Focused Exam: Cough Results | Turned In
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Advanced Health Assessment - Chamberlain, NR509-April-2018
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Return to Assignment
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YourResults
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Lab Pass n
Overview
Transcript
Transcript
Started: Jun 04, 2018 | Patient Exam Time: 86 min
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Subjective Data Collection
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All Lines (180)
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nObjective Data Collection
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Greet
Education & Empathy Hello, My name is Sara an FNP student and I will be interviewing you
06/04/18 2:50 PM
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today
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CDT
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Self-Reflection
Hi.
Question
What brought you into the clinic today?
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CDT
My Abuela brought me here because I've been feeling sick. I have been
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coughing a lot. . . and I feel kinda tired.
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Question
What is your name? n n n 06/04/18 2:52 PM
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CDT
My name is Daniel Rivera, but I just go by Danny.
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Question
And how old are you?
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I'm eight. n
Question
What is your date of birth?
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I was born March 4th in, um . . . [Danny reports correct birth year.] [AUDIO
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COMING SOON]
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,6/4/2018 Focused Exam: Cough | Completed | Shadow Health
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I'm sorry you feel so bad
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Empathize
06/04/18 2:54 PM
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Thank you. n
Question
When did your cough start? n n n n 06/04/18 2:55 PM
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I think the cough started four. . . No, it started five days ago.
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Question
Can you describe your place to me?
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CDT
My cough seems kind of gurgly and watery.
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Question
Do you have any sputum?
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CDT
Is that the gross, slimy stuff? Yeah, I've been coughing some of that up.
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It's not any strange color, though. It's just clear.
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Question
How often are you coughing? n n n n 06/04/18 2:59 PM
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I just keepfeeling like I have to cough every coupleminutes or so. I think
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it gets worse at night.
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Question
06/04/18 2:59 PM
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CDT
I think the cough started four. . . No, it started five days ago.
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Question
What is the duration of your cough? (Clarified to How would you
06/04/18 3:00 PM
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describe your cough?.)
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My cough seems kind of gurgly and watery.
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Question
What makes your cough worse? n n n n 06/04/18 3:00 PM
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, 6/4/2018 Focused Exam: Cough | Completed | Shadow Health
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My cough mostly stays the same no matter what I do. It seems to get
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worse at night though.
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Question
Do you smoke?
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No way! I know smoking is really bad--even for grown-ups. Papi smokes
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cigars sometimes. I don't like how they smell.
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Question
Do you know what triggers your cough? (No matching questions
06/04/18 3:01 PM
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found.)
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Question
What makes your cough worse?n n n n 06/04/18 3:01 PM
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My cough mostly stays the same no matter what I do. It seems to get
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worse at night though.
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Question
Are you exposed to anyone smoking?
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CDT
Well . . . sometimes Papi smokes cigars in the house and my mom has to
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tell him to go outside. I breathe it a little bit then, but it's not all the time or
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anything. I don't like how it smells.
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Question
Does your father smoke? n n n 06/04/18 3:02 PM
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Well . . . sometimes Papi smokes cigars in the house and my mom has to
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tell him to go outside. I breathe it a little bit then, but it's not all the time or
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anything. I don't like how it smells.
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Question
What makes your cough better?
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I had some cough medicine this morning. [AUDIO COMING SOON]
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Educate
06/04/18 3:03 PM
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Oh, OK. n
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