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Adolescent Sports Evaluation Results | Completed
Fall 2024 FNP Advanced Primary Care Pediatrics, NURS 612V
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Overview
Transcript
Transcript
Started: Nov 30, 2024 | Total Time: 56 min
Subjective Data Collection
All Lines (135) Interview Questions (58) Statements (13) Exam Actions (64)
Objective Data Collection
Education & Empathy Gr
Hi, my name is carli I will performing your physical exam today?
11/30/24 2:31 PM C
Documentation
Treatment Plan Hello.
Self-Reflection
Quest
What brings you in today?
11/30/24 2:32 PM C
I'm here for a sports physical. I'm gonna play on my school soccer team. We're
called the Nightingales, which is pretty cool.
Quest
What is your relationship to each other?
11/30/24 2:32 PM C
Oh, this is my mom.
Hey, I'm Jackie Monroe. This is my daughter, Samantha.
Quest
any past medical issues?
11/30/24 2:32 PM C
Nope, no major health issues.
Quest
Do you take any daily medications?
11/30/24 2:32 PM C
No, I don't take anything.
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Are you allergic to any medications?
I'm not allergic to any medications.
Any environmental allergies?
I'm not allergic to anything like that. I'm totally fine outside. You kinda have to be when you're outside
playing soccer.
any surgical history?
I had my tonsils removed when I was like 9, but that's it.
Yeah, that was Samantha's only surgery.
all vaccines up to date?
Yeah, I've had all my vaccines.
I always made sure she was up to date on her vaccinations.
do you take any vitamins or supplements?
I take a multivitamin. Plus, I drink apple cider vinegar, which is kinda like a supplement.
ever any dizziness? (Clarified to Do you get dizzy?.)
I've only been dizzy like once or twice. And that was because I skipped lunch and then had to go to
gym class. (Clarified to if I get dizzy.)
It is very important to eat all three meals, espically before physical activity.
For sure. OK.
any heart problems?
No, I've never been diagnosed with any heart problems that I know of.
No, no heart problems.
Thats good!
Cool, thank you.
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