Shadow Health – Cardiovascular Latest 2023 - 100% Pass

Shadow Health – Cardiovascular Latest 2023 - 100% Pass Relevant Medical History Asked about heart problems Denies heart problems Asked about heartbeat Reports normal heartbeat Reports normal heart rate Denies palpitations Denies arrhythmia Asked about high blood pressure Denies high blood pressure Reports last blood pressure check 140 over 80 or 90 Reports belief that current blood pressure is on the high side of normal range Asked about heart murmur Denies heart murmur Asked about swelling Denies swelling other than foot wound Asked about blue skin Denies blue skin Asked about cardiac tests Denies having a stress Denies having an echocardiogram Denies having a coronary artery CT scan Asked about cardiac surgeries Denies having a heart catheterization Denies having angioplasty or stent Denies having a pacemaker Review of Systems Asked about chest pain Denies chest pain Denies angina Asked about chest tightness Reports chest tightness during asthma exacerbations Denies current chest tightness Asked about breathing problems Reports wheezing Reports shortness of breath Denies waking at night, unable to breathe Denies sleep apnea Denies difficulty breathing when lying down Denies current breathing problems Followed up on breathing problem triggers Reports breathing problems occur during asthma exacerbations Asked about leg cramping Denies leg cramping Risk Factors Asked about mobility Reports being immobile for past three days Asked about Venous Thrombosis Denies tender or painful areas other than foot wound Denies redness other than foot wound Denies unusual warmth Denies history of venous thrombosis Asked about cholesterol Denies cholesterol problems Asked about dietary habits Reports drinking Diet Coke Reports trying to avoid sugar Reports not worrying about diet Asked about perceived weight Reports being overweight for whole life Reports being satisfied with weight Asked about recent weight change Reports recent weight loss Reports losing about 10 lbs Asked about alcohol intake Reports last alcoholic drink was 3 weeks ago Reports no more than 2 or 3 alcoholic drinks in one sitting Reports no more than 1 or 2 nights a week drinking alcohol Asked about illicit drugs Reports history of smoking recreational marijuana Denies current use of recreational marijuana Asked about tobacco use Denies tobacco use Denies vaping Asked about secondhand smoke Asked about secondhand smoke Relevant Family History Asked family history of high blood pressure Reports mother has high blood pressure Reports father had high blood pressure Reports maternal grandfather had high blood pressure Reports maternal grandmother has high blood pressure Reports paternal grandfather had high blood pressure Reports paternal grandmother has high blood pressure Asked family history of high cholesterol Reports mother has high cholesterol Reports father had high cholesterol Reports maternal grandfather had high cholesterol Reports maternal grandmother had high cholesterol Reports paternal grandfather had high cholesterol Reports paternal grandmother has high cholesterol Asked family history of stroke Reports maternal grandmother died of stroke Asked about family history of heart attack Reports maternal grandfather died of heart attack Asked about family history of obesity Asked about family history of obesity Inspected chest Symmetric No visible abnormal findings Inspected for jugular venous distension 4 cm or less above the sternal angle Inspected hands and fingernails Right: No visible abnormal findings Left: No visible abnormal findings 3 seconds or less Inspected lower extremities and toenails Right: -Pitting -1+ Slight pitting -Visible distortion or swelling -No visible abnormal findings Left: -No edema -No edema -No visible abnormal findings -No visible abnormal findings Capillary Refill Time: -3 seconds or less Palpated temporal arteries No thrill in either artery 2+ Palpated carotid arteries Right: -No thrill -2+ Left: -No thrill -2+ Palpated PMI Present at midclavicular line and 5th intercostal space Brisk and tapping 3 cm or less Palpated radial arteries Right: -No thrill -2+ Left: -No thrill -2+ Palpated brachial arteries Right: -No thrill -2+ Left: -No thrill -2+ Palpated femoral arteries Right -No thrill -2+ Left -No thrill -2+ Palpated popliteal arteries Right -No thrill -2+ Left -No thrill -2+ Palpated tibial arteries Right -No thrill -1+ Left -No thrill -2+ Palpated dorsalis pedis arteries Right -No thrill -1+ Left -No thrill -2+ Auscultated carotid arteries Right No bruit Left No bruit Auscultated heart sounds S1 and S2 No extra sounds Auscultated abdominal aorta No bruit Auscultated abdominal arteries Right -No bruit Left -No bruit