	Ninety-nine.
	Auscultated voice sounds in the posterior left lower lobe near the spine	Exam Action 04/09/20 11:30 AM PDT
	Ninety-nine.
	Auscultated voice sounds in the posterior right lower lobe near the spine	Exam Action 04/09/20 11:30 AM PDT
	Ninety-nine.
	Ninety-nine.
	Ninety-nine.
	Auscultated voice sounds in the posterior right lower lobe on the side	Exam Action 04/09/20 11:30 AM PDT
	Ninety-nine.
	Auscultated voice sounds in the posterior right lower lobe	Exam Action 04/09/20 11:31 AM PDT
	Ninety-nine.
	Auscultated voice sounds in the posterior left lower lobe	Exam Action 04/09/20 11:31 AM PDT
	Ninety-nine.
	Ninety-nine.
	Auscultated voice sounds in the posterior left lower lobe on the side	Exam Action 04/09/20 11:31 AM PDT
	Ninety-nine.
	Ninety-nine.
	Ninety-nine.
	Auscultated aortic area with the bell	Exam Action 04/09/20 11:31 AM PDT
	Auscultated aortic area with the diaphragm	Exam Action 04/09/20 11:31 AM PDT
	Auscultated aortic area with the bell	Exam Action 04/09/20 11:31 AM PDT
	Auscultated aortic area with the diaphragm	Exam Action 04/09/20 11:31 AM PDT
	Auscultated aortic area with the bell	Exam Action 04/09/20 11:31 AM PDT
	Auscultated aortic area with the diaphragm	Exam Action 04/09/20 11:31 AM PDT
	Auscultated pulmonic area with the diaphragm	Exam Action 04/09/20 11:31 AM PDT
	Auscultated pulmonic area with the bell	Exam Action 04/09/20 11:31 AM PDT
	Auscultated Erb’s point with the bell	Exam Action 04/09/20 11:31 AM PDT
	Auscultated Erb’s point with the diaphragm	Exam Action 04/09/20 11:32 AM PDT
	Auscultated tricuspid area with the diaphragm	Exam Action 04/09/20 11:32 AM PDT
	Auscultated tricuspid area with the bell	Exam Action 04/09/20 11:32 AM PDT
	Auscultated mitral area with the bell	Exam Action 04/09/20 11:32 AM PDT
	Auscultated mitral area with the diaphragm	Exam Action 04/09/20 11:32 AM PDT
	Percussed anterior right upper lobe	Exam Action 04/09/20 11:32 AM PDT
	Percussed anterior right middle lobe	Exam Action 04/09/20 11:32 AM PDT
	Percussed anterior left upper lobe	Exam Action 04/09/20 11:32 AM PDT
	Percussed anterior left mid-chest (upper lobe)	Exam Action 04/09/20 11:32 AM PDT
	Percussed anterior left lower lobe	Exam Action 04/09/20 11:32 AM PDT
	Percussed anterior right lower lobe	Exam Action 04/09/20 11:32 AM PDT
	Percussed posterior left upper lobe	Exam Action 04/09/20 11:33 AM PDT
	Percussed posterior left mid-back (lower lobe)	Exam Action 04/09/20 11:33 AM PDT
	Percussed posterior right mid-back (lower lobe)	Exam Action 04/09/20 11:33 AM PDT
	Percussed posterior right upper lobe	Exam Action 04/09/20 11:33 AM PDT
	Percussed posterior left lower lobe	Exam Action 04/09/20 11:33 AM PDT
	Percussed posterior left lower lobe on the side	Exam Action 04/09/20 11:33 AM PDT
	Percussed posterior left lower lobe near the spine	Exam Action 04/09/20 11:33 AM PDT
	Percussed posterior right lower lobe near the spine	Exam Action 04/09/20 11:33 AM PDT
	Percussed posterior right lower lobe	Exam Action 04/09/20 11:33 AM PDT
	Percussed posterior left right lobe on the side	Exam Action 04/09/20 11:33 AM PDT
	Inspected mouth Danny Rivera Pediatric Cough Shadow Health Assessment Transcript	Exam Action 04/09/20 11:58 AM PDT

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