Focused Exam_ Chest Pain _Transcript Focused Exam_ Chest Pain _Transcript

11/18/2019 Focused Exam: Chest Pain | Completed | Shadow Health
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Focused Exam: Chest Pain Results | Turned In
Advanced Health Assessment - Fall 2019, NGR 5035
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Overview
Transcript
Transcript
Started: Nov 18, 2019 | Patient Exam Time: 245 min
Subjective Data Collection
All Lines (236) Interview Questions (104) Statements (28) Exam Actions (104)
Objective Data Collection
Greet
Education & Empathy Hello my name is Jay I'm nurse practitioner student I will do interview
11/18/19 1:13 PM
and assessment on you today. Is that ok?
EST
Documentation


Good morning.


Question
Can you tell me your name and date of birth please? 11/18/19 1:14 PM
EST



My name is Brian Robert Foster and I was born August 17.


Empathize
Thank you 11/18/19 1:14 PM
EST



Thanks. I appreciate that.


Question
What girls do in to the clinic today? 11/18/19 1:16 PM
EST


I have been having some troubling chest pain in my chest now and
then for the past month.


I'm sorry you are having this symptoms chest pain can be Empathize
uncomfortable and stressful. It's good that you came in today so we 11/18/19 1:18 PM
can see what is causing your discomfort. EST

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,11/18/2019 Focused Exam: Chest Pain | Completed | Shadow Health


Thanks. I appreciate that.


Question
Your chest pain started about months ago? 11/18/19 1:19 PM
EST


I first noticed it earlier this month. I thought it might just be heartburn
and it passed after a couple of minutes.


Question
Describe my place your chest pain? 11/18/19 1:19 PM
EST


Well, it mostly feels tight and uncomfortable right in the middle of my
chest.


Question
How long does your pain last? 11/18/19 1:20 PM
EST


When I feel it, it seems to get better over the course of a couple of
minutes or so.


Empathize
Sorry to hear that you have having pain. 11/18/19 1:20 PM
EST



Thanks. I appreciate that.


Question
How often are you having pain? 11/18/19 1:20 PM
EST


Well, it has happened three times the past month. It usually goes
away after about a couple minutes.


Question
Is it going to be in the same every time? (No matching questions
11/18/19 1:21 PM
found.)
EST


Question
He's a pain similar of the time? (No matching questions found.) 11/18/19 1:21 PM
EST


Question
Is a pain similar of the time? (No matching questions found.) 11/18/19 1:22 PM
EST


Question
Is your pain the same every time? 11/18/19 1:22 PM
EST



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, 11/18/2019 Focused Exam: Chest Pain | Completed | Shadow Health

It's hard to say. Each time it's happened, the pain has been similar. It's
not even pain so much as an uncomfortable feeling in the middle of
my chest that lasts a few minutes.


Question
How would you rate your pain on a scale of 0 to 10? 11/18/19 1:23 PM
EST


I'd say maybe a . . . 5? It's just really uncomfortable . . . like there's
nothing I can do about it. Right now it's like a zero though.


Question
Does a pain burn? 11/18/19 1:23 PM
EST



Not really.


Question
Tell me about characteristic of the pain? 11/18/19 1:26 PM
EST


Well, it mostly feels tight and uncomfortable right in the middle of my
chest.


Educate
This is like sharp or crashing 11/18/19 1:27 PM
EST



Good to know. Thank you.


Question
Is it pain like crashing? (Clarified to Do you have pain when you
11/18/19 1:27 PM
breathe?.)
EST



My breathing's fine. (Clarified to if it hurts to breathe.)


Question
Do you have any tearing pain? (No matching questions found.) 11/18/19 1:32 PM
EST


Question
Do you have any gnawing pain? 11/18/19 1:32 PM
EST



No, it's not like that. [AUDIO COMING SOON]


Question
Could you show me where is pain located. (Clarified to Where is the
11/18/19 1:33 PM
pain?.)
EST




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