Anita Douglas - First attempt transcript

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Focused Exam: Community-Acquired Pneumonia Results | Turned In
Advanced Pharmacology - March 2020, NU 614
Return to Assignment (https://app.shadowhealth.com/assignments/293294/)




Your Results Lab Pass (https://app.shadowhealth.com/assignment_attempts/6604366/lab_pa




Overview
(https://app.shadowhealth.com/assignment_
Transcript
attempts/6604366#experience-overview-
pane) Started: Apr 13, 2020 | Total Time: 35 min


Transcript All Lines (77) Interview Questions (72) Statements (5) Exam Actions (0)
(https://app.shadowhealth.com/assignme
nt_attempts/6604366#transcript- Greet
pane4953) Hi I'm Andy what brings you in today 04/13/20 3:28 PM
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Subjective Data Collection
(https://app.shadowhealth.com/assignment_
attempts/6604366#subjective_data_collectio Hello.
n-pane4953)

Objective Data Collection Question
(https://app.shadowhealth.com/assignment_ Event today (No matching questions found.) 04/13/20 3:28 PM
attempts/6604366#objective_data_collection CDT
-pane4953)

Education & Empathy Question
(https://app.shadowhealth.com/assignment_ What brings you in today 04/13/20 3:28 PM
attempts/6604366#education_and_empathy- CDT
pane4953)

Documentation I'm here because I've got an awful cough, a fever, and my chest feels like I've been
(https://app.shadowhealth.com/assignment_ kicked by a horse. I'm sure this is some kind of upper respiratory infection. I was
attempts/6604366#documentation-pane) hoping it would go away on its own, but it hasn't, so my husband Jeffrey convinced
me to come in. As amusing as it is for Jeffrey to serve me my meals, this has gone
Debrief on long enough. I need to feel better.
(https://app.shadowhealth.com/assignment_
attempts/6604366#sbar-pane4953)
Empathize
I am sorry to hear that you are in pain. Let's work on figuring out what is going on
04/13/20 3:29 PM
Medication Selection so we can find you comfort and relief.
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(https://app.shadowhealth.com/assignment_
attempts/6604366#show_medication_selecti
on-pane4953) Well, that's very nice.
Patient Teaching
(https://app.shadowhealth.com/assignment_ Question
attempts/6604366#show_patient_teaching- When did these symptoms start 04/13/20 3:30 PM
pane4953) CDT

Prescription Writing
(https://app.shadowhealth.com/assignment_ Most of my symptoms started three days ago. I developed this nasty cough, and
attempts/6604366#show_prescription_writin my nose has been all stuffed up. That's also when the chest pain started, and when
g-pane4953) I began to feel exhausted. The fever set in last night. That was the last straw, so
Jeffrey brought me in.

, Does anything help your cough Question
04/13/20 3:30 PM
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Resting seems to help a little. Drinking tea or using my humidifier can ease the
scratchiness in my throat.


Question
What makes your cough worse 04/13/20 3:30 PM
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My cough is bad enough with no help from me. It doesn't get worse. It stays
constantly terrible.


Question
Are you in pain currently 04/13/20 3:31 PM
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I have some chest pain. It's more of a deep, dull pain, really. It's more or less
constant, but gets more severe when I cough. This started three days ago. The
cough and congestion began when the chest pain did, but I didn't start coughing
anything up until two days ago.


Question
Makes your chest pain better (Clarified to What makes the chest pain better?.) 04/13/20 3:31 PM
CDT


I took some aspirin last night. Jeffrey brought me some hot tea to help, and I used
my humidifier. I also took a hot shower, hoping that the hot steam would help. I
thought it would be good to just get all of this nasty mucus out, so I've been letting
myself cough this stuff up and blowing my nose to try and get my sinuses to drain.
(Clarified to what makes the chest pain better.)


Question
Are you allergic to anything 04/13/20 3:32 PM
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No, I don't have allergies.


Question
Are you allergic to any foods 04/13/20 3:33 PM
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I don't have any food allergies.


Question
do have any medication allergies 04/13/20 3:33 PM
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I don't have any medication allergies.


Question
do you have any environmental allergies 04/13/20 3:33 PM
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No environmental allergies here.


Question
What's your medical history 04/13/20 3:33 PM
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