Sophia Haddad Pediatric GAS Pharyngitis shadow health transcript
Sophia Haddad Pediatric GAS Pharyngitis shadow health transcript
Transcript
 |
Hi, Sophia. My name is Danielle and I will be your provider today.
|
Greet |
 |
Hi there.
|
|
|
Hi Omar, My name is Danielle, and I will be your provider today
|
Question |
 |
Hello.
|
|
|
What brings you and Sophia in today? (Clarified to What brings you to the office today?.)
|
Question |
|
My daughter’s sick. A high fever and a sore throat. (Clarified to what brings me to the office.)
|
|
|
What brings you in to the office
|
Question |
|
I’m here because they sent me home at school because I was cold and tired and the teacher sent me to the nurse, and when I told her my throat had been hurting all morning she called my Baba. He’s the guy over there.
|
|
|
I am sorry you are not feeling well, i hope i can help
|
Empathize |
|
Thank you.
|
|
|
Where is the pain?
|
Question |
|
It hurts in the back of my throat. AND my head hurts.
|
|
|
Why are you sick?
|
Question |
|
My throat hurts, and I’m all cold and tired.
|
|
|
When did you notice the pain?
|
Question |
|
I was eating breakfast this morning and it hurt to swallow and I realized my throat hurt all the time.
|
|
|
When did your fever start?
|
Question |
|
I started feeling all chilly and achy at school, during science class.
|
|
|
How bad does your throat hurt?
|
Question |
|
Uh. Bad. It hurts kinda bad.
|
|
|
Do you have problems talking?
|
Question |
|
My throat hurts worse when I talk.
|
|
|
Are you able to swallow?
|
Question |
|
I can swallow, but it hurts my throat really bad.
|
|
|
Do you drink water?
|
Question |
|
I like drinking water. I had some already today.
|
|
|
Do you take any medications?
|
Question |
|
Only when Baba makes me. Medicine tastes so bad.
|
|
|
Im sorry you feel that way
|
Empathize |
|
OK. Thanks.
|
|
|
Medicines can help us feel better
|
Educate |
|
Hmm . . . OK.
|
|
|
How long has sophia been sick?
|
Question |
|
The school called me about 2 hours ago saying Sophia had a fever of 102 and a sore throat.
|
|
|
What was your daughters fever at school?
|
Question |
|
The school said her fever was 102. I feel so bad she has that on top of a sore throat.
|
|
|
Did she have a fever at home? (Clarified to When did your daughter’s fever start?.)
|
Question |
|
I’m not sure, to be honest. I didn’t realize she had a fever this morning, but I do know her temperature was 102 this morning at the school clinic. (Clarified to when my daughter’s fever started.)
|
|
|
When did the pain start?
|
Question |
|
I didn’t notice the sore throat or the fever this morning. I feel pretty bad for missing it.
|
|
|
Its okay
|
Empathize |
|
OK, thanks.
|
|
|
Are you daughters classmates sick? (No matching questions found.)
|
Question |
|
Are your daughters classmates sick?
|
Question |
|
The school nurse said that strep throat is going around at her school. I think a few of her classmates are out sick right now.
|
|
|
Is anyone sick in your family?
|
Question |
|
No one at home has had strep. My wife and I are both healthy.
|
|
|
What have you done for your daughter’s throat/
|
Question |
|
I gave Sophia some ibuprofen for her fever. She also drank a little bit of cold water, which I think helped her throat.
|
|
|
Did you give your daughter medication recently?
|
Question |
|
I gave her the ibuprofen on our way here, as we were leaving school.
|
|
|
Does sophia take any home medications
|
Question |
|
Sophia doesn’t take any regular medications, thankfully. She really doesn’t handle it well.
|
|
|
How much ibuprofen did sophia receive?
|
Question |
|
I gave her children’s ibuprofen, the liquid kind. The strength was . . . 100 mg per 5 mL.
|
|
|
how does your daughter handle taking medications?
|
Question |
|
Sophia doesn’t handle taking medicine well. She’s been pretty stubborn about it for a long time.
|
|
|
How does you daughter handle swallowing pills? (No matching questions found.)
|
Question |
|
How does you daughter swallow pills? (No matching questions found.)
|
Question |
|
What happened when you tried to give sophia the medication?
|
Question |
|
When I try to give Sophia medication . . . well, life isn’t great. It’s hard to convince her to do it, and when Sophia doesn’t want to do something, she’s really headstrong about it. For example, before we got here, I gave Sophia some ibuprofen. Sophia took the medicine eventually, but she started crying when I told her that she needed to take it. She used to spit medication out, but she doesn’t do that much anymore.
|
|
|
Is your daughter up to date on vaccines?
|
Question |
|
Yes, Sophia’s up to date on her vaccinations.
|
|
|
Has sophia had any surgeries in the past
|
Question |
|
Sophia had ear tubes put in when she was two, but no surgeries other than that.
|
|
|
did you daughter have a tonsillectomy? (No matching questions found.)
|
Question |
|
did your daughter have a tonsillectomy?
|
Question |
|
No, Sophia’s never had her tonsils removed.
|
|
|
When is the last time your daughter had a sore throat?
|
Question |
|
I don’t know the last time Sophia had a sore throat . . . she’s never had strep before.
|
|
|
When was your daughters last ear infection?
|
Question |
|
It’s been a long time. A few years. They stopped shortly after she got her ear tubes put in, when she was two.
|
|
|
What medications is your daughters allergic to
|
Question |
|
Sophia isn’t allergic to any medications.
|
|
|
Does your head hurt/
|
Question |
|
Yes. I have a headache right now. It feels kind of achy and heavy.
|
|
|
Does your chest feel tight?
|
Question |
|
No, my chest doesn’t feel tight.
|
|
|
Have you been coughing a lot?
|
Question |
|
No, I haven’t been coughing at all.
|
|
|
Are you vomiting?
|
Question |
|
I haven’t thrown up.
|
|
|
Do you have any lumps or bumps on your skin?
|
Question |
|
Yes, I have these red bumps on my chest.
|
|
|
Does you daughter have a runny nose? (No matching questions found.)
|
Question |
|
Does your daughter have a runny nose?
|
Question |
|
Sophia’s nose hasn’t been runny.
|
|
|
Does your daughter have a cough?
|
Question |
|
Sophia doesn’t have a cough.
|
|
|
When did you notice your daughter’s rash/
|
Question |
|
The school nurse told me about the rash when I picked Sophia up from school a few hours ago. I didn’t notice it before that.
|
|
|
Can i take a look at sophias throat and rash/
|
Question |
|
Yes, I suppose. Go ahead.
|
|
|
can I look at the rash?
|
Question |
|
OK, you can look at my rash . . . but I’m warning you, it’s NOT pretty.
|
|
|
Can I please look at your throat? (Clarified to Can I look at your throat?.)
|
Question |
|
Yeah, you can look at my throat. (Clarified to if I can look at your throat.)
|
|
|
Sophia’s test came back positive.
|
Question |
|
Alright. Thank you.
|
|
|
Follow the instructions on the medication
|
Question |
|
I’ll be sure to do that.
|
|
|
Keep medication in safe place, out of children reach
|
Question |
|
Good call. I don’t think she’d pour it out or something, butoh, you mean she might drink it. Right, that too.
|
|
|
Check to be sure the dose is correct
|
Question |
|
I bet it’s really dangerous to give a kid too much medicine. Better be careful.
|
|
|
Symptoms should improve in a couple of days
|
Question |
|
That’s really good to hear. I hate to see her like this.
|
|
|
Sophia will be able to return to school in 3 days
|
Question |
|
Yeah, I can do that. Make sure Sophia takes all of her medicine. No matter how much she doesn’t want to. Make her do the thing she doesn’t want to do. I got it.
|
|
|
Looks for a rash in here mouth
|
Question |
|
Oh, thrush is terrible. I’ll let you know right away if I see any signs of it.
|
|
|
Stop the medication of you see any signs of an allergic reaction, like difficulty breathing
|
Question |
|
Sophia already has some of those things because of the strep. How do I know if she’s also having a reaction to the amoxicillin?
|
|
|
Hives and if your daughter cant breathe
|
Question |
|
Understood.
|
|
|
change the toothbrush
|
Question |
|
She’s pretty attached to her butterfly toothbrush, but I’m sure we can find another one . . . probably . . .
|
|
|
she can return to school in 3 days
|
Question |
|
That’s good to know. Thanks.
|
|
|
She can drink plenty of water
|
Question |
|
Sophia’s pretty good about drinking water. Normally I’d go for tea, but I don’t think I need a caffeinated Sophia stuck at home from school. Bad times for everybody.
|
|
|
Have a good day
|
Question |
|
Ok. See you later.
|