Danny Rivera Pediatric Cough Shadow Health Assessment Transcript
Started: Apr 08, 2020 | Total Time: 74 minAll Lines (176)Interview Questions (58)Statements (19)Exam Actions (99)
 | 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 |
 | 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 100% ON YOUR SHADOW HEALTH ASSESSMENT | 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, its 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, its 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, xxxkind 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, its good to have a test done whenever there is a chance. | Educate 04/08/20 9:43 PM PDT |
| Oh, OK. | |
| Do you have 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 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 front of neck | Exam Action 04/09/20 11:16 AM PDT |
| Inspected right side of neck | Exam Action 04/09/20 11:17 AM PDT |
| Inspected front of neck | Exam Action 04/09/20 11:17 AM PDT |
| Inspected left side of neck | Exam Action 04/09/20 11:17 AM PDT |
| Inspected back of 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 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 100% ON YOUR SHADOW HEALTH ASSESSMENT | |
| 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 anterior left upper lobe | Exam Action 04/09/20 11:25 AM PDT |
| Auscultated breath sounds in anterior right upper lobe | Exam Action 04/09/20 11:25 AM PDT |
| Auscultated breath sounds in anterior right middle lobe | Exam Action 04/09/20 11:26 AM PDT |
| Auscultated breath sounds in anterior left mid-chest (upper lobe) | Exam Action 04/09/20 11:26 AM PDT |
| Auscultated breath sounds in anterior left mid-chest (upper lobe) | Exam Action 04/09/20 11:26 AM PDT |
| Auscultated breath sounds in anterior right middle lobe | Exam Action 04/09/20 11:26 AM PDT |
| Auscultated breath sounds in anterior right lower lobe | Exam Action 04/09/20 11:26 AM PDT |
| Auscultated breath sounds in anterior left lower lobe | Exam Action 04/09/20 11:27 AM PDT |
| Auscultated breath sounds in posterior left upper lobe | Exam Action 04/09/20 11:27 AM PDT |
| Auscultated breath sounds in posterior right upper lobe | Exam Action 04/09/20 11:27 AM PDT |
| Auscultated breath sounds in posterior right mid-back (lower lobe) | Exam Action 04/09/20 11:27 AM PDT |
| Auscultated breath sounds in posterior left mid-back (lower lobe) | Exam Action 04/09/20 11:27 AM PDT |
| Auscultated breath sounds in posterior right lower lobe near spine | Exam Action 04/09/20 11:28 AM PDT |
| Auscultated breath sounds in posterior left lower lobe near spine | Exam Action 04/09/20 11:28 AM PDT |
| Auscultated breath sounds in posterior left lower lobe on side | Exam Action 04/09/20 11:28 AM PDT |
| Auscultated breath sounds in posterior left lower lobe | Exam Action 04/09/20 11:28 AM PDT |
| Auscultated breath sounds in posterior right lower lobe | Exam Action 04/09/20 11:28 AM PDT |
| Auscultated breath sounds in posterior right lower lobe on side | Exam Action 04/09/20 11:28 AM PDT |
| Auscultated voice sounds in anterior right upper lobe | Exam Action 04/09/20 11:29 AM PDT |
| Ninety-nine. | |
| Ninety-nine. | |
| Auscultated voice sounds in anterior left upper lobeDanny 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 anterior left mid-chest (upper lobe) | Exam Action 04/09/20 11:29 AM PDT |
| Ninety-nine. | |
| Ninety-nine. | |
| Auscultated voice sounds in anterior right middle lobe | Exam Action 04/09/20 11:29 AM PDT |
| Ninety-nine. | |
| Ninety-nine. | |
| Ninety-nine. | |
| Auscultated voice sounds in anterior right middle lobe | Exam Action 04/09/20 11:30 AM PDT |
| Ninety-nine. | |
| Ninety-nine. | |
| Auscultated voice sounds in anterior left mid-chest (upper lobe) | Exam Action 04/09/20 11:30 AM PDT |
| Ninety-nine. | |
| Auscultated voice sounds in anterior left lower lobe | Exam Action 04/09/20 11:30 AM PDT |
| Ninety-nine. | |
| Auscultated voice sounds in anterior right lower lobe | Exam Action 04/09/20 11:30 AM PDT |
| Ninety-nine. | |
| Ninety-nine. | |
| Ninety-nine. | |
| Auscultated voice sounds in posterior left upper lobe | Exam Action 04/09/20 11:30 AM PDT |
| Ninety-nine. | |
| Ninety-nine. | |
| Auscultated voice sounds in posterior right upper lobe | Exam Action 04/09/20 11:30 AM PDT |
| Ninety-nine. | |
| Auscultated voice sounds in posterior right mid-back (lower lobe) | Exam Action 04/09/20 11:30 AM PDT |
| Auscultated voice sounds in 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 posterior left lower lobe near spine | Exam Action 04/09/20 11:30 AM PDT |
| Ninety-nine. | |
| Auscultated voice sounds in posterior right lower lobe near spine | Exam Action 04/09/20 11:30 AM PDT |
| Ninety-nine. | |
| Ninety-nine. | |
| Ninety-nine. | |
| Auscultated voice sounds in posterior right lower lobe on side | Exam Action 04/09/20 11:30 AM PDT |
| Ninety-nine. | |
| Auscultated voice sounds in posterior right lower lobe | Exam Action 04/09/20 11:31 AM PDT |
| Ninety-nine. | |
| Auscultated voice sounds in posterior left lower lobe | Exam Action 04/09/20 11:31 AM PDT |
| Ninety-nine. | |
| Ninety-nine. | |
| Auscultated voice sounds in posterior left lower lobe on 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 side | Exam Action 04/09/20 11:33 AM PDT |
| Percussed posterior left lower lobe near spine | Exam Action 04/09/20 11:33 AM PDT |
| Percussed posterior right lower lobe near 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 side | Exam Action 04/09/20 11:33 AM PDT |
| Inspected mouthDanny Rivera Pediatric Cough Shadow Health Assessment Transcript | Exam Action 04/09/20 11:58 AM PDT |
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